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- ...Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. Roles...
- ...Discover your 100% YOU with MicroSourcing! Position: Utilization Review Manager Location: BGC, Taguig City Work setup & shift: Onsite | Night shift Sign-on bonus: 100,000. Why join MicroSourcing Youu0027ll have: Competitive...
25000 - 30000 Php
...Client Review Specialist – 6-month Contract (₱25K–₱30K | Remote | Night Shift) Philippines | Remote | 12:00 AM–9:00 AM | Tuesday–Saturday ROLE SNAPSHOT You own the accuracy and progression of client medical records within a structured offshore delivery environment...- Medical Review Physician - Philippines - Home Based ICON plc is a world-leading healthcare intelligence and clinical research organization. We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission...Remote job
- ...want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Utilization Review Nurse Manager (USRN) to join our team in Manila, National Capital Region (PH-00), Philippines (PH). Roles and Responsibilities...
- ...Job Title Utilization Review Nurse (USRN Only - Dayshift) Description About the Role We are looking for a Medical Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria and U.S. Federal...
- ...Job Description As a member of the team in our Global Business Solutions (GBS) center, conducts second level data review in the analysis of EHS matrix samples in chemical lab. In particular, reviews and validates data calculations and assessments for reporting of...
- ...Job Description Primary Responsibility: The P iping Stress Review engineer is responsible for the technical review of piping flexibility and stress analysis reports provided by SGS Clients, ensure compliance with ASME standards, and manage the communication...
- ...Description SGS is the leading Inspection, Testing, Verification and Certification company. Job Description The GBS Technical Reviewer has to check that BRCGS audit report packs comply with all relevant requirements: The Technical Reviewer's responsibility is to...
- ...organization oversees Citi’s risk governance framework and risk appetite, ensures all risks generated by the firm’s businesses are measured, reviewed, and monitored on an ongoing basis. We’re currently looking for a high caliber professional to join our team as Assistant...
- ...world of Trust . About The Role We are seeking an experienced Civil Engineer with a strong background in design and design review for solar projects . The ideal candidate will ensure that all civil and structural aspects of solar installations meet industry...
- ...Advantage is looking for a meticulous and analytical Low Voltage Estimator to join our team. In this role, you will be responsible for reviewing plans and specifications related to low voltage systems, which include fire alarm, security, access control, cameras, intercom,...
- ...want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH). Performs clinical...
- ...JOB SUMMARY We are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management...
- ...ClearSource is seeking a Technical Project Review skilled in permit preparation , system activation , and customer education across major platforms. With a background in Engineering or Drafting , AutoCAD experience , and 1–3 years in technical or solar...
- ...an employee's career within TaskUs. Join our team today and experience firsthand our dedication to supporting People First. App Review Developer Support About TaskUs: TaskUs is a provider of outsourced digital services and next-generation customer experience to...
- ...organized and detail-oriented Virtual Assistant in the Philippines who can support our client with customer onboarding, contract review, and rebate/credit verification. This role requires strong English communication skills, exceptional accuracy, and the ability to coordinate...
- ...implementation of independent credit risk management system. Responsible for the preparation of credit risk management and credit review reports. Oversees assigned risk areas including market, liquidity, operational risk or combination thereof. Key Responsibilities...
- ...Role: The Strategic Review Analyst position (SRA) is accountable for the reviewing all request for proposal (RFP) draft documents and final documents for product and service accuracy, grammatical correctness, and consistency throughout the documents. In addition, the...
- ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping healthcare providers optimize their financial performance. We specialize in delivering innovative solutions that streamline revenue...
- ...About the Role: We are seeking a Dental Live Scan Review Team Lead for a fast-growing global dental technology company to lead and support a team responsible for the quality review of digital dental impressions submitted by dental clinics and clinicians. As Team...
- ...experience. You will deliver value to our clients, while making a larger impact on society. You will be responsible for analyzing and reviewing user profiles, audio, videos, and text-based content and/or Ready to join Accenture's team of empowered people We're looking...
3 - 5 $ per hour
...are: Clearly defined and guideline-driven Execution-focused rather than strategy-based Designed for foundational quality review and data processing Structured with step-by-step instructions This specific client initiative requires high-volume, standardized...- ...A Talent Review Manager drives strategic talent management by designing and overseeing performance evaluations, succession planning, and high-potential development initiatives. They analyze employee data, facilitate calibration meetings to identify top talent, maintain...
City Savings Bank
Pasig4 days ago - ...Responsibilities : Perform medical assessment of Individual Case Safety Reports (ICSRs) in accordance with Medical Safety Review process. Qualifications and Experience: Required MD/DO/International Equivalent with completion of accredited residency training...
Tata Consultancy Services
Taguig1 day ago - ...JOB DESCRIPTION: Operations Specialist - Medical Records Reviewer Position Type: Full-Time Schedule: MT or PST Hours, Remote Apply Here: About the Role We are seeking an Operations Specialist Medical Records Reviewer to join a rapidly expanding...Remote job
- ...Join the Leading Global Provider of CX and Tech Services and seize this moment to # JoinConcentrix ! Job Summary : The Credit Review Analyst will Review New and Existing Customer(s) to Determine Appropriate Credit Limit(s) and Term(s). You will Review New and Existing...
Concentrix
Quezon City1 day ago - ...ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Session Notes Reviewer to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction...
- ...Discover your 100% YOU with MicroSourcing! Position: Utilization Review Nurse Specialist Location: Taguig Work setup & shift: Onsite | Night shift Sign-on bonus: 50,000. Why join MicroSourcing Youu0027ll have:...
- ...Your Role The Loan Documentation Review Officer handles document validation and pre-implementation review of both Consumer and Corporate accounts prior to loan implementation. Also, ensures that the terms and conditions and other pertinent documents of accounts are...
Maybank
Taguig1 day ago
