PHRN Quality Analyst

PHRN Quality Analyst (QA) Location: Ortigas (Onsite) Shift: Night Shift Salary: PHP 50,000–55,000 | Can Start ASAP Qualifications: Must be a Registered Nurse (PHRN) with a valid PRC license 1–2 years of experience as a Quality Analyst (QA) in the BPO/Healthcare industry Strong background in quality monitoring and compliance in healthcare...

The Quality Analyst will play a crucial role in ensuring the quality of services provided in our Utilization Management, Clinical Denials, and Appeals accounts. The ideal candidate must be a Licensed Nurse with at least 2 years of relevant experience, responsible for monitoring calls and cases, analyzing performance metrics, and providing feedback to improve...

PHRN – Healthcare Account (BPO and Hospital Experience)Work Setup: 100% OnsiteWork Location: ManilaStart Date: ASAPOpenings: 7Job OverviewWe are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to international...

Job Title: PHRN – Healthcare Account (BPO and Hospital Experience) Work Setup: 100% Onsite Work Location: Manila Start Date: ASAP Openings: 7 Job Overview We are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to...

Key Responsibilities Supervise, coach, and mentor a team of PHRNs in handling clinical and non-clinical BPO-related tasks (e.g., utilization management, prior authorization, claims review, telehealth support). Monitor daily team performance, productivity, and quality metrics. Conduct regular performance reviews and provide constructive feedback. Assist in...

We are seeking a highly skilled and dedicated Philippine Registered Nurse (PHRN) with a strong background in Emergency Department (ED) or Intensive Care Unit (ICU) settings. The ideal candidate will provide exceptional patient care, apply critical thinking in high-pressure situations, and support clinical documentation or healthcare-related operations in...

We are seeking a highly skilled and detail-oriented PH Registered Nurse (PHRN) to join our team. The ideal candidate will have hands-on experience with InterQual , MCG , NCD , and LCD Guidelines . Key Responsibilities Conduct clinical reviews of inpatient and outpatient services using InterQual, MCG, NCD, and LCD criteria. Analyze patient records to...

Job Title: Quality Assurance (QA) AnalystDepartment: Technology / Product Development / QAAbout the RoleWe are looking for a meticulous and analytical Quality Assurance (QA) Analyst to join ourteam. The QA Analyst will be responsible for ensuring that software applications andsystems meet the highest standards of quality, usability, and reliability before...

RESPONSIBILITIES:To provide support to the clinical team and client team to assist in the promotion of quality member outcomes, to optimize member benefits, and to promote effective use of resources. Supports the procedures that ensure adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost...

Join a Team That’s Passionate About Making Lives Better! At Bill Gosling Outsourcing, we believe that success starts with an amazing team. We are a global leader in outsourcing solutions, we focus on making lives better, one connection at a time. We provide tailored solutions to businesses around the globe, specializing in customer care, sales, and...