Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management,
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management,
Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with
We are looking for a dedicated Medical Nurse to join our growing team. In this role, you’ll play a vital part in supporting patient care and improving clinical workflows. You will work closely with physicians and
We are seeking a talented Registered Nurse Consultant to join our MercerWell team at Mercer. This role will be based in the Philippines. This is a hybrid role that has a requirement of working at least
Company:Mercer Description: We are seeking a talented Registered Nurse Consultant to join our MercerWell team at Mercer. This role will be based in the Philippines. This is a hybrid role that has a requirement of working
MediCard Phils., Inc. is one of the countrys leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard.
Job Title: Registered Nurse Medical Virtual Assistant – Primary & Functional Medicine Position Type: Part-time | 20 hours per week, with potential opportunity to transition to full-time Schedule: Monday–Friday | 9:00 AM–1:00 PM Pacific Time (initial
Company Description About Sutherland Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise. We work with iconic brands worldwide. We bring them a
Qualifications Bachelor of Science in Nursing (BSN) required. Masters degree in Nursing (MSN/MAN) is required. Doctorate (PhD, DNP, DNS, EdD, or equivalent) is highly preferred. Active Registered Nurse (RN) license required. U.S. Registered Nurse (USRN) license preferred
The Clinical Consultant provides clinical and operational support as a U.S. Healthcare Subject Matter Expert, providing various clinical support services and operational guidance for business processes, to include Case Management, Utilization Management, Clinical Coverage Preservice, Claims
Job Summary The Occupational Health Nurse is responsible for promoting and maintaining the health and well-being of employees through the implementation of occupational health programs, first-aid treatment, health education, emergency response, and compliance with DOLE Occupational
Work setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QC Work schedule: Nightshift The QA – Clinical Denials is responsible for conducting quality audits of clinical denial reviews, appeal preparation, documentation, coding
Work setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QC Work schedule: Nightshift The QA Team Lead – Clinical Denials provides day-to-day leadership and oversight for the quality assurance function supporting Clinical
Clinical Documentation Specialist (CDS) - RN OB/Newborn (OB/NB) CDI Training Program Employment Type: Full-Time Work Arrangement: Remote/Hybrid Department: Clinical Documentation Integrity Position Summary Were seeking experienced Registered Nurses who are interested in transitioning from bedside care into
Clinical Denials Specialist Summary The Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials. This role collaborates closely with healthcare
JOB DESCRIPTION Manager of Clinical Education GRIT Academy | Manila, Philippines | Insight Global Health Travel 10–20% (local university/hospital site visits; periodic international travel for program alignment) Key Responsibilities Clinical Education Team Leadership Directly manage and
Clinical Denials Specialist (USRN) Summary The Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials. This role collaborates closely with
Summary The Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials. This role collaborates closely with healthcare providers to gather
Medical Staffing Recruiter (Remote) Full-time I Monday – Friday, 8:00 AM – 5:00 PM Central Standard Time Candidates must be available to work U.S. business hours. Reliability, punctuality, and consistent attendance are required. Weekend availability is