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  •  ...Discover your 100% YOU with MicroSourcing! Position: Utilization & Denials Management Manager Location: Taguig...  ...Mentor Utilization Management/Clinical Denials & Appeals supervisors, trainers/QA specialists, or RN specialists to support succession... 

    Confidential

    Taguig
    12 days ago
  •  ...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... 

    Confidential

    Philippines
    5 days ago
  •  ...Job description: We are hiring US Registered Nurses (USRN) with Utilization Management (UM) experience to join our growing healthcare operations team in BGC. If you are looking to move into a non-bedside, corporate healthcare role while still using your clinical expertise... 

    Confidential

    Taguig
    10 days ago
  • Description Perform routine maintenance tasks in various facilities. Assist with electrical and carpentry projects as needed. Maintain building upkeep and ensure safety regulations are met. Support in construction and repair activities. Handle tools and ...

    Confidential

    Philippines
    7 days ago
  • Job description: Position: PUMPCREW/PLANT UTILITY concrete pumping operations (setup, cleaning, basic maintenance of pumpcrete equipment, etc.) and general plant cleaning and assistance (janitorial, minor repairs, assisting skilled staff, material transport, safety compliance... 

    Confidential

    Taytay, Rizal
    9 days ago
  • JOB SUMMARY The position is primarily responsible for ensuring cleanliness and orderliness in the Clinic premises and in assisting patients or customers going in and out of the Clinic. JOB QUALIFICATIONS Candidate must possess at least Vocational Diploma/Short...

    Belo Medical Group

    Manila
    8 days ago
  • Some careers shine brighter than others. If you’re looking for a career that will help you stand out, join HSBC and fulfil your potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities...

    Confidential

    Quezon City
    15 days ago
  •  ...8:00 AM Philippines Time  Role Description The Senior Utility Specialist plays a key role in supporting multiple U.S.-based...  ...integrity.  Communicate discrepancies or anomalies promptly to supervisors for resolution.  2. Billing and Audit Management  Conduct... 

    Confidential

    Manila
    9 days ago
  •  ...with an active and valid US Registered Nurse (USRN) license. At least 1-2 years of managerial experience leading Team Leaders, Supervisors, or similar roles. Proven experience managing teams that handle Utilisation Management and clinical denials. Hands-on... 

    Confidential

    Manila
    28 days ago
  •  ...Department Utilities Employee Type Probationary Experience your best self with URC! Universal Robina Corporation is looking...  ...affecting machine operation and product quality to Production Supervisor. Ensures proper turnover of the machine operation to his... 

    Confidential

    Calamba City, Laguna
    a month ago
  •  ...independent fuel company in the country - join us as our next Utility Personnel - Bauang, La Union!  What is this role about? The...  ...any maintenance needs, hazards, or irregularities to the supervisor Support unloading, stacking, and proper storage of incoming... 

    SEAOIL Philippines, Inc.

    Bauang, La Union
    7 days ago
  • Just imagine your future with us At Aurecon we see the future through a very different lens. Do you Innovation eminence and digital are at the heart of everything we do. Are you excited about the future Are you driven by the opportunity to work on some of ...

    Aurecon

    Manila
    23 days ago
  •  ...JOB SUMMARY The Utility Staff is responsible for ensuring that the clinic premises are consistently clean organized and well-maintained. This role plays a critical part in creating a safe hygienic and welcoming environment for patients visitors and staff. The position... 

    Belo Medical Group

    Makati
    a month ago
  • Grievance & Appeals ~ Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. ~ Creates a detailed case summary in narrative format for each appeal. ~ Submits...

    Confidential

    Taguig
    28 days ago
  •  ...levels of customer service by providing tailored solutions based on each customers unique situation including programs related to utilities such as electricity billing water gas and energy. Key Responsibilities Engage with customers through email chat or phone depending... 

    Recoveries corp

    Manila
    27 days ago
  •  ...Career Opportunity: Utilization Management US Registered Nurse Senior Analyst Grievance & Appeals  • Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.  • Creates... 

    Confidential

    Taguig
    17 days ago
  •  ...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... 

    Health Business Solutions LLC

    Manila
    more than 2 months ago
  •  ...CBS is looking for a highly experienced Sr Wet Utilities Engineer to join our innovative team. In this senior role, you will be responsible for leading the design, analysis, and management of wet utility systems, including water distribution, wastewater management, and... 

    CBS

    Manila
    more than 2 months ago
  •  ...owners/risk managers/champions in respective business verticals where the controls are owned. The team will be part of central Control utility function within operations. Responsibilities General, strategic, and culture Provide independent review and challenge on... 

    Confidential

    Taguig
    a month ago
  •  ...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... 

    Health Business Solutions LLC

    Cebu
    more than 2 months ago
  •  ...accordance with procedures Process, productivity, and quality targets are set, monitored and achieved to ensure optimum resource utilization and achievement of business objectives and customer Service Level Agreements (SLAs) Procedural changes/new initiatives are... 

    HSBC Global Services Limited

    Metro Manila
    6 hours ago
  •  ...MONTE PHILIPPINES, INC. is in need of an: Instrumentation Supervisor The Instrumentation Supervisor coordinates the daily...  ...maintenance programs that ensure stable electrical energy and the safe utilization of all machineries to support continuous cannery operations... 

    Confidential

    Cagayan de Oro
    5 days ago
  •  ...Description This is a full-time on-site role for an Accounting Supervisor, based in Alabang . The Accounting Supervisor will oversee...  ...financial statements, manage financial reporting processes, and utilize accounting software to ensure financial records are maintained... 

    Confidential

    Manila
    2 days ago
  •  ...prioritize, and monitor daily workflows to ensure balanced capacity utilization, timely completion of tasks, and adherence to turnaround time...  ..., with exposure to SLA-driven delivery models as a Supervisor. Required Skills Strong working knowledge of workflow... 

    Confidential

    Philippines
    21 hours ago
  •  ...offices in the U.S., Latin America, Asia and Europe. The Audit Supervisor will lead a team of Logistics Data Analysts/Auditors across...  ...schedule deliverables. Conduct weekly planning sessions, utilizing KPI reports and scorecards to maintain consistent audit operations... 

    Confidential

    Central Visayas
    4 days ago
  •  ...Job Summary The Operations Supervisor will oversee day-to-day operational activities to ensure efficient workflow, timely execution...  ...company policies, safety procedures, and operational standards. Utilize technology tools for monitoring, reporting, and communication... 

    Confidential

    Philippines
    6 days ago
  •  ...bigger. Because People Matter. Position Title: Accounting Supervisor Job Summary: Are you an experienced accountant looking to...  ...members, providing informed responses and building rapport. Utilize and adapt to accounting systems like QuickBooks Online (QBO),... 

    Confidential

    Philippines
    7 days ago
  •  ...CBS is seeking a highly skilled Sr Dry Utilities Engineer to join our expert team. In this senior role, you will be responsible for overseeing the design, planning, and implementation of dry utility systems, which include electricity, gas, telecommunications, and other... 

    CBS

    Manila
    more than 2 months ago
  •  ...operation. Analyze client current processes and suggest improvements. Implement best practices for Asset Management System for Utilities (Generation, Transmission and Distribution): Works Management for Electrical Generation, Transmission & Distribution, Gas Storage,... 

    Accenture

    Taguig
    more than 2 months ago
  •  ...responsible for conducting financial audits and internal control reviews. The day-to-day tasks include analyzing financial statements, utilizing analytical skills to assess financial data, and ensuring compliance with auditing standards. The role requires a strong... 

    Confidential

    Philippines
    9 days ago