55000 Php

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid... 

Manpower Core Group Inc.

Taguig
3 days ago
 ...Knowledge of workers’ compensation laws and regulations, behavioral health, case management practice, URAC standards, ODG, Utilization review, pharmaceuticals to treat pain, pain management process, drug rehabilitation, state workers compensation guidelines, periods of... 

Gratitude Philippines

Taguig
a month ago
 ...The Medical Content Analyst will independently research and identify new clinical content areas of claims editing, by reviewing specialty societies, peer reviewed medical journals, etc., to recommend new savings opportunities for Lyric customers. The Medical Content... 

MicroSourcing

Taguig
19 days ago
 ...Responsibilities: Coordinates with the Production Supervisor and other Reviewers with regard to job assignment. Constructs clear and accurate reviews of records that conform to the guidelines of each Client, and submits the reviews for edit within a specified period... 
Taguig
14 days ago
 ...world. Job Description: Job Description: Associate, NB Review 3A The position is responsible for auto appraisal of...  ...future With an optimistic eye on a brighter future, we drive to innovate. Be part of leading change, push boundaries and try new ways of... 

Sun Life Financial

Taguig
2 days ago
 ...nation's economic and social development. With Metrobank, a meaningful life is within your reach! Position Title: Automation & Innovation Specialist Job Summary ~ Responsible for handling administrative requirements that may arise from project engagements, extra... 

Metrobank

Taguig
22 days ago
Do you want to help reduce carbon emissions worldwide? If so, we are looking for an ML Engineer to help us build customer facing features to achieve this goal!Some of the features we’ve already released include Clean Energy Charging and the Grid Forecast Widget. We have...

Apple Inc.

Taguig
4 days ago
 ...to support the development of consistent, complete, and intuitive APIs. We establish and maintain API guidelines for our OSes, and review the design of software programming interfaces to ensure comprehensive access to platform functionality is available through Apple's... 

Apple Inc.

Taguig
4 days ago
 ...Group life insurance Work Arrangement Full work onsite Night shift work schedule Position Summary: The CDI Physician Reviewer is responsible for improving overall quality and completeness of clinical documentation to accurately reflect patient severity of... 
Taguig
a month ago
 ...About the Job Location: NCR Corporate Title : Corporate Analyst and Review Officer Work Arrangement: Hybrid Our Corporate Banking Group is looking for experienced professionals to join us in BGC in the role of Corporate Analyst and Review Officer... 

EastWest Bank

Taguig
1 day ago
 ...Position Title: DOCUMENT REVIEW OFFICER Job Summary: This position is responsible for reviewing of credit, collateral and transactional documents, document chopping, monitoring and tracking of document deficiencies, registration/encumbrance of collateral, insurance... 

Metrobank

Taguig
27 days ago
 ...Director, Design, Product Innovation – Digital Identity (Europe/UK&I) Full-time Job Family Group: Product Development Visa is a world leader in payments and technology, with over 259 billion payments transactions flowing safely between consumers, merchants, financial... 
Taguig
2 days ago
Provides comprehensive administrative support to field-based staff of complex projects; supports Project Managers and Directors by acting as internal line managers for employees allocated to large, complex, customer-managed projects or across multiple project teams in ...

IQVIA Argentina

Taguig
23 hours ago
 ...Conversion Work-Life Integration Get Visa Sponsorship & Work Abroad (*)*Terms and Conditions Apply The USRN Utilization Review Nurse role is responsible in performing medical necessity review of proposed prospective, concurrent, and retrospective cases such... 
Taguig
23 days ago
 ...Job Description: Responsible for reviewing and analyzing documents pertaining to an individual, and composing accurate and complete reviews of records, either by paraphrasing or quoting the original documents, utilizing the Client guidelines. Â # Coordinates with... 

eData Services US, L.L.C.

Taguig
27 days ago
 ...the overall process Perform moderately complex duties such as processing, researching inquires and reconciling transactions Review time sensitive documents Receive direction from supervisor and coordinate situations involving other departments Collaborate... 
Taguig
12 days ago
 ...exceptional experience for yourself, and a better working world for all.  Job Description: Supervising Associate – America’s Innovation GTM Job Description Service Line Digital Marketing Sub-service Line Campaign Management Location... 

