Lead - Utilization Management

2 days ago

Makati City, National Capital Region, Philippines Maxicare Healthcare Corporation Full time
Overview

Lead - Utilization Management role at Maxicare Healthcare Corporation

Responsibilities
  • Identify urgent and priority operational business and utilization management issues
  • Design, execute, and implement a team plan, together with Project Lead, innovative and pragmatic solutions aligned with the business's long-term strategic plans
  • Oversee and manage post-implementation support to utilization management initiatives
  • Provide analysis and meaningful information supporting decision-making and action-planning
  • Collaborate and communicate with leadership and cross-functional teams to understand the organization's goals and objectives
  • Proactively interact and communicate with internal and external partners and stakeholders (Sales, Marketing, Operations, Finance, Audit, Provider Network, Claims ICT, etc) and build productive working relationships with key business partners
  • Critically evaluate information gathered from multiple sources and reconcile data, effectively communicate information gathered/complex ideas to stakeholders
  • People and team management including task assignments and ensuring team members' accountability on commitments; Coaching, mentoring, regular employee reviews, and supervising project timelines
Qualifications
  • With at least 5 years of experience in performing data analytics and information management functions; with Commercial and Operational acumen
  • Preferred industry orientation: Research and Data Management, Healthcare, Insurance, FMCG, or any service-oriented industry
  • Graduate of Information Science, Math, Statistics, Industrial Engineering, or any business-related course
  • Above average knowledge of Microsoft Excel/ Google Sheets and Microsoft PowerPoint/ Google Slides
  • Knowledgeable in Python and/or R programming language is a plus
  • Skills in data presentation/ visualization and analysis; Good analytical and verbal skills Curious, passion-driven, and enjoys numbers
Desired Skills and Competencies
  • Strong analytical, problem-solving, and decision-making skills
  • Planning Skills
  • Critical Thinking
  • Systems Thinking Mindset
  • Financial Acumen
  • Presentation and Communication Skills
  • Collaboration and Cross-Functional Capability
  • Competitive Intelligence
  • Inspiring and Engaging
Seniority level
  • Mid-Senior level
Employment type
  • Full-time
Job function
  • Project Management and Information Technology
Industries
  • Hospitals and Health Care
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