Customer Strategy And Planning Category Strategy And Insights Manager

Armored for length: multiple postings are included below; formatting refined to satisfy HTML constraints while preserving content.

1) Customer Strategy And Planning Category Strategy and Insights Manager – Home Care (Taguig/Philippines region)

Posted 1 day ago

Job Description

Responsibilities:

• Review and validate diagnosis codes for accuracy and consistency
• Ensure documentation aligns with OASIS and Plan of Care (POC) standards
• Work closely with clinical and billing teams to resolve discrepancies
• Monitor and maintain compliance with CMS and agency QA guidelines
• Support continuous improvement in coding quality and documentation integrity

Qualifications:

• Proven experience in Home Health medical coding and QA
• Strong knowledge of OASIS, POC, and ICD-10-CM
• Familiarity with CMS Home Health regulations
• Exceptional attention to detail and organizational skills
• Coding certification preferred (CPC, CCS, HCS-D, or equivalent)

Job Types: Full-time, Permanent

• Additional leave
• Company events
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training

This advertiser has chosen not to accept applicants from your region.

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2) Urgent: Home Health QA – Ayala Alabang, National Capital Region

Posted 1 day ago

Job Description

Responsibilities:

• Review and validate diagnosis codes for accuracy and consistency
• Ensure documentation aligns with OASIS and Plan of Care (POC) standards
• Work closely with clinical and billing teams to resolve discrepancies
• Monitor and maintain compliance with CMS and agency QA guidelines
• Support continuous improvement in coding quality and documentation integrity

Qualifications:

• Proven experience in Home Health medical coding and QA
• Strong knowledge of OASIS, POC, and ICD-10-CM
• Familiarity with CMS Home Health regulations
• Exceptional attention to detail and organizational skills
• Coding certification preferred (CPC, CCS, HCS-D, or equivalent)

Job Types: Full-time, Permanent

Pay: From Php25,000.00 per month

This advertiser has chosen not to accept applicants from your region.

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3) Insurance Credentialing Specialist – Home Health Care

Posted today

Job Description

If you have an insurance credentialing experience and you are ready to be part of our growing team as a Insurance Credentialing Specialist, Palmeira Lando OPC is looking for you

At Palmeira Lando OPC, we're not just another BPO, we are a healthcare-first company built by professionals from the U.S. healthcare industry. We operate our own dedicated Home Healthcare facility in the U.S., giving our team direct insight into the care and quality we help deliver.

By joining us, you'll be part of a fast-growing, mission-driven team that values initiative, innovation, and integrity. We believe in empowering our employees, recognizing contributions, and creating opportunities for career advancement.

Here's what you can expect as a full-time team member:

• Competitive compensation based on your experience and performance
• HMO coverage starting on your 3rd month
• Paid time off upon regularization
• Pay raise based on performance
• Free meals and unlimited coffee
• Structured onboarding and training (1-3 months)
• Exciting company events—locally and internationally
• Government-mandated benefits, 13th-month pay, and more

Submit your application now and a recruiter will reach out to you WITHIN 24 BUSINESS HOURS or call/text us to connect with our recruiter to do your initial interview (Available Monday - Friday, 9:00 AM to 5:00 PM)

Job Summary:

The Insurance Credentialing Specialist will support a U.S.-based home health care provider by managing all aspects of insurance credentialing, re-credentialing, and payer enrollment to keep the agency accredited and in-network with Medicare, Medicaid, and commercial insurers. This role ensures the agency's billing privileges remain active, enabling them to provide patient care and receive timely reimbursement.

As a Insurance Credentialing Specialist you will be responsible for the following:

• Insurance Credentialing & Enrollment: Prepare, complete, and submit credentialing and re-credentialing applications for the agency to Medicare, Medicaid, and commercial insurance payers.
• Manage updates to the agency's information with insurance payers (e.g., address changes, service area updates, ownership changes).
• Ensure all submissions are accurate, complete, and meet payer requirements.

Verification & Compliance

• Verify and maintain up-to-date documentation required for payer contracts (licenses, permits, certifications).
• Ensure compliance with CMS regulations, payer-specific requirements, and home health accreditation standards.
• Track re-credentialing schedules to prevent lapses in network status.

Database & Record Management

• Maintain and update agency profiles in CAQH ProView, PECOS, and payer-specific portals.
• Keep detailed logs of credentialing activities, statuses, and contract renewals.
• Prepare reports for management and compliance teams.

Communication & Coordination

• Serve as the point of contact with insurance payer representatives for credentialing-related matters.
• Follow up on pending applications and respond promptly to payer requests for additional documentation.
• Alert management to potential delays or compliance risks.

Requirements:

• At least 6 months of experience in insurance credentialing or provider enrollment, ideally in a home health or similar healthcare setting.
• Strong knowledge of Medicare, Medicaid, and commercial insurance credentialing processes.
• High attention to detail and accuracy.
• Excellent English communication skills, written and verbal.
• Strong organizational skills with the ability to manage multiple deadlines.
• Proficiency with Microsoft Office Suite and credentialing systems (e.g., CAQH, PECOS).

