Business Analyst (with RN experience) As a Business Analyst at Pointwest, you will play a vital role in bridging business needs and technology solutions. You’ll work closely with clients and technical teams to analyze requirements, design workflows,
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,
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,
Performs training and provides subject matter expertise on clinical reviews needed to resolve and process appeals to team members. • Reviews medical records and clinical data to determine medical necessity for services in accordance with policies,
The Physicians Assistant primarily provides excellent client care by following the Belo standards through the following: Primarily assists the Doctor in various procedures and attends to patient concerns and inquiries. Attends to patients pre and post-treatment
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,
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
Are you a Registered Nurse with a passion for leadership and clinical excellence? Concentrix Philippines is looking for a Clinical Practice Manager to join our growing healthcare team. Qualifications: Master’s Degree in Nursing (MSN/MAN ) –
Work Setup: Onsite (Trinoma) Work Schedule: Shifting The Clinic Nurse Supervisor is responsible for supervising the daily clinical operations of the clinic, ensuring the delivery of high-quality patient care, overseeing nursing staff, maintaining regulatory compliance, and
Work setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QC Work schedule: Nightshift The Team Lead – Clinical Denials provides operational and clinical leadership to a team of Clinical Denials Specialists supporting
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
Work setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QC Work schedule: Nightshift The Program Manager – Clinical Denials provides strategic and operational leadership for one or more clinical denials programs across
Performs training and provides subject matter expertise on clinical reviews needed to resolve and process appeals to team members. • Reviews medical records and clinical data to determine medical necessity for services in accordance