Utilization Management Program Senior Assistant Manager

3 weeks ago


Makati, Philippines Asalus Corporation (IntelliCare) Full time

Duties & Responsibilities

Demonstrably optimize healthcare utilization for enrolled clients, achieving cost savings and improved member health outcomes through a robust Utilization Management Program.

  • Develop and Implement Client-Specific Utilization Management Strategies
  • Enhance Prior Authorization and Concurrent Review Processes
  • Strengthen Case Management and Disease Management Programs
  • Implement High-Cost Claimant Management

Continuously refine and implement innovative Utilization Management initiatives to ensure program effectiveness and client alignment.

  • Research and Pilot New UM Technologies and Methodologies
  • Conduct Regular Program Effectiveness Reviews
  • Tailor Utilization Management Programs to Evolving Client Needs and Market Trends
  • Integrate Behavioral Health and Physical Health Utilization Management

Foster collaborative partnerships with stakeholders and ensure transparent communication to maximize UM program adoption and success.

  • Establish Strong Internal Collaboration Channels
  • Develop and Maintain Provider Relationships
  • Enhance Client Communication and Reporting
  • Promote Member Engagement in Utilization Management Programs

Proactively monitor and evaluate Utilization Management program performance, driving continuous improvement through data-driven insights and feedback.

  • Develop Robust Data Analytics and Reporting Frameworks
  • Conduct Regular Performance Reviews and Deep Dives
  • Implement a Continuous Improvement Cycle
  • Benchmark Against Industry Standards and Competitors
#J-18808-Ljbffr

  • Makati City, National Capital Region, Philippines Asalus Corporation (IntelliCare) Full time ₱1,500,000 - ₱2,500,000 per year

    Duties & ResponsibilitiesDemonstrably optimize healthcare utilization for enrolled clients, achieving cost savings and improved member health outcomes through a robust Utilization Management Program.Develop and Implement Client-Specific Utilization Management StrategiesEnhance Prior Authorization and Concurrent Review ProcessesStrengthen Case Management and...


  • Makati, Philippines Maxicare Healthcare Corporation Full time

    Overview Join to apply for the Assistant Manager-Utilization Management role at Maxicare Healthcare Corporation . Responsibilities Oversee and implement initiatives aimed at improving UM operations, including but not exclusive to provider redirection, cost control, and process automation. Identify inefficiencies in UM workflows and propose data-driven and...


  • Makati, Philippines Maxicare Healthcare Corporation Full time

    Join to apply for the Assistant Manager-Utilization Management Projects role at Maxicare Healthcare Corporation 1 month ago Be among the first 25 applicants Join to apply for the Assistant Manager-Utilization Management Projects role at Maxicare Healthcare Corporation Oversee and implement initiatives aimed at improving UM operations, including but not...


  • Makati, Philippines Filinvest Development Corporation Full time

    Overview Assistant Manager HR Business Partner (Utilities) – Makati based / onsite on weekdays. Direct message the job poster from Filinvest Development Corporation. JOB SUMMARY: The HR Business Partner (HRBP) – Utilities Group serves as a strategic advisor and operational enabler to business leaders, ensuring the effective alignment of people strategies...

  • Program Manager

    4 days ago


    Makati, Philippines RCBC Full time

    Overview Program Manager - Niche and Special Markets | RCBC Makati, National Capital Region, Philippines The Program Manager for Niche and Special Markets is primarily responsible for the development, execution and management of strategic programs and initiatives targeting niche and special market segments to achieve business objectives and enhance customer...

  • Program Manager

    4 weeks ago


    Makati, Philippines RCBC Full time

    Overview Program Manager - Niche and Special Markets Location: RCBC Makati, National Capital Region, Philippines Responsibilities The Program Manager for Niche and Special Markets is responsible for the development, execution and management of strategic programs and initiatives targeting niche and special market segments to achieve business objectives and...

  • MSP Program Manager

    3 weeks ago


    Makati, Philippines Private Advertiser Full time

    Job Summary We are seeking a highly motivated and experienced MSP Program Manager to lead and manage the end-to-end operations of our Managed Service Provider (MSP) program in the Philippines. The ideal candidate will be responsible for overseeing vendor relationships, ensuring program compliance, optimizing workforce solutions, and driving operational...

  • Senior Legal Manager

    4 hours ago


    Makati, Philippines FEdCenter Management Consulting Inc. Full time

    We are looking for a highly experienced Senior Manager – Legal to lead and oversee the company's legal functions, ensuring compliance, managing risk, and supporting company's growth through strategic legal guidance. Key Responsibilities Mergers & Acquisitions (M&A): Manage end-to-end legal processes for mergers and acquisitions. Conduct corporate due...

  • Program Associate

    1 week ago


    Makati, Philippines Asian Institute of Management (AIM) Full time

    The Program Associate, directly reporting to the Program Manager, executes administrative tasks related to the conduct of the program's classes, academic activities, and events. RESPONSIBILITIES Assist the Program Director, Program Manager in preparation of the standard presentations and reports. Provide assistance in researching for materials to be used by...

  • Program Manager

    4 weeks ago


    Makati, Philippines Tulay sa Pag-unlad Inc. (Microfinance NGO) Full time

    Overview Tulay sa Pag-Unlad, Inc. seeks an experienced and dynamic Program Manager to join our team. This full-time position is based in Makati City, Metro Manila, and will play a crucial role in overseeing and coordinating our community development programs. Responsibilities Responsible for developing proposals, project plans, and design reports in the...