Healthcare Decision Analyst
6 days ago
- Provide clinical guidance to complex cases to facilitate approvals of medical availments.
- Review, adjudicate, and approve cases related to inpatient discharges, ensuring accurate coverage decisions and smooth patient transitions.
- Take the lead in providing critical weekend and after-hours support, ensuring urgent cases are managed promptly and healthcare services remain uninterrupted.
- Evaluate member utilization by analyzing claims data, categorizing cases by illness, and determining remaining coverage limits to ensure proper benefit allocation.
If you possess a graduate degree in medicine, at least 3 years of relevant clinical experience, and excellent problem-solving skills, we encourage you to apply for this challenging and rewarding role.
-
Healthcare Data Analyst
6 days ago
Pasig, National Capital Region, Philippines Optum Full timeJob OverviewWe are seeking a Healthcare Data Analyst to join our team in Makati. This role requires active CPC-A or any equivalent medical coding certification and the ability to work in a dayshift schedule with fixed weekends off.The ideal candidate will be able to report onsite during training and perform non-voice tasks. If you are passionate about...
-
Healthcare Analytics Expert
6 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeAbout the JobWe are looking for a highly skilled Healthcare Analytics Expert to join our team at Hive Health in Metro Manila, Philippines. As a Senior Data Analyst, you will be responsible for driving business growth through data-driven insights and decision-making.Your key responsibilities will include:Building reliable data pipelines and infrastructure to...
-
Pasig, National Capital Region, Philippines Getz Healthcare Full timeInside Sales ExecutionNew business development through targeted lead generationIdentify opportunities through inbound and outbound calls and emails with customersAssist Sales Managers in key projects, such as launching new products, targeting remote accounts, and conducting market due diligence. Focus on sales-related tasks.Qualify and validate opportunities...
-
Sales Strategy Lead
6 days ago
Pasig, National Capital Region, Philippines Getz Healthcare Philippines Full timeIn this highly dynamic role as Pharmaceutical Business Development Manager at Getz Healthcare Philippines, you will be responsible for driving sales growth across various regions. Key areas of focus include developing and executing business development strategies, ensuring the needs and expectations of partner principals are met, and managing trade...
-
Medical Device Sales and Marketing Manager
6 days ago
Pasig, National Capital Region, Philippines Getz Healthcare Philippines Full timeThis challenging role as National Sales Director at Getz Healthcare Philippines requires a seasoned professional with expertise in sales leadership, market analysis, and business development. Key responsibilities include direct oversight of sales teams, conducting market analysis, managing trade negotiations, and ensuring timely and accurate business...
-
Healthcare Data Analyst
19 hours ago
Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full timeTASQ Staffing Solutions is committed to providing high-quality staffing solutions to the healthcare industry. We are currently seeking a Clinical Documentation Improvement Specialist to work in Pasig.The ideal candidate will have:A strong background in clinical documentation improvementExperience working with MS-DRG and APR-DRGExcellent analytical and...
-
Healthcare Operations Coordinator
19 hours ago
Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full timeCareer OpportunityWe are looking for a highly skilled Healthcare Operations Coordinator to join our team at Manpower Core Group Inc. As a Healthcare Operations Coordinator, you will be responsible for managing the day-to-day operations of our healthcare services, including determining customer eligibility, assessing medical appropriateness of claims, and...
-
Healthcare Solutions Advisor
6 days ago
Pasig, National Capital Region, Philippines Progressive Medical Corporation Full timeJob Description:The Clinical Application Specialist works closely with the sales team to meet target sales per assigned area while ensuring customer satisfaction and product effectiveness. This role involves engaging with hospitals and clinics, demonstrating medical equipment, and providing technical and clinical expertise to healthcare professionals.Main...
-
Sales Specialist in Healthcare Products
2 days ago
Pasig, National Capital Region, Philippines HURIS Inc. Full timeWe are looking for an experienced Medical Device Sales Specialist to join our team at HURIS Inc. As a sales professional, you will be responsible for promoting and selling our range of medical-grade gloves to healthcare providers.The ideal candidate will have a proven track record of success in medical device sales, preferably with experience in selling...
