Clinical Operations Manager PHRN with 50k SOB

23 hours ago


Pasig, National Capital Region, Philippines Swift-up Full time ₱1,500,000 - ₱2,500,000 per year

Job Summary:

The Clinical Operations Manager is Responsible for Managing and Overseeing 'UM' (Utilization Management) Operations, Ensuring Compliance with Industry Standard(s) and Regulatory Requirement(s).

As a Clinical Operations Manager – Your Role Involves Close Coordination with Various Stakeholder(s) to Drive Performance and Maintain High-Quality Standard(s).

Essential Duties and Responsibilities:


• Maintain and Grow Revenue of Program(s), Responsible for Profitability Including Revenue, Margin(s), Billing, Seat Utilization, and Retention, Ensures Program has Proficient Training, Staff Development, and Effective Employee Retention and Recognition Program(s)


• Selecting, Training, Developing, and Managing Performance of Direct Report(s) and their Associate(s) - Including Planning and Assigning Work for Staff in Accordance with the Organization's Policies and Applicable Legal Requirement(s), Provide Leadership and Guidance to Direct Report(s) to Ensure Consistent Administration of Company Policies and Standard(s), Define and Implement Any Corrective Action(s) Needed to Meet Required Operational Performance


• Analyze and Maintain all Client Service Level Agreement(s), Ensure that Operations is in Compliance with Contract(s), Oversee Client Relationship(s), Facilitate Open Communications, Understand Client Perspective(s) and Expectation(s), Monitor Client Satisfaction, Partner with Business Development to Leverage and Expand New Business from Client(s)


• Conduct Regular One-on-One's with Direct Report(s) to Review Individual Performance Including the Performance of their Team(s) and Offer Ongoing Developmental Support
• Create a Positive Work Environment through Employee Engagement, Resolve Employee Relation Issue(s) in a Professional and Timely Manner, Participate in Cross-Functional Meeting(s) to Review Information Received from Operational Support Function(s) (People Solutions, Training and Quality, Talent Acquisition, Workforce Management, and Other Internal Team(s)) and Partner to Define Action Plan(s) that Resolve Issue(s) and Drive Continuous Improvement


• Maintain Relationship(s) with Strategic Vendor(s) in Order to Facilitate Open Communications, Understand Changing Technologies and Stay Abreast of Industry Trend(s), Participate in Opportunity Review Call(s) for New Business and Facilitate Site Visit(s) from Potential Client(s), Keep Up-to-Date through Trade Show(s), Industry Event(s), and Related Activities


• Host Business Review(s) on Regular Basis, Communicate the Overall Objective(s) within Common Report(s) (Service Report(s) and Operational Efficiency Report(s)), Ensure that Customer, Operational, and Capacity Requirement(s) are Addressed (i.e. Telecommunications, Information Technology, Legal, Human Resources, Finance, Facilities), Hold Weekly Meeting(s) with all Functional Leader(s) and Direct Report(s) Reviewing Site Operations, Need(s), and Upcoming Event(s)



  • Pasig, National Capital Region, Philippines Swift-up Full time ₱900,000 - ₱1,200,000 per year

    The PH Registered Nurse (PHRN) collaborates with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of healthcare resources. This role ensures that care provided is medically appropriate, high-quality, and cost-effective by reviewing medical necessity for inpatient admissions, outpatient...

  • phrn

    24 hours ago


    Pasig, National Capital Region, Philippines HRTX Full time ₱900,000 - ₱1,200,000 per year

    Location:Unionbank Plaza Bldg., Meralco Ave., corner Onyx and Sapphire St., Ortigas Center, Pasig CityWork Arrangement:Onsite –Shifting ScheduleAbout the Role:We're looking for an experiencedPhilippine Registered Nurse (PHRN)with a solid background inPrior Authorization, Utilization Review, and Healthcare BPO. The ideal candidate will bring strong clinical...


  • Pasig, National Capital Region, Philippines Nezda Global PH Full time ₱50,000 - ₱100,000 per year

    We Are Hiring – Healthcare BPO Roles Location: Manila & Cebu (depending on the role) Work Setup: Onsite / Temporary WFH Start Dates: Varies per role Salary Range: Competitive (up to PHP 100,000 depending on experience)Open Positions1. USRN MCGStart Date: 22-SepWork Setup: Temporary WFHSalary: Up to PHP 95,000Non-Negotiable Qualifications:1 year inpatient...


  • Pasig, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱41,000 - ₱120,000 per year

    1 PHRN Training Manager100, ,000phpQualifications:Must be a Registered Nurse (PHRN)Minimum of 2 years' experience as a Training Manager in a BPO setupAt least 3 years of experience handling a Clinical Healthcare account (UMR, Appeals, Denials, or Coding)Willing to work onsite in OrtigasCan start immediatelyRCM TrainerLocation: Onsite – Quezon City...


  • Pasig, National Capital Region, Philippines Find HR Full time ₱350,000 - ₱450,000 per year

    Join Our Healthcare TeamAre you an active PHRN looking to transition from clinical to corporate healthcare? We're hiring Registered Nurses with hospital experience to join our BPO healthcare account in Ortigas, Pasig City.This is your chance to use your medical expertise in a professional BPO environment — providing support, care coordination, and...

  • Clinic Manager

    2 weeks ago


    Pasig, National Capital Region, Philippines KAIROS LABORATORIES & DIAGNOSTIC, INC. Full time ₱420,000 - ₱480,000 per year

    The Clinic Manager is responsible for providing high-level management support for the Tertiary Clinic, including planning, directing, and overseeing clinic operations. This role also includes ensuring compliance with quality standards and regulations.Essential Functions:Clinic Management: Plan, direct, and oversee all operational aspects of the Clinic to...

  • PHRN Team Lead

    5 days ago


    Pasig, National Capital Region, Philippines Omega Healthcare, Ortigas Pasig City Full time ₱450,000 - ₱660,000 per year

    Duties & Responsibilities· Monitor activities of Nurses to assess schedule adherence, accuracy, quality, productivity, timeliness and compliance with job requirements, policies and procedures. Report updates to management.· Provide basic on-the-job training for direct reports and serve as a resource to address questions related to the policies, processes...

  • Registered Nurse

    24 hours ago


    Pasig, National Capital Region, Philippines Find HR Full time ₱35,000 - ₱45,000 per year

    Employment Type: PermanentWork Setup: Onsite – Graveyard ShiftingLocation: Ortigas, Pasig CityStart Date: ASAPRole OverviewWe are looking for an active PHRN (Philippine Registered Nurse) with claims & denials and appeals / utilization review (UR) experience to join our healthcare BPO team. In this role, you will leverage your clinical background and...

  • Clinical Supervisor

    2 weeks ago


    Pasig, National Capital Region, Philippines The Medical City Full time ₱2,000,000 - ₱2,500,000 per year

    OverviewThe Medical City Ortigas is seeking a highly motivated and experiencedClinical Nursing Supervisorto join our dynamic healthcare team. This leadership role plays a critical part in ensuring high standards of patient care and nursing practice across assigned clinical units. The successful candidate will assist the department head in strategic and...


  • Pasig, National Capital Region, Philippines The Medical City Full time ₱900,000 - ₱1,200,000 per year

    The Medical City Ortigas is searching for an experienced Clinical Research Coordinator to join the team and help lead the organization to the next level. This role is directly responsible in assisting in the functioning of the Institutional Review Board office by processing research protocols submitted by pharmaceutical companies and TMC staff, maintaining...