Senior Leader for Clinical Services Operations

2 weeks ago


Taguig, National Capital Region, Philippines AGS health Full time
Senior Leader for Clinical Services Operations

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  • At least five years of supervisory/managerial experience working in Clinical services, such as Clinical Authorization, Utilization Management/Review, and Clinical Denials & Appeals.
  • Prior experience Management experience with Clinical Documentation Integrity (CDI) a strong advantage but not required.
  • Preferably a PHRN/USRN or MD.

Primary Job Responsibilities

  • Oversee Clinical Services Operations (Clinical Authorization, Utilization Management & CDI) in the Philippines including Operations Training Functions.
  • Collaborates with other departments based on business needs.
  • Serve as the Reporting Head of all Clinical Services Managers in PH.
  • Conduct regularly scheduled meetings to communicate issues regarding compliance with established procedures and overall work unit effectiveness.
  • Directs the development of tactical plans and operating budgets to achieve strategic goals, monitor progress toward goals throughout the year.
  • Will be working hand in hand with all Clinical Services Leaders and coordinate with the Head of Philippines Operations and VP of Coding & Clinical Services Operations.
  • Hires, trains, evaluates and develops Clinical Managers.

About Us

  • We are an analytics-driven, technology-enabled revenue cycle management company that alleviates financial and administrative burdens on healthcare providers by providing billing, coding, automation and analytics services.
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