Senior Solutions Researcher

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SENIOR SOLUTIONS RESEARCHER (Team Lead)

Eastwood City, Quezon City

Night Shift | Onsite | Full-Time

Got a sharp eye for detail and a passion for getting healthcare research right? Join our team as a Senior Solutions Researcher, where you'll dig into U.S. health insurance plans, verify provider networks, and help guide a growing team of researchers.

About Acquire Intelligence

At Acquire Intelligence, our mission is to help business work smarter.

We bring together the best people, efficient processes, and automation to help companies grow faster and operate with confidence. Our purpose is to simplify how businesses work, improve performance, and lead meaningful change across the globe. If you're passionate about making a real impact through innovation and collaboration, Acquire Intelligence is the place to grow your career.

A SNAPSHOT OF YOUR ROLE

As a Senior Solutions Researcher, you'll research U.S. Affordable Care Act (ACA) individual health insurance plans, verify provider networks and prescription drug formularies, and document your findings with precision. This work directly affects people's access to healthcare, so accuracy, thorough documentation, and compassionate service matter in everything you do.

Beyond your own casework, you'll help train, guide, and review the work of Solutions Researchers, serving as the team's first point of contact for research questions and escalated cases. This is a research and quality-control role, not a sales position: you won't be recommending plans or providing legal or medical advice.

What You'll Do

ACA Health Plan & Provider Network Research

• Research U.S. ACA individual health insurance plans using approved carrier websites, provider directories, plan documents, government resources, and company-approved tools
• Identify plans available within an applicant's state, county, ZIP code, and coverage year, and review plan documents for out-of-pocket limits, copayments, coinsurance, referral requirements, and other coverage details
• Determine whether specific physicians, specialists, hospitals, clinics, laboratories, and pharmacies participate in a particular plan network, confirming the exact plan and network name rather than relying on the carrier name alone
• Call insurance carriers and provider offices to verify information that's incomplete, inconsistent, or unclear online, and document the details of every verification call

Prescription Drug Formulary Research

• Determine whether prescribed medications appear on a plan's current formulary, verifying drug name, dosage, form, and formulation
• Document drug tiers and restrictions such as prior authorization, step therapy, quantity limits, or specialty-pharmacy requirements
• Distinguish between brand-name and generic medications, and escalation unclear or conflicting formulary information

Documentation and Case Records

• Create complete, well-organized research records with legible screenshots or PDFs showing the source, plan name, and research date
• Write concise research summaries that allow another team member to reproduce and validate your findings
• Maintain a complete audit trail for every material conclusion, and safeguard applicant and participant information in line with company privacy and confidentiality standards

Team Leadership and Quality Control

• Train Solutions Researchers on plan research, provider-network verification, formulary research, telephone verification, and documentation procedures
• Assign and prioritize research cases, review team output for accuracy and completeness, and return incomplete work with clear, constructive coaching
• Track team workload, turnaround times, and accuracy, and return incomplete work with clear, constructive coaching
• Track team workload, turnaround times, and accuracy, and return incomplete work with clear, constructive coaching
• Perform research directly when workload, complexity, or deadlines require it

a Bit About You

Must-Haves

• Professional experience in U.S. healthcare, health insurance, benefits administration, medical research, insurance operations, quality assurance, or a closely related field
• Experience supervising, training, or reviewing the work of other employees
• Demonstrated ability to conduct detailed online research using multiple sources, with strong quality-control skills and an eye for subtle discrepancies
• Excellent written and spoken English, with the ability to com