Utilization Management (UM) Operations Supervisor Work Set-up: Onsite - Potential to WFH after training Location: Valero, Makati City Schedule: Graveyard | Shifting Hours Position Summary The Utilization Management (UM) Operations Supervisor is responsible for overseeing the daily operations
About the Role: Grade Level (for internal use):09 The Team: The candidate will be part of the Universe Management (UM) team, which is responsible for the data supporting the maintenance and calculation of S&P Dow Jones Indices.
Job Role: -Manager (Training and Quality) Job Location: -Manila, Philippines Experience: -10+ Years Roles & Responsibilities Manage and oversee all training and quality functions for the medical necessity review and appeals process. Ensure timely submission of
The Senior Manager for Clinical Operations (USRN) is responsible for leading and managing clinical and healthcare business process management teams, with direct oversight of Utilization Management (UM), Case Management, and Medication Therapy Management (MTM) functions. This role
The Associate Director, Medical & Clinical Operations provides strategic and operational leadership across healthcare business process management functions, with an emphasis on Utilization Management (UM) and Medication Therapy Management (MTM). This role owns end-to-end clinical and operational
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
Clinical Care Advance (CCA) Consultant Experience: Typically 5–10+ Years Domain: Healthcare Payer | Utilization Management (UM) | Care Management Role Summary: Looking for a consultant with strong functional and technical expertise in TriZetto Clinical Care Advance (CCA)
Job Title – Clinical Care Advance consultant Job Location – PHILIPPINES (Remote) Experience level – 5+ Years Required Skills & Experience: MUST KNOW Trizetto CCA clinical care advance Looking for a consultant with CCA experience &
;Deseja ser o seu próprio patrão e gerir o seu tempo livremente? Quer desenvolver o seu futuro profissional numa rede internacional? Aproveite a experiência e o apoio da nossa rede para crescer pessoal e profissionalmente e
;Deseja ser o seu próprio patrão e gerir o seu tempo livremente? Quer desenvolver o seu futuro profissional numa rede internacional? Aproveite a experiência e o apoio da nossa rede para crescer pessoal e profissionalmente e
Hiring: USRN Senior Operations Manager (SOM) Onsite – ortigas or Makati Salary: ₱150,000 – ₱200,000 (Negotiable) We are looking for a results-driven USRN Senior Operations Manager with strong end-to-end leadership experience in Utilization Management (UM) and Case
;Deseja ser o seu próprio patrão e gerir o seu tempo livremente? Quer desenvolver o seu futuro profissional numa rede internacional? Aproveite a experiência e o apoio da nossa rede para crescer pessoal e profissionalmente e
About Us Full Potential Solutions (FPS ) is a performance-based, analytically driven omnichannel solutions organization with operations in Waltham, MA, Chennai, India, Bogota, Colombia, and Manila, Philippines that puts culture and employees first. We are a
We are seeking a detail-oriented and analytical Staff Accountant to manage daily cash accounting activities, bank reconciliations, cash reporting, and treasury-related transactions. The role is responsible for ensuring the accuracy and completeness of cash balances, supporting
We are seeking a detail-oriented and analytical General Accountant to manage daily cash accounting activities, bank reconciliations, cash reporting, and treasury-related transactions. The role is responsible for ensuring the accuracy and completeness of cash balances, supporting
Record to Report Accountant We are looking for a detail-oriented and analytical RTR Accountant to support month-end close, financial reporting, and reconciliations in a fast-paced shared services environment. This role works closely with regional and corporate
We are seeking a detail-oriented and analytical US Accountant to manage daily intercompany, cash accounting activities, bank reconciliations, cash reporting, and treasury-related transactions. The role is responsible for ensuring the accuracy and completeness of cash balances,