QA - Clinical Services

Job OverviewThe role of a Clinical Service Liaison involves ensuring exceptional delivery of clinical services across various channels. Key responsibilities include case management, maintaining service quality, and overseeing regional clinicians to bridge client expectations with internal clinical standards and operational excellence.

Job Title: Clinical Documentation SpecialistWe are seeking a highly skilled clinical documentation professional to support our team by reviewing clinical documentation and timesheets for accuracy and quality.The ideal candidate will be detail-oriented and possess exceptional English language skills, with the ability to review staff clinical notes and verify...

Job OverviewWe are seeking a skilled professional to join our team as a Clinical Services Auditor.Key QualificationsActive PHRN license2-5 years of hands-on experience in Clinical Authorization or Utilization Review requiredPrior experience as a Quality Auditor in Clinical Services within a healthcare BPO setting is a strong plusFamiliarity with EPIC, MCG,...

OverviewThe Clinic Manager is responsible for the efficient and effective daily operations of the clinic. This role ensures seamless administrative processes, outstanding patient service, and optimal team performance. The Clinic Manager upholds clinic standards, ensures regulatory compliance, drives revenue growth, and fosters a welcoming and premium...

Clinical Operations SpecialistThe Clinical Operations Specialist is a key role in delivering exceptional clinical services across onsite and virtual channels. This position acts as the main clinical operations representative for enterprise clients, providing case management, maintaining service quality, and overseeing regional clinicians.Key...

Quality Assurance NurseWe are seeking a detail-oriented and fast-reading Registered Nurse to support our team by reviewing clinical documentation and timesheets for accuracy and quality.This role is critical to ensuring our records are error-free, grammatically correct, and aligned with the plan of care.Key Responsibilities:Review staff clinical notes to...

Job DescriptionCare Account Specialists act as key clinical operations professionals for enterprise clients in assigned regions, ensuring exceptional delivery of high-quality clinical services across onsite and virtual channels.The role involves providing case management, maintaining service quality, and overseeing regional clinicians to bridge enterprise...

Role: QA Lead – Contact Center (Fraud Operations) Location: Onsite – Bonifacio Global City (BGC), Taguig, Philippines Employment Type: Full-Time | OnsiteAbout the RoleWe are looking for a quality-driven and analytically minded QA Lead to oversee and elevate the performance of a contact center team supporting fraud-related operations for card services....

Job DescriptionWe are seeking an experienced Clinical Nurse Case Manager to conduct medical management reviews, review service requests and ensure member access to quality healthcare in a cost-effective setting.Responsibilities:Conduct UM pre-service, concurrent, retrospective, out-of-network, and appropriateness of treatment setting reviews to guarantee...

Doctor Outreach SpecialistThis role involves running high-context outreach campaigns in healthcare, clinical research, or healthtech. You'll identify the right doctors, build precision-targeted lead lists, and run outreach end to end.You'll also manage and coach a support team (starting with one coordinator), improve our execution systems, and make sure...