Credentialing Analyst

4 days ago


Taguig, Philippines John Clements Consultants, Inc. Full time

Responsibilities Handle timely and accurate initial credentialing and re-credentialing of network practitioners, including primary source verification and other documentation requirements. Support the Credentialing Manager in conducting regulatory compliance audits and preparing detailed reports with findings and recommendations. Collaborate with leadership to review and enhance department policies, procedures, and quality standards. Monitor expiring credentials and complete re-verifications in accordance with applicable regulations. Process provider applications for initial and re-appointment; ensure completion, elevate issues as needed, and prepare profiles for review. Maintain and update provider demographic information and ensure data accuracy across systems. Perform proactive and reactive monitoring, quality audits, and support access requests as necessary. Qualifications Bachelor’s degree in any field. At least 1 year of experience in credentialing, provider enrollment, or a similar function within healthcare, BPO, or shared services. Experience in HR background checks or employment verification in the medical field. Open to a hybrid work setup and night shift schedule (initially in-office during onboarding). #J-18808-Ljbffr



  • Taguig, Philippines Michael Page Full time

    Be part of a growing shared services company in a non profit health care company Opportunity to gain pioneering experience in a hybrid work setup About Our Client Our client is a leading organization in the U.S. health and safety sector, recognized for its focus on innovation, high-quality patient care, and operational excellence. Its expanding global...

  • Credentialing Analyst

    3 weeks ago


    Taguig, Philippines Michael Page Full time

    Career Growth in a Regulated and High-Impact Field Night Shift opportunity with a Hybrid set up About Our Client Our client is a respected leader in the healthcare industry, known for its mission-driven culture, commitment to excellence, and supportive work environment. Job Description Assist in processing initial and re-credentialing applications for...


  • Taguig, Philippines Michael Page Full time

    Be part of a growing shared services company in a non profit health care company Opportunity to gain pioneering experience in a hybrid work setup About Our Client Our client is a leading organization in the U.S. healthcare sector, recognized for its focus on innovation, high-quality patient care, and operational excellence. Its expanding global capability...


  • Taguig, Philippines WTW Full time

    Health Management Analyst, Health and Benefits (Night Shift) Location: Taguig, National Capital Region, Philippines This position is responsible for providing support to United States-based Health and Benefits Consultants. Within this role, as a member of the North American client team, you will collect and analyse data that informs strategic business...


  • Taguig, Philippines weSource Management Consultancy Firm Full time

    Hiring for Sr IT Business Analysts Location: BGC, Taguig Setup: Hybrid, Midshift Manila Salary: Up to 120K Based on experience Qualifications: Bachelors or Masters degree in IT, Business, or a related quantitative field Minimum 7 years of relevant experience, ideally in the financial industry Familiarity with traditional/hybrid waterfall and agile/lean...


  • Taguig, Philippines weSource Management Consultancy Firm Full time

    Job Description Hybrid - Taguig 5-10 Yrs Exp Bachelor Full-time Responsibilities Capture: Document business requests by aligning with business functions and gathering detailed requirements. Define and capture business requirements, develop technical solution concepts in collaboration with internal and external partners, and support implementation. Analyse:...

  • Data Analyst

    2 weeks ago


    Taguig, Philippines Medtronic plc Full time

    Data Analyst page is loaded## Data Analystlocations: Taguig City, National Capital Region, Philippinestime type: Full timeposted on: Posted Todayjob requisition id: R28570At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers...


  • Taguig, Philippines Asurion Full time

    We would love for you to explore other opportunities within Asurion. The HR Technology Analyst 1 is a non‑supervisory, individual contributor role responsible for working in a team environment to analyze programs and processes for the enterprise using technology such as Workday, SharePoint, HR Ticketing Systems, etc. Under supervision by management and by...


  • Taguig, National Capital Region, Philippines Asurion Full time ₱40,000 - ₱80,000 per year

    The HR Technology Analyst 1 is a non-supervisory, individual contributor role responsible for working in a team environment to analyze programs and processes for the enterprise using technology such as Workday, SharePoint, HR Ticketing Systems, etc. Under supervision by management and by team leadership, provides first line support response for users...


  • Taguig, Philippines John Clements Consultants, Inc. Full time

    Responsibilities Oversee the day-to-day operations and deliverables of the Reimbursement Team, including the preparation, review, and submission of health insurance cost reports, reimbursement analytics, and regulatory compliance activities. Lead and develop a team of reimbursement analysts by managing workflow, providing training, monitoring performance,...