Associate Medical Officer

2 weeks ago

Pasig, National Capital Region, Philippines InLife Health Care Full time

JOB PURPOSE

Participates in strategy development meetings. Work with the Chief Medical Officer (CMO) and Deputy CMO in developing and implementing innovative procedures, regulations, and programs to improve efficiency, quality, and customer service of the Medical and Provider Services Division.

JOB DESCRIPTION

  • Acts as co-lead in dealing with provider groups for all medical practice matters. Developing the best possible working relationships between iCare and its Accredited Providers (Doctors/Hospitals/Clinics/Wellness Partners).
    • Ensures provider network meets strategic goals of managing utilization cost while providing high quality healthcare to members of iCare.
    • Initiate, coordinate, attend meetings that relate to Provider credentialing and iCare's compliance with regulatory requirements, etc.
  • Oversee the clinic management business/portfolio of iCare and ensure coordination with the company clinics on utilization management initiatives and appropriate care implementation.
  • Provides when needed medical guidance and interpretation for all utilization management issues (Prior Authorization, Concurrent Review, Retrospective Review)
    • Guide the MSC and HLO team with the Pre-approval and concurrent review of cases for proper administration of benefits and appropriate care.
    • Provide medical guidance in Claims adjudication as necessary.
    • Conduct Utilization Review with specific accounts.
    • Evaluation of appropriateness of medical care services utilized by the account members.
  • Address short term and long-term issues by providing information and medical recommendations pertinent to deliberations, presenting options, and recommending courses of action.
    • May function as the Lead Healthcare Professional to cover services including but not limited to answering medical/clinical inquiries both internal and external.
  • Co-manage the Medical Provider and Services Division, which may include but is not limited to interviewing and selection, goal setting, and coaching of staff.
  • Participate and lead in appropriate healthcare programs for clients as necessary.
    • Creation of preventive health programs in the corporate setting based on the profile of the clients.
    • Oversee the implementation and management of the Chronic Disease Management Program, Sleep Better Program and other health and wellness initiatives of iCare.

QUALIFICATIONS:

  • Licensed Medical Doctor
  • Preferably with HMO/insurance, diagnostic clinic experience
  • Must have at least (5) years of experience as Head of Medical Affairs
  • With above average knowledge on Microsoft Office (excel, word, powerpoint, outlook)
#J-18808-Ljbffr

  • Medical Physicist

    1 day ago

    Pasig, National Capital Region, Philippines The Medical City Full time

    1 week ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Direct message the job poster from The Medical CityThe Medical City Ortigas is searching for an experienced Medical Physicist to join the team and help lead the organization to the next level. This role is crucial in optimizing and advising other...

  • Associate Medical Director

    1 day ago

    Pasig, National Capital Region, Philippines IQVIA Full time

    IQVIA Pasig, National Capital Region, PhilippinesJoin or sign in to find your next jobJoin to apply for the Associate Medical Director role at IQVIAIQVIA Pasig, National Capital Region, Philippines3 weeks ago Be among the first 25 applicantsJoin to apply for the Associate Medical Director role at IQVIAIQVIA is looking to appoint a Associate Medical Director...

  • Medical Coding Associate

    6 days ago

    Pasig, National Capital Region, Philippines beBee Careers Full time

    Job Overview:We are seeking an entry-level professional to join our team in a medical coding role.Key Responsibilities:Maintain accurate audits of accounts processed by the associate, showcasing analytical and problem-solving skills.Support administrative and operational activities, ensuring seamless day-to-day operations.Direct and answer telephone calls...

  • Marketing Associate

    2 weeks ago

    Pasig, National Capital Region, Philippines The Medical City Clinic Full time

    Pasig, National Capital Region, PhilippinesMarketing AssociateThe Medical City Clinic Pasig, National Capital Region, PhilippinesDirect message the job poster from The Medical City ClinicThis role will support the Marketing and Corporate Communications Department to achieve operational efficacy.Job Description:Coordinates and monitors the department's key...

  • Medical Coder

    1 week ago

    Pasig, National Capital Region, Philippines Ingenious Solutions Inc. Full time

    1 week ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Direct message the job poster from Ingenious Solutions Inc.Ingenious Solutions Inc., located in Pasig, is a company that specializes in delivering quality outsourced services. With a strong commitment to a safe and healthy working environment, Ingenious...

  • Medical Sales Associate Professional

    6 days ago

    Pasig, National Capital Region, Philippines beBee Careers Full time

    Medical Sales AssociateJob Description:This is a sales-focused role that requires interaction with healthcare professionals and organizations to promote medical products and services.Main Responsibilities:Sales & Business Development:Achieve sales targets through strategic planning and execution.Client Relationship Management:Cultivate and manage...

  • Front Desk Coordinator

    1 week ago

    Pasig, National Capital Region, Philippines beBee Careers Full time

    Office Administrator and ReceptionistThis role is a key component of our healthcare team, ensuring seamless patient care through exceptional administrative support and front desk services.Job Description:The Office Administrator and Receptionist plays a vital part in maintaining the smooth operation of our clinic. This position combines administrative tasks...

  • Medical Sales Representative

    2 weeks ago

    Pasig, National Capital Region, Philippines beBee Careers Full time

    We are seeking a highly motivated and experienced Sales Associate to join our team. In this role, you will be responsible for selling products to customers and providing excellent customer service. Your strong communication skills and ability to work well under pressure will make you a valuable asset to our company.About the RoleThis is an entry-level...

  • Medical Director

    2 weeks ago

    Pasig, National Capital Region, Philippines beBee Careers Full time

    Job OverviewThis role is responsible for participating in strategy development meetings and collaborating with the Chief Medical Officer (CMO) to develop innovative procedures, regulations, and programs.Main ResponsibilitiesAct as co-lead in dealing with provider groups for all medical practice matters, ensuring a strong working relationship between iCare...

  • Medical Imaging Sales Professional

    2 weeks ago

    Pasig, National Capital Region, Philippines beBee Careers Full time

    Sales professionals with a passion for healthcare are sought after to join our team as X-Ray Sales Specialists. We offer a challenging and rewarding career opportunity that involves selling and promoting X-ray films and chemicals, medical equipment, and software for healthcare/medical imaging to hospitals and healthcare facilities.Key Responsibilities:Create...