Managed Care Analyst
1 week ago
Multinational work environment Night shift set up About Our Client Our client is a leading healthcare organization committed to delivering value-based care through innovative contract management and performance analytics Job Description Conduct reviews of managed care agreements to identify compliance gaps and potential risks. Ensure contract language meets internal standards and regulatory requirements. Assist in creating and maintaining fee schedules and related documentation. Maintain accurate records of contract terms, service lines, and amendments. Research and summarize payer requirements and contractual conditions for internal stakeholders. Keep an updated inventory of payer agreements and payment policies. Communicate policy changes and provide timely updates to relevant teams. Draft formal correspondence to payers regarding compliance issues or disputes. Collaborate with leadership to resolve contract-related issues and discrepancies. Analyze performance metrics tied to value-based arrangements; prepare dashboards and reports for leadership. Support readiness assessments for alternative payment models through market analysis. Respond to internal inquiries regarding contract terms and conditions with thorough research. The Successful Applicant Bachelor's degree in information systems, business administration, finance, accounting, or related field. Minimum of 3 years' experience in managed care, healthcare analytics, or consulting. Strong analytical skills with experience in medical economics or related functions. Proficiency in SQL; Crystal reporting experience preferred. Familiarity with contract/document management systems (e.g., MediTract, tThrive, Symplr) is a plus. What's on Offer Opportunities for career growth and development within the organization. Collaborative and professional working environment. #J-18808-Ljbffr
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IT Clinical Application Business Analysts
2 weeks ago
Taguig, Philippines JBW Managed Services and Consulting Corp Full timeIT Clinical Application Business Analyst / Ticket Specialist About the Role Knowledgeable with any EHR applications (Preferably Avatar, Rethink, Therap). Good understanding of EHR applications, what it does, and its typical workflow processes. Responsibilities Administer EHR applications, including user account access provisioning based on roles and...
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Managed Care Analyst
1 week ago
Taguig, Philippines Michael Page Full timeMultinational work environment Night shift set up About Our Client Our client is a leading healthcare organization committed to delivering value-based care through innovative contract management and performance analytics Job Description Conduct reviews of managed care agreements to identify compliance gaps and potential risks. Ensure contract language meets...
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PHRN Care Management Associate
3 weeks ago
Taguig, Philippines Metacom Business Process Outsourcing Solution Inc. Full timeCollaborate with healthcare providers to develop and implement care management plans. Assist patients in navigating the healthcare system and accessing necessary resources. Monitor patient progress and adjust care plans as needed. Educate patients about managing their health conditions effectively. Document patient interactions and maintain accurate records...
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PHRN Care Management Associate
3 weeks ago
Taguig, Philippines Metacom Careers Full timeSession Notes Reviewer for Healthcare - ISTA Solutions 2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Responsibilities Collaborate with healthcare providers to develop and implement care management plans. Assist patients in navigating the healthcare system and accessing necessary resources. Monitor...
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Quality Analyst Educator
2 weeks ago
Taguig, Philippines Tenet Healthcare Full timeQuality Analyst Educator (Medical Abstraction) Taguig, National Capital Region, Philippines | 3 days ago The Quality Analyst Educator supports clinical performance through education and training. Responsibilities Train and onboard new Quality Analysts: Deliver comprehensive training to ensure new team members are well-prepared and integrated seamlessly into...
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Intercompany Process Expert
1 week ago
Taguig, National Capital Region, Philippines Fresenius Medical Care Full time ₱1,500,000 - ₱2,500,000 per yearFresenius Medical Care core values:Fresenius Medical Care is a people business. Our success depends on having the best and brightest employees, and helping them attain their personal and professional goals while delivering excellence in patient care and business results. Our employees embody our culture which is based on six core values supporting our...
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Forecast Analyst
2 weeks ago
Taguig, Philippines Optum Full timeForecast Analyst Optum Taguig, National Capital Region, Philippines Be among the first 25 applicants. Direct message the job poster from Optum. Responsibilities This position is responsible for forecasting staffing variables (volume, average handle time, off‑phone activities, overflow, etc.) and working with the leadership team to validate the planning...
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Workforce Management
4 weeks ago
Taguig, Philippines Qualis Support Services Limited Inc Full timeAbout the role Qualis Support Services is looking for a Workforce Management (WFM) Reporting Analyst to join our team in Taguig City, Metro Manila. As a fulltime Workforce Management Reporting Analyst, you will play a key role in transforming data into actionable insights that drive smarter workforce decisions. This role combines data analytics, reporting...
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Senior Analyst, People Analytics
2 weeks ago
Taguig, Philippines Fresenius Medical Care Full timeThe Senior HR Reporting Analyst will serve as a subject-matter expert of HCM reporting and analytics, leading internal and external reporting & analytics projects and processes. The ideal candidate would have deep knowledge and hands‑on experience supporting HR reporting (Workday preferred) including working with business users to gather and comprehend...
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patient care navigator
2 weeks ago
Taguig, National Capital Region, Philippines 656d374f-8678-445f-b762-8f597716d959 Full time ₱250,000 - ₱500,000 per yearBrief Job Summary:Provide individualized assistance to patients to facilitate access to SLMC Health care services. Shall also act as the liaison or first point of contact between patients and health care workers.Duties and Responsibilities:Assist patients in accessing care and navigating hospital services. Assess barriers to care and engage patients and...