Preferred Qualifications

• Prior experience with U.S.-based home health agencies.
• Familiarity with accreditation requirements for home health providers.

Job Types: Full-time, Permanent

Pay: From Php25,000.00 per month

Application Question(s):

• What is the best phone number & email address to reach you?
• What is your expected salary?
• This is a FULL ON-SITE position. Our office is located at Upper McKinley, Taguig. Are you amenable to work on-site?

This advertiser has chosen not to accept applicants from your region.

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4) Certified Home Health Medical Coder

Posted today

Job Description

Open for Metro Manila and Cebu Area

Job Requirements:

• A minimum of 1-2 years of Home Health Coding and/or OASIS QA experience is required.
• Current AAPC CPC or equivalent coding certificate is required.
• RN, BSN or other allied health care professional degree is not required but strongly preferred.
• Position is remote/work-from-home during U.S. business hours.

Duties and Responsibilities:

• Analyze charts to verify diagnoses, procedures and treatment results.
• Utilize coding software to assign ICD-10-CM codes following PDGM guidelines by CMS
• Enter coding information in an online program; ensure codes are accurate and sequenced per regulations
• Follow up with providers on insufficient/unclear documentation
• Communicate with clinical staff regarding documentation
• Stay up to date on new coding rules
• Maintain patient confidentiality and information security
• Meet daily Coding, OASIS, and POC review assignments

What we offer

• Competitive compensation package
• Performance bonus
• Day 1 HMO for principal
• Long term Work from home
• Desktop unit provided during WFH

Company Profile

LKN Global Services is an established healthcare BPO provider with locations in the US, Philippines and India.

Job Types: Full-time, Permanent

Benefits:

• Additional leave
• Company car
• Company Christmas gift
• Pay raise
• Promotion to permanent employee
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental Pay:

• 13th month salary
• Anniversary bonus
• Overtime pay
• Performance bonus

Application Question(s):

• Are you willing to work on Night Shift schedule?

Experience: Home Health Medical Coding: 1 year (required)

License/Certification: CPC (required)

This advertiser has chosen not to accept applicants from your region.

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5) Home Health Clinical Documentation Auditor

Posted today

Job Description

LKN Global Services is looking for Home Health Clinical Documentation Auditor

Qualifications:

• Must be a Philippine Registered Nurse
• At least 1 year of healthcare chart audit experience
• Documentation audit experience

Job description:

• Review assessment forms and transcribe into EMR; review discipline notes
• Work with Clinical and Insurance verification teams on payer referrals daily
• Update referral forms and report to supervisor

We offer:

• Competitive Salary Package
• Affinity Bonus
• Day 1 HMO
• Long-term Work from Home

Experience: Home Health Chart Auditing: 1 year (required)

This advertiser has chosen not to accept applicants from your region.

6) Accenture Is Hiring for Healthcare Management

Mandaluyong, National Capital Region

Posted today

Job Description

Healthcare Management Associates responsible for day-to-day tasks:

• Research member health coverage information and document findings
• Stay current with government regulations and Medicare guidelines
• Ensure operations comply with policies and regulations

What we are looking for:

• Bachelor’s degree
• At least 1 year of experience in Medical Claims in BPO or non-BPO
• Amenable to work on-site in specified locations

Benefits include salary, bonuses, leave, HMO, life insurance, and more.

How to Apply?

After submitting online questionnaire, wait for a phone call from recruiters.

This advertiser has chosen not to accept applicants from your region.

7) Healthcare Project Management – Project Manager for Installation

Posted 1 day ago

Job Description

Summary: Healthcare Project Management manages wing-to-wing projects for GE Healthcare Diagnostics Imaging, including sales order review, planning, design/layout, installation, and training.

Responsibilities:

• Project delivery, P&L accountability, customer satisfaction
• Lead, coordinate, and resolve project issues; communicate with stakeholders
• Drive installation and training to meet standards and milestones

Qualifications/Requirements

• Bachelor's degree in engineering or related field
• 5 years cross-functional project experience
• Strong PM skills; knowledge of construction is a plus
• Willing to travel; valid driver’s license
• Fluent in English; proficiency in AutoCAD

Inclusion and Diversity: GE HealthCare is an Equal Opportunity Employer.

This advertiser has chosen not to accept applicants from your region.

8) Senior Consumer Care Manager – Reckitt

Posted 1 day ago

Job Description

This posting is from Reckitt, with inclusive employer messaging; do not contact recruiters directly.

About Reckitt and role overview

Responsibilities include leading projects in R&D with GMP environment familiarity, strong project management, and leadership qualities. The role emphasizes collaboration, innovation, and accountability.

What we offer

Competitive salary, benefits, and opportunities; inclusive culture; career development via Reckitt Academy.

What locations can I find these jobs in?

• Receive personalized job recommendations.

This advertiser has chosen not to accept applicants from your region.

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