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Health Services Coordinator

2 weeks ago

Taguig, National Capital Region, Philippines beBeeHealthManagement Full time ₱800,000 - ₱1,500,000
Job Title:

Health Management Analyst

">Overview

This role is responsible for providing support to health and benefits consultants. The ideal candidate will collect and analyze data that informs strategic business decisions, produce client-facing reports, and serve as the analyst for mental health parity and addiction equity act (MHPAEA) non-quantitative treatment limit (NQTL) projects.

Key Responsibilities Include:

  • Attend internal and external meetings with QTL/NQTL teams and participate in project status updates.
  • Prepare NQTL data requests on behalf of each client and review member-facing vendor documents.
  • Monitor carrier and vendor responses to data requests and perform initial reviews of responses for parity projects.
  • Determine appropriate results and recommendations for parity concerns and collaborate with the MHPAEA technical reviewer for language accuracy.
  • Coordinate with the project manager on data requests, timing, and follow-up; validate the completeness of responses and report issues impacting timelines.
  • Map carrier responses to the NQTL document sections and conduct follow-up with carriers/vendors as needed for clarification.
  • Support the overall completion of the NQTL component of the report and schedule meetings as required.
  • Participate in weekly or bi-weekly project status calls and MHPAEA roundtables as needed.
  • Maintain materials/documentation in accordance with organizational processes and peer-review standards.
Required Skills and Qualifications:
  • Requires 3+ years of experience with US health and welfare plans.
  • Understanding of US health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes, and health plan operations.
  • Basic understanding of Mental Health Parity regulations.
  • Intermediate knowledge of MS Office, especially Excel and PowerPoint.
  • Excellent oral and written English communication skills.
  • Strong collaboration and client service orientation; ability to work with colleagues across levels and geographies.
  • Self-starter with strong organizational, analytical, and critical thinking skills; able to manage multiple tasks in a fast-paced environment and meet deadlines.