Healthcare Analyst

Overview

Makati City, National Capital Region ₱ - ₱ Y Strategic Staffing Solutions

Posted 1 day ago

Job Description

STRATEGIC STAFFING SOLUTIONS (S3)

Position: Clinical Claims Processor

Work Set-Up: Onsite

Schedule: Night Shift (EST)

Responsibilities

• Inputting documents into the system accurately and efficiently.
• Ensuring high-quality data entry with minimal errors.
• Correcting errors in electronic claims efficiently.
• Ensuring accuracy in claim corrections to prevent delays and incorrect payments or denials.
• Adhering to compliance policies while handling sensitive health documents.
• Maintaining a positive attitude towards colleagues for a collaborative work environment.
• Communicating all findings and suggestions for work improvement to enhance overall efficiency and quality.

Requirements

• At least Senior High/College Level.
• At least 2 years of solid experience in US Healthcare (Clinical claims processing).
• Excellent English Communication Skills (Verbal and Written).
• Excellent organizational skills and attention to detail.
• Very good communication and customer service orientation.
• Problem-solving skills by working independently and in collaboration with other teams.
• Previous experience in the medical field or similar role would be an advantage.
• Amenable to working on a full-time night shift.
• Adaptive, open to learning, and can work in fast-paced environment.

Posted 1 day ago

Overview — Healthcare Support Analyst

Connext is a trusted team of business process outsourcing experts and innovators, with proven experience supporting world-class companies across industries such as Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are looking for a Healthcare Support Analyst to join our growing team.

What’s in it for you?

• Competitive compensation package
• Overtime pay
• Life insurance coverage
• HMO insurance
• Positive and supportive company culture
• Annual merit-based salary increase
• 25% Night Differential
• Company-provided equipment

Job Summary

The Healthcare Support Analyst is responsible for evaluating and monitoring the performance of AI-handled calls in a healthcare support environment. This includes reviewing call accuracy, validating information, ensuring compliance with healthcare standards, and confirming proper task routing to clinical teams and electronic medical records (EMRs). This role safeguards service quality and compliance by providing feedback and collaborating with cross-functional teams.

Key Responsibilities

• Review AI-handled calls for accuracy, clarity, and completeness of patient/client intake and appointment booking.
• Validate whether calls are correctly routed to clinical teams and update tasks in the EMR.
• Audit outputs for compliance with HIPAA, data privacy, and organizational policies.
• Identify errors, misinterpretations, or escalations and provide actionable feedback.
• Collaborate with operations, clinical teams, and developers to refine workflows and improve accuracy.
• Document findings, prepare reports, and recommend process improvements.
• Support calibration sessions to align QA standards across the team.
• Assist in developing QA scorecards, metrics, and benchmarks tailored to healthcare operations.

Qualifications

• Experience with Electronic Medical Records (EMRs).
• Familiarity with healthcare processes such as patient intake, appointment scheduling, referrals, and EMR documentation.
• Knowledge of HIPAA and data privacy regulations.
• Strong analytical and critical-thinking skills; able to identify trends and root causes.
• Keen attention to detail with excellent listening and documentation skills.
• Strong written and verbal English communication skills for constructive feedback.

Screening Criteria

• Minimum of 2 years of experience in a healthcare BPO or call center environment.
• Experience in quality assurance is a plus.
• Must have a stable employment history.

Posted 1 day ago

Overview — Workforce Analyst (Access Healthcare Services Manila)

Taguig, National Capital Region ₱ - ₱ Y Access Healthcare Services Manila, Inc.

Posted 1 day ago

Job Description

The Workforce Analyst is a pivotal role in ensuring the business optimizes its manpower to meet client deliverables efficiently. This role focuses on forecasting staffing needs, analyzing real-time workload and volume trends, and ensuring scheduling and intraday management processes meet both employee and business needs.

Key Responsibilities

• Forecasting and Planning: Use historical data, industry trends, and business insights to create accurate volume, handle time, and staffing forecasts. Participate in weekly and monthly forecasting meetings, providing expertise and data to support strategic staffing decisions.
• Scheduling: Develop optimal staff schedules to meet forecasted volume across various channels. Coordinate with team leads and managers for schedule adherence, vacation planning, and other off-phone activities.
• Real-time Monitoring: Monitor real-time contact center performance, compare to forecasted metrics; initiate actions to meet SLAs.
• Reporting and Analysis: Develop performance reports, analyze data, identify trends, and recommend solutions. Conduct root cause analysis of staffing issues.
• Stakeholder Communication: Collaborate with operations, training, and quality teams; provide updates to senior management; stay updated with workforce management best practices; recommend process improvements.

