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,
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,
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,
Want to help make a difference? CIIT seeks to revolutionize Philippine education by putting industry-based + student-centered learning + affordable in the same sentence. We are looking for awesome people with a passion for sharing knowledge
-ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE-POSITION TITLE: Health Clinical Services Senior AnalystWORK SETUP: Return to OfficeRESPONSIBILITIES:•Conduct UM pre-service, concurrent, retrospective,
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
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
About the role: The Utilization Management (UM) PHRN is responsible for the review, processing, and resolution of UM cases. The role ensures timely and clinically sound UM review, upholding member rights and health plan obligations under
The Virtual Patient Safety Specialist (VPSS) provides continuous monitoring of patients in clinical settings across multiple states in the United States via camera feeds. This position collaborates with administrative, technical, and clinical staff at various healthcare