Health Management Analyst

7 days ago

Fort Bonifacio, National Capital Region, Philippines WTW (ex Gras Savoye) Full time $104,000 - $130,878 per year

The Requirements

Required Skills and knowledge:

  • 3+ years of working experience dealing with US health and welfare plans, ideally gained in a benefit consulting/brokerage firm, Health Plan, Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company. Prior experience working with US based consulting or health care firm a plus.
  • 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 and experience in MS Office particularly in Microsoft Excel and PowerPoint
  • Excellent oral and written communication skills in English
  • Strong communication and collaboration skills:
  • o Client service orientation and ability to respond to all communications effectively and in a timely manner.o Ability to ask the right questions and seek help where appropriate from colleagues and clients.o Ability to collaborate and work across all levels of the organization, work in teams, leverage the resources of other related groups to accomplish common objectives, and work on virtual teams across geographies.
  • Responsible, proactive, a self-starter and can work individually and as part of a team.
  • Strong critical and analytical skills:
  • o Strong analytical, creative, and integrative skillso Must possess strong critical thinking capabilities and the willingness to apply skills proactively, well-organized and detail oriented.o Flexibility and proven ability to identify and resolve issues.
  • Project and time management Skills
  • o Project management skills required; ability to work on multiple tasks in a fast-paced environment while adhering to strict deadlines is a must.o Strong client service orientation and ability to respond to all communications effectively and in a timely manner.o Continuous improvement mindseto Ability to quickly transfer learning into practice.

Job Types: Full-time, Part-time, Permanent

Benefits:

  • Opportunities for promotion
  • Paid training
  • Promotion to permanent employee
  • Work from home

Application Question(s):

  • Do you have 3+ years of working experience dealing with US health and welfare plans?
  • Do you have an understanding of US health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes and health plan operations?

Work Location: Hybrid remote in Fort Bonifacio

  • HRIS Reporting Analyst

    2 days ago

    Fort Bonifacio, National Capital Region, Philippines IT Managers Inc Full time ₱480,000 - ₱600,000 per year

    Currently on-the-hunt for a new & exciting opportunity? IT Managers is looking for a driven Data Analyst to join our team We're looking for someone to fulfill the following responsibilities:Collects, validates, and maintains HR data from multiple sources to ensure accuracy and consistencyPrepares HR reports, dashboards, and metrics using HRIS tools,...

  • KYC Analyst

    7 days ago

    Fort Bonifacio, National Capital Region, Philippines International Workplace Group Full time $70,000 - $120,000 per year

    About the companyIWG has been at the forefront of the flexible workspace revolution for more than 30 years. We have made it possible for organisations and individuals everywhere to take a new approach to the traditional working day. We have over 3,400 locations across over 110 countries allowing millions of people every day to have a great day at work.Our...

  • Equities and Fixed Income Middle Office and Settlements Analyst

    4 days ago

    Fort Bonifacio, National Capital Region, Philippines Peregrine Consulting Ltd Full time ₱1,200,000 - ₱2,400,000 per year

    Join our team as an Equities and Fixed Income Middle Office and Settlements Analyst and play a vital role in supporting the front office and client-facing stakeholders. Be part of a dynamic environment where you can leverage your expertise to ensure accurate and timely completion of transactions.Job OverviewAs an Equities and Fixed Income Middle Office and...

  • Business Analyst

    4 days ago

    Fort Bonifacio, National Capital Region, Philippines Directio Full time ₱720,000 - ₱840,000 per year

    Country: Philippines | Work Location: Bonifacio Global CitySalary: 60,000 – 70,000 PHPWe are looking for a Business Analyst to join the team of one of our client from the Philippines. This client specializes in developing and implementing systems and applications to increase operational efficiency. They create an environment by providing responsive IT...

  • Delivery Manager

    2 weeks ago

    Fort Bonifacio, National Capital Region, Philippines Tranzend Solutions Trading Corporation Full time $104,000 - $130,878 per year

    Job Summary:The Delivery Manager is responsible for overseeing the end-to-end delivery of IT projects and services, ensuring they meet business objectives, timelines, and quality standards. This role involves coordinating cross-functional teams, managing stakeholder expectations, and driving continuous improvement in IT service and project delivery.Key...

  • Requirement Analyst|Banking

    2 weeks ago

    Fort Bonifacio, National Capital Region, Philippines Uptitude Training Corporation Full time $104,000 - $130,878 per year

    QualificationsBachelor's degree in Computer Science, Information Technology, or a related field.Must have minimum 3 years' experience in business analysis in banking or financial institutions. (Non-negotiable)Must have experience in IT project management. (Non-negotiable)Must have experience in requirements analysis and documentation. (Non-negotiable)Must...

  • Enrollment Analyst

    2 weeks ago

    Fort Bonifacio, National Capital Region, Philippines WTW (ex Gras Savoye) Full time $104,000 - $130,878 per year

    The Requirements Bachelor's degree required, preferably in a program with heavy emphasis on mathematics or business 2-5 years' work experience either in an insurance company or an outsourcing company doing healthcare processes (eg claims, enrolment) Previous benefits or insurance experience a plus Advanced proficiency in Microsoft Office (Word,...

  • Business Analyst|BGC

    2 weeks ago

    Fort Bonifacio, National Capital Region, Philippines Uptitude Training Corporation Full time $104,000 - $130,878 per year

    QualificationsMust haveBachelor's degree in Computer Science, Information Technology, or a related field.Minimum 3 years of strong experience in business analysis, requirements definition and functional specification, and UAT / Implementation support. (Non-negotiable)Must have experience in credit and loans. (Non-negotiable)Must have excellent communication...

  • Senior Sales Manager

    6 days ago

    Fort Bonifacio, National Capital Region, Philippines X VAPE Full time ₱1,500,000 - ₱2,500,000 per year

    Senior Manager - with Vape Industry Experience strictlyOver-all responsible for channel coverage and sales growth of assigned area/territory.Responsible for the total sales and marketing activitiesForecasting and inventory managementAlignment of allocation with assigned distributorResponsible for the development, execution and performance of all designed to...

  • Account Manager I – Client Billing Operations

    2 days ago

    Fort Bonifacio, National Capital Region, Philippines JPMorganChase Full time ₱900,000 - ₱1,200,000 per year

    JOB DESCRIPTIONAt JPMorgan Chase, we are committed to fostering a culture of innovation, collaboration, and excellence. As a global leader in financial services, we value diversity and inclusivity, creating an environment where every team member can thrive and contribute to our shared success. Joining the Global Billing Operations Invoice Production and...