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- ...Discover your 100% YOU with MicroSourcing! Position: Utilization & Denials Management Manager Location: Taguig Work setup & shift: Onsite | Night shift Why join MicroSourcing Youu0027ll have: Competitive Rewards: Enjoy above-market compensation...
- 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 ...
- Job Title: Operations Manager - Utilisation Management (USRN Required) Shift: Night shift (aligned with US hours) Work Set-up: On-site in Bridgetowne, Quezon City Salary Range: PHP 150,000 - 180,000 Start Date: December 31, 2025 or ASAP Line of Business ...
- ...Discover your 100% YOU with MicroSourcing! Position: Utilization Review Nurse Specialist Location: Taguig Work setup & shift: Onsite | Night shift Why join MicroSourcing Youu0027ll have: Competitive Rewards: Enjoy above-market compensation...
- Job Description: The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patients are given care consistent ...
- ...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...
- ...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...
- ...employee experience. Every day we do this with excellence, respect, integrity, and utmost professionalism. Candidate Profile: As Utility Staff, you must share our core values, has initiative, hardworking, physically fit, and detail-oriented. Job Objectives: To...
- 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...
- ...Job Title: Operations Manager for Utilization Management - USRN Shift: Night shift Work Set-up: On-site in Bridgetowne, Quezon City Salary range: 150K to 180K LOB DESCRIPTION: Utilization Management - medical necessity approval/ denials for pre-service, retrospective...
- ...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...
- ...Responsibilities Responsible for complex accounting and financial analysis. Prepares reports efficiently and effectively, utilizing advanced technical and financial knowledge Prepares and reviews complex standards, responds to ad-hoc requests for analytics,...
Vestas
Pasay9 days ago - ...Responsibilities Responsible for complex accounting and financial analysis. Prepares reports efficiently and effectively, utilizing advanced technical and financial knowledge Prepares and reviews complex standards and responds to adhoc request for analytics...
Vestas
Pasay10 days ago - This is a pre-award opportunity located on Diego Garcia in the Indian Ocean. Provide a qualified Electrical Utility Manager who shall be responsible for managing personnel, budget, and construction and maintenance projects associated with Diego Garcia's Electrical Utility...
- ...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...
- ...Summary Of Work Activities And Responsibilities The Energy and Utilities Management Head establishes, institutionalizes, and improves processes on energy audit (RA 11285), utilities, and solar system data management and other activities related to energy management...
- ...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...
- ...and visualize data. Leverage modern BI tools (e.g. Tableau Power BI) to create clear dashboards and insights for stakeholders. Utilize platforms such as Genesis Cloud and Microsoft Dynamics (CRM) to extract operational data analyze customer interaction patterns and...
- ...for selling and servicing Silversea cruises and related shore side products and services to the Travel Agent, via inbound calls. Utilize phone calls to generate sales and help foster long-term customer relationships through great service. Work directly with the Travel...
- ...selling Silversea cruises and related shore side products and services to the consumer, via outbound telephone sales activities. Utilize web and other lead and inquiry sources to generate sales and grow long-term customer relationships. Develop customer relations by initiating...
- ...transparent solutions tailored to their clients' needs. Role Description This is a full-time, on-site role in Metro Manila as a Utilization Review Nurse Team Leader. The Team Leader will oversee the utilization review processes, ensuring efficient and accurate...
- ...professional HR system, investing in people development, and continuously improving the employee experience. Candidate Profile: As Utility Staff, you must share our core values, has initiative, hardworking, physically fit, and detail-oriented. Job Objectives: To...
- General Qualifications Graduate of a two-year vocational course or equivalent At least two (2) years of experience in building maintenance or similar roles Strong work ethic, flexibility, and reliability Knowledge on maintenance tools and equipment Observed a healthy...
Copylandia Office Systems Corporation
Mandaluyong7 days ago - - At least high school graduate - Background experience as a utility personnel - Must have government IDs (SSS, TIN, Philhealth and Pag-IBIG) - Willing to be assigned in Anonas, Quezon City. - a professional in maintenance who is responsible for cleaning and performing...
MIESCOR Builders Inc.
Quezon City17 days 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...
- ...Powerpoint and Excel Materials may include presentations internal DDQs etc. Track and log all materials for market participants utilizing excel logs and version numbers for all edits. Assist in the outreach by using current databases to find potential clients based...
- ...conversion rates, compliance, quality standards, and any other statistical measurements/goals. Ensure efficient allocation and utilization of resources, budgets, or costs. 2. Team Leadership ~Lead, mentor, and develop the operation teams, fostering a collaborative...
- ...be advertised to users and for security patch deployments Communicates via phone, instant messenger, or email and troubleshoots utilizing remote control utilities, and other diagnostic tools. Applies understanding and knowledge of information systems products and...
- ...continuous improvement. Ensure designs comply with relevant codes standards and best practices in mechanical engineering and water utilities. What can you bring to the team Firstly you will share our genuine passion for re-imagining engineering and be someone...
- ...Document finding on daily rounds log and shift technicians log Respond to tenants emergency calls and report malfunctions of utility systems i.e. electrical mechanical elevator systems HVAC systems and other building services Recommend temporary solutions to equipment...
