Admin Company Nurse Consultant

Admin Company Nurse Consultant – Taguig

Posted today

Role Overview:

The Clinical Consultant – Psychiatry will lead the strategic development and implementation of Behavioral Health and Emotional Wellness programs across the organization. This role is designed for a seasoned clinical professional who can collaborate with a multidisciplinary team—including physicians, nurses, and counselors—to enhance mental health support systems for employees and patients. The consultant will serve as a subject matter expert in psychiatry, guiding program design, clinical protocols, and wellness initiatives.

Key Responsibilities

• Design and implement Behavioral Health and Emotional Wellness programs tailored to organizational needs.
• Develop evidence-based protocols and interventions for mental health support.
• Collaborate with leadership to align wellness initiatives with business goals and employee needs.
• Provide psychiatric expertise to MDs, nurses, and counselors.
• Review clinical cases and offer guidance on diagnosis, treatment planning, and care coordination.
• Ensure compliance with clinical standards and ethical practices.
• Lead cross-functional teams in executing wellness initiatives.
• Facilitate training and workshops on mental health awareness and resilience.
• Advise leadership on opportunities to improve mental health outcomes and reduce medical expenses.

Operational Impact

• Own end-to-end processes related to behavioral health program delivery.
• Resolve complex clinical and operational challenges across teams.
• Influence decisions that impact functional areas and internal stakeholders.

Qualifications

Education & Licensure

• Medical Degree (MD) with active medical licensure.
• Board certification in Psychiatry preferred.

Experience

• Minimum of 5 years of clinical experience, including 3–5 years post-residency.
• Experience in program development, preferably in behavioral health or wellness.
• Familiarity with reviewing medical charts and synthesizing clinical data.

Skills

• Strong clinical judgment and critical thinking.
• Excellent communication and presentation skills.
• Ability to lead and influence multidisciplinary teams.
• Exposure to persuasive writing and structured clinical documentation is a plus.

Culture Fit

Demonstrates empathy, adaptability, and a commitment to continuous learning. Passionate about mental health advocacy and employee well-being. Comfortable working in a dynamic, fast-paced environment.

Location & Work Setup

Location: One Ayala, Makati

Work Setup: Onsite, Night Shift

Clinical Appeals Consultant

Makati City, National Capital Region ₱ - ₱

Posted today

Job Description

Role and Responsibilities:

• Position in this function includes those responsible for management and administration of multiple Medical & Clinical Operations Functions, or managing general operations which are not specific to one of the functions in the Medical & Clinical Operations job family.
• Provides leadership to and is accountable for the performance of managers and/or senior level professional staff. Impact of work is most often at the operational or local business unit or market level.
• Owns an end-to-end process. Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities. Identifies and resolves technical, operational and organizational problems outside own team. Product, service or process decisions are most likely to impact entire functions and/or customer accounts.
• Engage members over the phone to have a discussion about their health. Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care). Conduct comprehensive member assessment that includes bio-psychosocial, functional, and behavioral health needs. Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment.

Qualifications:

• Must be Internal Medicine Diplomate with an active medical license.
• Willing to work onsite in Makati City or Muntinlupa City (hybrid).
• Willing to work night shifts and in a hybrid work arrangement.

What We Offer:

• Market Competitive Pay Levels
• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Tuition Fee Reimbursement
• Employee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

Who We Are

• Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 4 enterprise, we are improving the health care experience of over 125 million people around the world.
• We’re a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together

Data Warehouse Consultant – Healthcare

Posted today

Job Description

About the Role

We are looking for a Data Warehouse Consultant for a 6-month engagement to help design, build, and optimize data warehouse solutions for our healthcare operations. This role is ideal for someone who can quickly make an impact, align technical solutions with business needs, and work closely with onsite teams in Pasig.

What You\'ll Do

• Design and implement scalable data warehouse solutions.
• Build and manage ETL/ELT pipelines to ensure smooth data flow.
• Work on data migration from legacy to modern cloud-based platforms.
• Provide insights and reports that support business decisions.
• Document processes and guide internal teams for long-term success.

What We\'re Looking For

• Solid years of experience in data warehousing or data engineering.
• Strong SQL/T-SQL skills and experience with cloud platforms (Azure Synapse, Microsoft Fabric, or similar).
• Hands-on background in ETL/ELT tools (e.g., SSIS, Azure Data Factory).
• Experience working with diverse data sources (ERP, APIs, SharePoint, etc.).
• Familiarity with BI tools (Power BI preferred).
• Strong problem-solving and communication skills.

Nice to Have

• Azure Data Engineer or Microsoft Fabric certification.
• Knowledge of Python or other scripting languages.
• Background in healthcare or distribution industry.

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