-
Quality Analyst
1 week ago
Pasig, National Capital Region, Philippines HealthQuist Inc. Full timeHealthQuist is a revenue cycle management company that specializes in providing customized full-service medical billing to healthcare clients. We go above and beyond by offering additional benefits to maximize collections and increase efficiency among office staff. Our goal is to enable practices to focus on providing the best possible care to patients....
-
Healthcare Access Advocate
6 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeHive Health is revolutionizing healthcare in the Philippines by providing innovative health plans for small-medium businesses. As a Senior Business Development Associate, you will join our team of dedicated professionals who are committed to making quality medical services accessible to all.About Your ResponsibilitiesKey responsibilities include managing the...
-
Healthcare Operations Manager
1 day ago
Pasig, National Capital Region, Philippines RecruiterPH Full timeJob DescriptionThe ideal candidate will possess strong leadership skills, with the ability to mentor and guide teams towards achieving exceptional results in Revenue Cycle Management (RCM). With a minimum of 15 years of experience in healthcare RCM - AR, the successful applicant will have a deep understanding of the industry and be able to make informed...
-
Senior Business Development Healthcare
4 days ago
Pasig, National Capital Region, Philippines Real Star Opportunities Services Corp. Full timeSales OpportunityReal Star Opportunities Services Corp. is seeking an accomplished Healthcare Sales Professional to help drive revenue growth and expand our client base.Main Responsibilities:Build and maintain relationships with key clients and decision-makers.Stay up-to-date on industry trends and competitor activity.Requirements:To be successful in this...
-
Financial Data Analyst
3 days ago
Pasig, National Capital Region, Philippines East West Banking Corporation Full timeJob ResponsibilitiesAs a Data Analyst, you will be responsible for generating and distributing accurate periodic and ad hoc reports promptly.You will provide essential analysis based on empirical historical data to aid the Division in decision-making.Generate, validate, and distribute reports accurately and timely.Provide reports for strategic...
-
National Sales Manager
6 days ago
Pasig, National Capital Region, Philippines Getz Healthcare Philippines Full timeThe National Sales Manager is responsible for leading the Customer Development Managers and Sales Managers across Luzon, Visayas, and Mindanao, ensuring the achievement of sales targets, accurate forecasting, accounts receivable management, returns processing, market expansion, and customer engagement within the assigned trade channels.The role also oversees...
-
Quality Analyst
1 week ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob DescriptionPosted Monday, March 17, 2025 at 4:00 PM | Expires Monday, April 28, 2025 at 3:59 PMJob PurposeThe Quality Analyst- Bilingual supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement...
-
Quality Analyst
1 week ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeJob DescriptionPosted Monday, March 17, 2025 at 4:00 PM | Expires Monday, April 28, 2025 at 3:59 PMJob PurposeThe Quality Analyst- Bilingual supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement...
-
Business Intelligence Analyst Job
2 days ago
Pasig, National Capital Region, Philippines Polytechnic University of the Philippines Full timeAbout the PositionWe are seeking a highly motivated and skilled Business Intelligence Analyst to join our team at Polytechnic University of the Philippines.Design and implement data visualization tools to support business decisions.Develop and maintain complex databases to store and retrieve large datasets.Collaborate with stakeholders to identify business...
-
Strategic Finance Analyst
6 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeHive Health is on a mission to make healthcare radically more accessible for all.About the CompanyWe offer comprehensive, hassle-free digital health insurance plans through our all-in-one platform.Founded at Harvard and Stanford and backed by top global investors, this award-winning startup is revolutionizing access to quality, affordable healthcare for...
-
Data Analyst Position
2 days ago
Pasig, National Capital Region, Philippines Polytechnic University of the Philippines Full timeJob DescriptionThe role of a Jr. Data Analyst 5 at Polytechnic University of the Philippines involves working under the Data and Technology Department.Manage master data, including creation, updates, and deletion.Ensure quality assurance of imported data.Process confidential data and information according to established guidelines.Develop reports and...