QA - Clinical Services

Healthcare Authorization SpecialistQuality Auditor hiring Clinical Authorization Process.Must hold an active PHRN license (not a USRN license holder)Relevant experience as a Quality Auditor in Clinical Services within a healthcare environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization Review is...

Key ResponsibilitiesAnalyze business and functional requirements to develop comprehensive test plans and test cases for SAP modules.Test Planning: Design test strategies and plans based on project scope. Determine test objectives, resources, timelines, and deliverables.Test Case Design & Execution: Write detailed test cases and scenarios. Execute manual or...

Senior Talent Acquisition Specialist - Technical and Corporate HiringAbout the Role:We are seeking a detail-oriented and experienced QA Engineer to join our team and take ownership of testing Windows Desktop applications built using WPF (Windows Presentation Foundation). In this role, you will be responsible for ensuring the stability, usability, and overall...

OverviewThe Clinic Operations Manager will oversee and manage all clinic secretaries and related partners across Pettr's clinic network. This role is responsible for ensuring secretary and partner performance, achieving key targets, and acting as the primary liaison between management, clinic owners, and secretarial staff. The Clinic Operations Manager will...

About Our RoleWe are seeking a skilled professional to join our team in the field of Utilization Review and Clinical Authorization.Job OverviewThis role is responsible for conducting audits in accordance with Quality Improvement Plans (QIP), providing actionable feedback, and tracking corrections. Additionally, this position involves verifying patient...

Overview: The Quality Assurance (QA) Lead oversees the quality assurance program in the customer care call center, ensuring that customer interactions meet company standards for excellence, compliance, and customer satisfaction. This role involves leading the QA team, developing quality strategies, monitoring performance trends, and driving continuous...

OverviewWe are hiring for the PHRN - Utilization Review / Clinical Authorization role at HR TechX Corp. Location: Onsite, Mckinley, Taguig. Schedule: Night Shift | Monday to Friday. Hiring Target Date: Preferably by July 21, 2025. Salary Range: Up to 50k.QualificationsActive PHRN license (Not a USRN)Prior experience as a Quality Auditor in a healthcare BPO...

Job SummaryThis Director-level position is responsible for managing the operational and financial performance of clinical operations programs. The role requires a strategic leader to oversee program teams, negotiate contracts, and ensure compliance with organizational and regulatory guidelines.Key ResponsibilitiesManages and oversees the performance of...

Job Overview">Clinical Operations and Revenue Cycle Management professionals oversee the effective management of clinical programs, ensuring financial performance and compliance with organizational and regulatory guidelines.">As a Director, you will be responsible for leading large program teams in all functions, including operations, quality, production,...

Sourcing Associate at Tata Consultancy ServicesResponsibilitiesPH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured...