Clinical Program Manager

3 days ago


Manila, National Capital Region, Philippines Shearwater Health Full time

At Shearwater Health, we're committed to providing exceptional healthcare services. As a Clinical Program Manager, you will play a crucial role in ensuring the effectiveness of our teams and driving results through effective people development and performance management.

  • To develop, motivate and manage assigned Team Leads towards meeting or exceeding customer service level agreements, completion of team projects, adherence to operating standards, and enforcement of company policies.
  • A tier support on technical/clinical issue resolution related to specific service delivery.
  • Advocates on behalf of clients, identifying approaches that meet the clients' needs on the service and process delivery.
  • Reviews and/or makes enhancements to existing work processes to ensure that partnerships with other teams are strengthened; effectively mediates, facilitates, and resolves issues within own team and intra-teams as applicable.

Required Qualifications:

  • Graduate of accredited Registered Nursing Program with current, unrestricted license as RN in the Philippines and in the US, preferably with experience in Utilization Review, Utilization Management, Coding, Back office, Organizational Development, and other CPO related processes.
  • At least 1 year of recent & pertinent clinical/hospital or similar experience.
  • At least 2 years of recent & pertinent supervisory or managerial experience.
  • Clinical Subject Matter Expertise with the use of technical and professional knowledge and skills to accomplish results related to the process handled.

Desired Qualifications:

  • Ability to use PC and widely used software packages, especially Microsoft Office handling of spreadsheets and word processing.
  • Effective oral/written communication skills.
  • Type a minimum of 30 wpm with excellent accuracy.
  • Good negotiating skills.
  • Good interpersonal skills.
  • Ability to be detail-oriented and work independently.
  • Knowledge of the insurance industry and claims processing.


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