Clinical Ops Manager

7 days ago


Quezon City, Philippines Global Group Innovative Services, Inc. Full time

Clinical Ops Manager (PHRN) – Utilization Mgmt | QC | Up to ₱157K + Bonus Work Setup: Onsite – Bridgetowne, Quezon CityEmployment Type: Full-time, PermanentSalary Range: ₱150,000 – ₱157,800 per monthSigning Bonus: ₱50,000 (Terms and conditions apply) About the Role We’re hiring an experienced Clinical Operations Manager (PHRN) to lead a high-performing Utilization Management (UM) and Clinical Appeals team.You’ll oversee overall program delivery, compliance, and team performance while driving quality and efficiency in a fast-paced healthcare environment. Key Responsibilities Oversee end-to-end UM operations and ensure SLA and quality compliance Manage profitability, seat utilization, and retention performance Lead and coach a clinical team of up to 100 employees Ensure adherence to MCG, InterQual, NCQA, and ODG guidelines Build strong client relationships and conduct regular business reviews Collaborate with internal support teams (Training, QA, WFM, HR, etc.) Drive engagement, recognition, and performance improvement initiatives Qualifications ✅ Active Philippine RN License (PHRN) ✅ Minimum 1 year experience as a Manager in a Healthcare BPO or UM environment ✅ Strong background in Utilization Management and Clinical Appeals ✅ Proficient in MCG, InterQual, NCQA, and ODG guidelines✅ Excellent communication, leadership, and analytical skills✅ Amenable to onsite work in Bridgetowne, Quezon City ✅ Flexible with schedule and shift assignments What’s in it for You Up to ₱157,800 monthly compensation₱50,000 signing bonus Leadership position in a growing healthcare programCareer growth and continuous learning opportunitiesEngaged, people-first company culture #J-18808-Ljbffr


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