Data-Driven Healthcare Professional

1 day ago

Manila, National Capital Region, Philippines beBeeHealthcare Full time ₱18,000 - ₱36,000
Job Title:

Type: Full-Time | Location: Remote

Position Summary:

We are seeking a detail-oriented and analytical professional to join our team remotely. This role focuses on supporting clinical operations through accurate data analysis, specifically involving Hierarchical Condition Categories (HCC) and Risk Adjustment Factor (RAF) scoring.

Key Responsibilities:
  • Analyze clinical data to identify opportunities for accurate HCC coding and RAF optimization
  • Review patient records, claims data, and provider documentation to ensure risk-adjusted coding accuracy
  • Collaborate with coding and clinical teams to support audit processes and data integrity
  • Generate reports and dashboards that support care management, risk adjustment, and quality improvement initiatives
  • Track performance metrics and highlight trends or anomalies in healthcare data sets
  • Maintain documentation and data validation procedures to ensure consistent analysis
Requirements:
  • Minimum of 2 years' experience in U.S. healthcare analytics, medical coding, or risk adjustment
  • Strong knowledge of HCC coding, RAF scoring, and ICD-10 coding standards
  • Experience working with healthcare data sets such as claims, EMR, encounter data
  • Proficient in using tools like Excel, Google Sheets, and data visualization platforms
  • Familiarity with CMS guidelines and risk adjustment methodologies
  • Excellent analytical, organizational, and communication skills
  • Ability to work independently in a remote environment with minimal supervision
Preferred Qualifications:
  • Background in Nursing, Health Information Management, Public Health, or related fields
  • Certification in medical coding is a plus
  • Experience working with U.S. health plans, ACOs, or Medicare Advantage organizations

This role offers the flexibility of remote work and the opportunity to make a measurable impact in improving patient care and data-driven clinical outcomes.


About the Position:

This position requires strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify trends. The ideal candidate will have a solid background in U.S. healthcare data and understand medical coding and risk adjustment models.


How to Apply:

To be considered for this position, please submit your application with your resume and a cover letter outlining your relevant experience and qualifications.

  • Data Driven Supply Chain Professional

    9 hours ago

    Manila, National Capital Region, Philippines beBeeSupplyChain Full time ₱900,000 - ₱1,200,000

    Job Title: Supply Chain Team LeadYou will transform raw data into actionable insights, mentor a small team, and set best-in-class standards for modeling, data engineering, and visualization.About the Role:You will act as both a hands-on data expert and strategic thought partner, designing predictive models, building intuitive dashboards, and guiding...

  • Professional Medical Representative

    1 day ago

    Manila, National Capital Region, Philippines Siloam Healthcare, Inc. Full time

    "Siloam Healthcare" is a trusted name in the pharmaceutical industry, committed to providing high-quality, FDA-approved medical drugs that prioritize safety, efficacy, and patient well-being. Our mission is to enhance healthcare outcomes by offering innovative and reliable solutions for a wide range of medical needs. We believe in science-backed products,...

  • Innovative Data-Driven Solutions Manager

    4 days ago

    Manila, National Capital Region, Philippines beBeeDataAnalyticsManager Full time ₱900,000 - ₱1,200,000

    Job Description">We are seeking a highly skilled and experienced Data Analytics Manager to lead our team in creating innovative data-driven solutions. As a key member of our organization, you will be responsible for developing and implementing data analytics strategies that drive business growth and improve customer satisfaction.">Key...

  • Data-Driven Marketing Specialist

    9 hours ago

    Manila, National Capital Region, Philippines beBeeMarketing Full time ₱800,000 - ₱1,200,000

    Job DescriptionMaintain effective campaign planning, execution and evaluation through strategy development, stakeholder management and data-driven insights.Utilize project management skills to implement platform campaigns, manage timelines, deliveries and stakeholder expectations throughout the entire process from strategy to delivery.Develop a deep...

  • Data Driven Decision Maker

    9 hours ago

    Manila, National Capital Region, Philippines beBeeBusiness Full time $80,000 - $120,000

    Job Title: Senior Business AnalystRole Overview:We are seeking a skilled Senior Business Analyst to join our team in Manila. As a key member of the Fund Administration team, you will play a crucial role in various data and system projects and initiatives.You will act as the liaison between Fund Administration and Technology, contributing to the development...

  • Data Driven Business Decision Maker

    1 day ago

    Manila, National Capital Region, Philippines beBeeinsight Full time ₱900,000 - ₱1,200,000

    Research Insights SpecialistWe're seeking a detail-oriented Research Insights Specialist to analyze complex data and create compelling stories that inform business decisions.Analyze structured and unstructured data to uncover key trends, insights, and opportunities.Transform data into clear, actionable recommendations that drive marketing, communications, or...

  • Data-Driven Business Growth Specialist

    1 day ago

    Manila, National Capital Region, Philippines beBeeBusiness Full time ₱900,000 - ₱1,200,000

    Job DescriptionAs a Business Intelligence Analyst, you will play a crucial role in driving business growth by leveraging data to inform strategic decisions.You will work closely with stakeholders to understand their needs and develop tailored solutions that meet their requirements. Your expertise in CRM systems, specifically Salesforce, will be essential in...

  • Healthcare Insurance Coordinator

    4 weeks ago

    Manila, National Capital Region, Philippines OperationsArmy Full time

    Healthcare Insurance Coordinator (Full-Time)Schedule: 45 hours/week | 9:00 AM - 5:00 PM PSTLocation: Fully RemoteApply here: https://operationsarmy.com/applicationAbout the RoleWe are seeking an experienced and detail-oriented Healthcare Insurance Coordinator to support our insurance verification and authorization processes. This role is ideal for someone...

  • Healthcare Insurance Coordinator

    3 days ago

    Manila, National Capital Region, Philippines OperationsArmy Full time

    Healthcare Insurance Coordinator (Full-Time)Schedule: 45 hours/week | 9:00 AM - 5:00 PM PSTLocation: Fully RemoteApply here: About the RoleWe are seeking an experienced and detail-oriented Healthcare Insurance Coordinator to support our insurance verification and authorization processes. This role is ideal for someone with a strong background in U.S....

  • Visionary Healthcare Strategist

    3 days ago

    Manila, National Capital Region, Philippines beBeeInnovation Full time ₱900,000 - ₱1,200,000

    Job DescriptionHealthcare Innovation Strategy LeadThe ideal candidate will be responsible for developing and implementing innovative frameworks to advance early screening, diagnosis, and large-scale data generation within healthcare ecosystems.Key Responsibilities:Design and implement cutting-edge solutions to improve patient outcomes and enhance the overall...