Operations Manager for Utilization Management

Job Title: Operations Manager for Utilization Management - USRNShift: Night shiftWork Set-up: On-site in Bridgetowne, Quezon CitySalary range: 150K to 180KStart date: Dec 31, 2025/ ASAPLOB DESCRIPTION: Utilization Management - medical necessity approval/ denials for pre-service, retrospective, and concurrent services.JOB SUMMARY:The Operations Manager for...

The Operations Manager for Utilization Management is responsible for managing and overseeing UM operations, ensuring compliance with industry standards and regulatory requirements. The role involves close collaboration with various stakeholders to drive performance and maintain high-quality standards.Key Responsibilities:Oversee daily operations and ensure...

The Operations Manager is responsible for leading and coordinating all aspects of doors and windows projects, ensuring timely, cost-effective, and high-quality delivery. This role requires strong leadership, technical knowledge, and organizational skills to manage operations across planning, production, installation, and customer service.Key...

SummaryDescriptionSummary of This RoleThe UEM Analyst will work with our third party utility invoice processor to optimize the Utility Expense Management product. You will be responsible for importing the daily data file, auditing the data (making any necessary corrections) and providing the accounting department with the documentation needed for...

The Utility Staff is responsible for maintaining cleanliness and orderliness in the workplace and supporting daily operations by assisting with basic office and facility tasks. This role ensures a clean, organized, and efficient working environment.Duties and Responsibilities:Maintain cleanliness of office areas, workstations, pantry, comfort rooms, and...

Requirements:Candidate must possess at least a Bachelor's/College Degree, any field. Post Graduate (preferably MBA), PMP certification or relevant domain certificationRequired skill(s): At least 5 years Contact Center Senior Managerial roleAdvantage if has background in: Financial accounts, Payment Gateway; Customer ServiceExcellent understanding of the...

Qualifications:Bachelor's degree in Business Administration, Operations Management, Marketing, or a related fieldMinimum of 2 years of relevant experience in panel operations, online research operations, digital platform operations, or product-related operationsHands-on experience in developing and executing operational strategies aligned with business or...

Operations Manager for Appeals - PHRNLOB DESCRIPTION: Medical necessity review for appeals (Claims denied due to medical necessity)JOB SUMMARY:The Operations Manager for Appeals is responsible for managing and overseeing operations related to clinical appeals, ensuring compliance with industry standards and regulatory requirements. The role involves close...

Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services. Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing results....

Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services.  Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing...