
Analyst-Utilization Management
3 weeks ago
Join to apply for the Analyst-Utilization Management role at Maxicare Healthcare Corporation
Responsibilities- Measure success through key performance indicators and other metrics
- Provide analysis and meaningful information supporting decision-making and action-planning
- Analyze current processes and systems to identify inefficiencies and areas for improvement
- Identify root cause and recommend corrective actions of issues in a timely manner
- Recommend to management actions to take pertaining to utilization management of product and services
- Work collaboratively with members of the team and with other functions/departments in driving execution of plans and initiatives
- Produce quality documents including business processes and controls, feasibility and impact analysis
- Define and analyze operational issues, identify risks and recommend solutions based on data-driven assessment; Identify opportunities and utilize it
- Build and deliver concise and effective presentations to communicate complex ideas in an easy-to-understand way to different audiences
- Manage projects and major deliverables
- Experience And Training: Collected, cleaned, and analyzed large datasets to provide actionable insights.
- Created interactive dashboards using Power BI and Tableau for data visualization.
- Used SQL to query databases and extract relevant information for reporting.
- Worked with cross-functional teams to optimize business strategies based on data-driven insights.
- Seniority level: Entry level
- Employment type: Full-time
- Job function: Business Development and Sales
- Industries: Hospitals and Health Care
-
Assistant Manager-Utilization Management
3 weeks ago
Makati City, National Capital Region, Philippines Maxicare Healthcare Corporation Full timeOverviewJoin to apply for the Assistant Manager-Utilization Management role at Maxicare Healthcare Corporation.ResponsibilitiesOversee 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 process...
-
Utilization Management Specialist
2 weeks ago
Makati City, National Capital Region, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000Utilization Management SpecialistWe are seeking a skilled Utilization Management Specialist to join our team.Job Description:Our ideal candidate will assess and interpret customer needs, requirements and medical records, reviewing medical claims for medical necessity.Key Responsibilities:Assess and interpret customer needs, requirements and medical...
-
Lead - Utilization Management
3 weeks ago
Makati City, National Capital Region, Philippines Maxicare Healthcare Corporation Full timeOverviewLead - Utilization Management role at Maxicare Healthcare CorporationResponsibilitiesIdentify urgent and priority operational business and utilization management issuesDesign, execute, and implement a team plan, together with Project Lead, innovative and pragmatic solutions aligned with the business's long-term strategic plansOversee and manage...
-
Makati City, National Capital Region, Philippines beBeeUtilization Full time ₱1,000,000 - ₱2,000,000Unlock Career Growth with a Senior Management RoleJob Description:We are seeking an experienced senior manager to spearhead our utilization management projects. As a seasoned professional, you will oversee and implement initiatives that enhance operational efficiency and drive business outcomes.Main Responsibilities:Develop and execute strategies to improve...
-
Makati City, National Capital Region, Philippines Asalus Corporation (IntelliCare) Full time ₱104,000 - ₱130,878 per yearDuties & 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...
-
Senior Data Insights Specialist
1 week ago
Quezon City, National Capital Region, Philippines beBeeData Analyst Full time ₱5,000,000 - ₱7,000,000Job OverviewThis is a key opportunity to drive data-informed decision-making and shape business strategy. We are seeking an experienced data analyst to deliver timely, accurate reports and insights.Responsibilities:Collaborate with senior management to develop and maintain reporting solutions across business functions.Analyze requirements to support...
-
Utilities Officer
1 week ago
Makati City, National Capital Region, Philippines Belo Medical Group, Inc. Full time ₱1 - ₱2 per yearJOB SUMMARY The General Services Utilities Engineering Officer shall be responsible for maintaining the sound engineering status of each clinic, creating solutions to problems, and monitoring existing conditions. This covers from basic to complex Electrical, Mechanical, Fire Protection, and Plumbing concerns. JOB DUTIES AND RESPONSIBILITIES ...
-
Utilities Officer
1 week ago
Makati City, National Capital Region, Philippines Belo Medical Group Full time ₱70,000 - ₱120,000 per yearJOB SUMMARYThe General Services Utilities Engineering Officer shall be responsible for maintaining the sound engineering status of each clinic, creating solutions to problems, and monitoring existing conditions. This covers from basic to complex Electrical, Mechanical, Fire Protection, and Plumbing concerns.JOB DUTIES AND RESPONSIBILITIESGeneral Duties and...
-
Virtual Utilization Manager
2 weeks ago
Marikina City, National Capital Region, Philippines beBeeUtilization Full time ₱55,000 - ₱150,000Job Title: Virtual Utilization ManagerWe are seeking a skilled Virtual Utilization Manager to join our team. The ideal candidate will possess strong analytical skills, excellent communication abilities, and experience in healthcare.The Virtual Utilization Manager will be responsible for assessing and interpreting customer needs, requirements, and medical...
-
Electric Utility Sector Expert
1 week ago
Makati City, National Capital Region, Philippines beBeeUtility Full time $80,000 - $120,000About Our TeamWe are a leading provider of intelligent aerial imaging solutions for high-value infrastructure.Job DescriptionAs Utility Team Lead, you will oversee the management and mentorship of a team of Utility Engineers, ensuring high-quality inspections, data accuracy, and process improvements within the electric utility sector.ResponsibilitiesLead and...