Qualifications and Skills

• At least 1 year in workforce management, in a Healthcare BPO
• Proficiency with workforce management software
• Strong analytical skills; proficient in Excel and data analysis tools
• Excellent verbal and written communication skills
• Ability to multitask, manage stress, and work in a fast-paced environment
• Strong organizational and time management skills
• Detail-oriented with proactive problem-solving
• Can start ASAP
• Amenable to working fully on-site in Pasay / Taguig

Posted 1 day ago

Director - Data Analysis (Python)

Posted 1 day ago

Job Description

Position: Director - Data Analysis

Schedule: Night Shift

Work Set-up: Hybrid

Employment Type: Full Time and Direct Hire

About the Role: As the Director for Data Analysis, you are responsible for validating enterprise-wide analytical tools to ensure quality, manage risks, and support effective business decision-making. Python programming skills are required to support testing, automation, and prototyping of analytical solutions.

• Develop and refine a framework for validating analytical tools across the organization.
• Plan, manage, and execute validation projects independently.
• Assess methodologies, risks, and applications of analytical tools used across business processes.
• Provide clear communication of findings through validation reports, presentations, and stakeholder discussions.
• Collaborate with colleagues to design innovative solutions using coding and analytics.
• Mentor and coach junior staff for analytical problem-solving.

Job Qualifications

• Bachelor’s degree in a quantitative field; Master’s preferred.
• Strong Python programming skills for automation, testing, and prototyping.
• Understanding of analytical tools, quantitative models, and risk assessment.
• Excellent communication skills for reports and presentations.
• Strong problem-solving and leadership capabilities.

Pr. Analyst, Data Analysis

Posted 1 day ago

Job Description

Pr. Analyst, Data Analysis

Summary:

• Leverage analytics to develop data solutions and capabilities for real-time risk management and efficiency. Lead multiple projects; develop reporting and automation; work in a risk-focused environment.

General Responsibilities

• Use Open Source/Digital technologies to mine data.
• Build data solutions and self-service frameworks for data consumers.
• Explore new technologies; translate business needs to tools and dashboards.
• Drive analysis to inform business strategies.

Data Management

• Adhere to data quality principles, metadata, and lineage.
• Collaborate with Tech teams on data security and governance.
• Build tools to monitor and report on data quality.

Basic Qualifications

• Bachelor’s in a quantitative field (Statistics, Economics, OR, Analytics, CS, etc.).

Professional Experience:

At least 5 years of data analytics experience; at least 3 years with scripting language; at least 3 years with BI tools.

Skills: Scripting in Python, R, Spark, SQL; experience with AWS; willing to work night and hybrid; willing to work in Alabang.

Preferred Qualifications

• Master’s in a STEM field
• More years of Python/R/Spark/SQL experience
• Experience with process management methodologies (Agile, Lean, Six Sigma)
• Experience leading multiple projects
• Experience with AWS and data governance in financial services

Note: No agencies. Capital One policies included in the posting.

Capital One does not guarantee third-party products or services and reserves rights regarding background inquiries.

Data Warehouse Consultant – Healthcare

Posted 1 day ago

Job Description

Data Warehouse Consultant for a 6-month engagement to design, build, and optimize data warehouse solutions for healthcare operations; based in Pasig.

• Design and implement scalable data warehouse solutions.
• Build ETL/ELT pipelines; migrate data to cloud platforms.
• Provide insights and reports; document processes for long-term success.

Qualifications

• Experience in data warehousing or data engineering; strong SQL/T-SQL; cloud platforms (Azure Synapse or similar).
• ETL/ELT tools experience (SSIS, ADF).
• Experience with diverse data sources; BI tools (Power BI).

Nice to Have

• Azure certification; Python knowledge; healthcare or distribution background.

Note

No agencies. Capital One equal opportunity employer; details on nondiscrimination and accommodations.

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