Quality Improvement Specialist

3 weeks ago


Philippines Human Utilization Management Solution Full time
This role is an open-end contract position with a hybrid work setup. Please apply only if you are amenable to these terms.

The Quality Improvement Specialist is responsible for ensuring the quality and compliance of utilization management processes within the organizations. They will also ensure quality and effectiveness as well as compliance with all the relevant regulations.

Qualifications

Bachelor's degree in nursing or any medical-related course.

At least 1 year work experience in utilization review and quality assurance.

Had clinical experience, preferably in a hospital setting.

Knowledgeable in healthcare accreditation standards and quality improvement methodology.

Knowledgeable in electronic health record systems and healthcare information technology.

Knowledgeable in healthcare compliance and privacy regulations, such as HIPAA; and

Certification in Utilization Review (UR) and Quality Assurance (QA) is a plus.

Utilization Review: 1 year (Preferred)

Quality Assurance: 1 year (Preferred)

Clinical Experience: 1 year (Preferred)

  • Philippines The Medical City Full time

    At The Medical City, we bridge the gap between Filipinos and health services. An ambitious mission, and to achieve it we need the bright minds of our country's young leaders. Young leaders who are willing to inspire a generation and take on the challenges we are faced today. The Medical City seeks to be the home of the world's best when it comes to...


  • Philippines Jollibee Group of Companies Full time

    Title: Process Improvement SpecialistProcess Improvement Specialist (POS and Sales Management)This Business Process Engineer (POS & Sales Management) is a custodian of store end-to-end process under the Sales, Cash Control and Restaurant Information in Management Information System that supports the company's omni-channel and digital payment and loyalty...


  • Philippines Med-Metrix Full time

    DescriptionGeneral SummaryThe Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical record. This position will be responsible for assisting treating providers to ensure that documentation in the medical record...


  • Philippines Arcadis Full time

    Arcadis is looking to hire a Quality Assurance Specialist to support the Global Service Operations team in Manila, Philippines.As a Quality Assurance Specialist, you will develop and implement quality assurance standards, processes, and procedures to ensure that products and services meet or exceed customer expectations. You will engage collaboratively with...


  • Philippines Jollibee Group Full time

    The Quality Assurance Specialist is responsible for:Designing sensory procedures, training, and calibrating sensory panels, as well as interpreting the results of sensory evaluation using statistical analyses.Consolidating and controlling external documents and records such as Working Drafts, Specification Sheets, RHSG, and other documents pertinent to QA...


  • Philippines Risewave Consulting, Inc. Full time

    The Quality and Operations Specialist will be the Strategist who continuously looks forways to optimize processes and workflows, supply improvement initiatives, supportdepartments and directors and identify gaps between polices and actual implementationof activities.Job Responsibilities Closed-loop operation support from strategy to execution: manage...


  • Philippines, Taguig ING Business Shared Services B.V. Full time

    Your work environmentThe Data Quality Circle under Data and Analytics within ING Hubs Philippines is responsible for activities that support effective data quality monitoring and remediation. It has a key role in supporting ING's global data management strategy and is focused on improving data quality across the bank.The Data Quality Specialist will work...


  • Philippines Philippine Airlines Full time

    Position: Quality and Compliance Specialist (Passenger Services)Are you looking for a career opportunity in the aviation industry Hereâs your opportunity to have a great career with a world-class airline company.Why Join UsOne of the leading airlines in the PhilippinesGet a chance to enjoy travel perks for you and your familyA collaborative work culture and...


  • Bicol Region, Philippines RSD Human Resource Management Consultancy Full time

    the Quality Assurance (QA) Specialist is responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing,reviewing, analyzing, documenting work processes that further improves clinical operations standards. Performs quality audits, validates resultsand communicates recommendation among responsible departments. Participates in...


  • Philippines Hawodtechsolutions Full time

    Job Description: The role of Continuous Improvement Senior Specialist is to act as a business partner who works closely with middle management, understands business priorities, proposes and implements improvement projects/initiatives which support successful achievement of strategic goals and objectives.Tasks and responsibilities:Support to build and...


  • Taguig, Philippines Risewave Consulting, Inc. Full time

    The Quality and Operations Specialist will be the Strategist who continuously looks for ways to optimize processes and workflows, supply improvement initiatives, support departments and directors and identify gaps between polices and actual implementation of activities.Job Responsibilities Closed-loop operation support from strategy to execution: manage...


  • Manila, Philippines Arcadis Full time

    Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets.We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex...


  • Philippines Jollibee Group Full time

    The Quality Assurance Specialist is responsible for:Designing sensory procedures, training, and calibrating sensory panels, as well as interpreting the results of sensory evaluation using statistical analyses.Consolidating and controlling external documents and records such as Working Drafts, Specification Sheets, RHSG, and other documents pertinent to QA...


  • Taguig, Philippines Risewave Consulting, Inc. Full time

    Position OverviewThe Quality and Operations Specialist will be the Strategist who continuously looks for ways to optimize processes and workflows, supply improvement initiatives, support departments and directors and identify gaps between polices and actual implementation of activities.Job Responsibilities Closed-loop operation support from strategy to...


  • Philippines, Quezon City Polytechnic University of the Philippines Full time

    Description:Seeking a meticulous Quality Assurance Specialist to ensure excellence in our products/services. If you're detail-oriented with a passion for maintaining high standards, we want you on our team!Duties and Responsibilities:1. Monitor and review calls conducted by call center agents.2. Assess and rate these calls using an approved evaluation...


  • Philippines Arcadis Full time

    As a Performance and Improvement Lead, you will develop an overarching performance improvement strategy and implement it in practice within the Global Service Operations team and Formulate an intervention plan to address performance gaps. You will engage collaboratively with GSO and GSO leadership with a solution focused approach that exceeds expectations...


  • Philippines Arcadis Full time

    Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets.We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex...


  • Taguig, Philippines Risewave Consulting, Inc. Full time

    Position OverviewThe Quality and Operations Specialist will be the Strategist who continuously looks forways to optimize processes and workflows, supply improvement initiatives, supportdepartments and directors and identify gaps between polices and actual implementationof activities.Job Responsibilities Closed-loop operation support from strategy to...


  • Philippines ING Hubs Philippines Full time

    The opportunity – Compliance QA Specialist For the Compliance Hub in Manila we're looking for a Compliance Quality Assurance (QA) Specialist who will provide support to the Asian Compliance QA team and the Asia Regional Compliance team in Singapore. The Compliance QA Specialist will have the following responsibilities:Develop and perform compliance quality...


  • Philippines SomnoMed Philippines Full time

    The role will report to Senior QA Manager at Central Production Facility (CPF).As this hands-on position will oversee the practical and technical work necessary to ensure that the Central Production Facility (CPF) complies with all relevant and applicable medical device standards and regulations, strong leadership and team skills will be important in guiding...