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,
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 ) – required
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
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 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