Req ID: 379940 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are
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
Position Title:Medical Management Specialist I/ PHRN Shift: Job Description: Responsible for providing non-clinical support to the Medical Management and/or Operations areas. Primary duties may include, but are not limited to: Gathers clinical information regarding case and determines
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
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,
Hire Type: Permanent Shift: Midshift (1PM-10PM) Location: Science Hub Tower 1, Mckinley Hills Taguig / One Ecom MOA, Pasay City About the Role The HR Business Partner (HRBP) serves as a trusted advisor to business leaders, partnering
Req ID: 379940 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently
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
We are looking for a USRN Utilization Review Specialist responsible for reviewing clinical information, medical records, and patient cases to determine the medical necessity, appropriateness, and level of care based on established clinical guidelines and payer
SBCPH is hiring RNs to be placed in teams that range from patient support to medical billing to chart annotating and review. These teams provide medical assistance and clinical administrative support to healthcare practitioners and staff of
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
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
Ready to join an outstanding healthcare team and take your career to the next level? We are looking for talented healthcare professionals to join our growing team as a Clinical Advisor . If you have strong
Regular Duties/Responsibilities: a. Emergency Medical Response & Clinical Care Provide immediate first aid and triage for site-related injuries, accidents, and sudden illness. Coordinate emergency ambulance evacuation and hospital transport for severe medical conditions. Manage daily clinic
The Company Nurse is a registered nurse responsible for providing healthcare and medical support to employees, contractors, and visitors within the company. The role also supports occupational health and safety programs in accordance with DOLE regulations.