Ernst & Young

Taguig
more than 2 months ago
 ...HIRING FOR PHRN UTILIZATION REVIEW, QUALITY ANALYST, CLINICAL TRAINER  Earn up to 80,000 Salary (May vary depends on the role and experience) Pioneering Account Career Development  Weekends Off Work Onsite Set-up: Taguig  QUALIFICATIONS PHRN Utilization... 
Taguig
11 days ago
 ...for With Sun Life : Ps 1.5 Million, or US Dollar Equivalent # Total All Companies : Ps 7 Million, or US Dollar Equivalent # Reviews and performs Automated Appraisal of New Business Applications, mandatory requirements, AMLA requirements and Alteration of Application... 

Sun Life Financial

Taguig
5 days ago
 ...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup...  ..., disability, or status as a protected veteran. Citigroup Inc. and its subsidiaries ("Citi”) invite all qualified interested... 
Taguig
22 days ago
 ...Wells Fargo is seeking a Loan Documentation Processor. This job is responsible for collecting, preparing, coordinate, and reviewing loan documents. In this role, you will: Support in performing a variety of loan documentation duties on moderately complex loans... 
Taguig
3 days ago
 ...Wells Fargo is seeking a Senior Loan Documentation Processor. This job is responsible for collecting, preparing, coordinate, and reviewing loan documents. In this role, you will: Provide support in performing loan documentation duties on the most complex loan packages... 
Taguig
3 days ago
 ...Utilization Review Specialist (Health Care Account) PH and US RN Nursing - General Medical & Surgical (Healthcare & Medical) Health is more than a revenue cycle management company–we’re a strategic partner for growth. With expert services complemented by AI-enabled... 

KMC Solutions

Taguig
23 hours ago
 ...Description Duties and Responsibilities: Reviews proposals and contract requirements....  ...Manage Stress and Conflicts ~ Leading Innovation and Change ~ Planning and Forecasting project...  ...the country.This includes:- Hedcor, Inc.- Therma Luzon, Inc.- Therma South, Inc.-... 

Aboitiz Power Corp.

Taguig
4 days ago
 ...Information John Clements Consulting Inc. Central BGC Makati - National Capital...  ...to empower your organization for the innovation economy. Job Description The Chief...  ...capital, how much, and in what mix) 5. Review or evaluate investment strategies by... 

John Clements Consulting Inc.

Taguig
2 days ago
 ...City Company Overview: Geco Philippines Inc. Job Description: We are seeking a...  ...code quality. Participate in code reviews and provide constructive feedback to peers...  ...plus. Join our team and be part of an innovative and collaborative environment where your... 

Geco Philippines

Taguig
1 day ago
 ...Financial Services) Company Overview:  Mpay Philippines Inc. is a dynamic and innovative operator of payment system, committed to delivering...  ...agreements, ensuring mutually beneficial terms. ~ Draft and review contracts, addressing legal and compliance requirements,... 

Mpay Philippines Inc

Taguig
1 day ago
 ...status and risk development, perform periodic review of credit portfolio, in compliance with...  ...basic salary? Sika Philippines, Inc. will be the leader in the construction and...  ...chemicals company in the Philippines through innovative and consistent business solutions to all... 

Sika Philippines Inc

Taguig
1 day ago
 ...Participate in sprint planning meetings to review and refine the backlog, select items for...  ...dynamics to identify opportunities for innovation and improvement. Qualifications: Bachelor...  ...under NTT, called NTT Incorporated (Inc.) Jun Sawada, current President and Chi... 

NTT

Taguig
1 day ago
 ...RCG Information Technology (PHILIPPINES) Inc Makati, Pilipinas Buong oras QualificationsAbility...  .... Our community prioritizes diversity, innovation, and your distinctive contribution,...  ...-up meetings, sprint planning, sprint review, and retrospective meetings. · •... 

Ninja Van PH

Taguig
2 days ago