Managed Care Finance Analyst

1 week ago

Taguig, National Capital Region, Philippines Tenet Healthcare Full time ₱900,000 - ₱1,200,000 per year

This position is responsible for the loading & maintenance of Managed Care and other contract pricing terms into various contract management and claim pricing systems of Tenet and USPI entities. This person may also perform complex contract analyses. This person may also function as a liaison between the claims pricing system and Business Office and Managed Care personnel for inquiry and resolution of related items including contract terms, contract performance and payment discrepancies.

Key functions of this role include:

  • Review and accurately interpret Managed Care contract terms.
  • Load contract terms into various claims adjudication systems.
  • Prepare complex contract analyses as requested with high degrees of accuracy and efficiency.
  • Works closely with Managed Care Operations team to ensure timely and accurate contract implementation and maintenance.
  • Work closely with Managed Care and Business Office personnel in identifying erroneous payment trends and mitigation strategies.

Qualifications:

  • Bachelor's degree is required.
  • Prior healthcare related financial analysis, preferably in Managed Care reimbursement.
  • Strong Microsoft Excel knowledge (pivot tables, LOOKUP formulas, etc).
  • Knowledge of Google Cloud / Big Query preferred but not required.
  • Strong problem solving and analytical skills.
  • Familiarity with
  • healthcare reimbursement methodologies
  • coding (DRG, APC, CPT/HCPCS, ICD-10)
  • UB04 and HCFA-1500 bill forms
  • Demonstrates a high level of critical thinking.
  • Strong organizational skills, including project planning and time management.
  • Communicates effectively both verbally and in writing.

  • Managed Care Finance

    3 days ago

    Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time ₱900,000 - ₱1,200,000 per year

    This position is responsible for the loading & maintenance of Managed Care and other contract pricing terms into various contract management and claim pricing systems of Tenet and USPI entities. This person may also perform complex contract analyses. This person may also function as a liaison between the claims pricing system and Business Office and Managed...

  • Finance Analyst

    1 week ago

    Taguig, National Capital Region, Philippines Continental Global Business Services Manila, Inc. Full time ₱900,000 - ₱1,200,000 per year

    We are looking for a highly analytical and detail-oriented professional to join our Controlling Hub team. This position may be offered at the Finance Analyst or Senior Finance Analyst level depending on the candidate's experience, skill set, and overall fit.As part of the Controlling function, you will be responsible for analyzing actual financial...

  • Payroll Team Lead for US-based health care company

    1 week ago

    Taguig, National Capital Region, Philippines JBW Managed Services and Consulting Corp Full time ₱840,000 per year

    Job description – Payroll Team Lead for US-based health care companyDetails: Location: BGC, Taguig Night Shift (9p-6a PHST), Hybrid - 2 days WFH, 3 days onsite for the first two months onsite.Salary: 70,000Our client is a based-health care company is seeking a Manila-based Payroll Team Lead with 5+ years of experience with payroll processes, experience...

  • Finance and Accounting Analyst

    6 days ago

    Taguig, National Capital Region, Philippines Collabera Digital Full time ₱900,000 - ₱1,200,000 per year

    Ascendion Philippines is #hiring for Finance and Accounting AnalystPosition: Finance and Accounting AnalystSet up: Hybrid ( Monday-Friday Only)Work Location: Taguig, City PhilippinesFor interested candidates, you may send your resume to or message your NAME/NUMBER/EMAIL ADDRESS to QualificationsCan start ASAPExperience in shares service organizationStrong...

  • Credit Analyst Officer

    1 week ago

    Taguig, National Capital Region, Philippines Advanced Remote Managed Services Inc. Full time ₱144,000 - ₱336,000 per year

    JOB OVERVIEWThe Credit Analyst Officer (Probity Supervisor)-Responsible for assessing and overseeing the creditworthiness, integrity of individuals and businesses. Day-to-day tasks include closely examining background and financial documents and analyzed background and credit reports, monitoring probity activities, conducting audits, providing training on...

  • Finance Business Analyst

    6 days ago

    Taguig, National Capital Region, Philippines Philtech Inc. Full time ₱900,000 - ₱1,200,000 per year

    Position Summary:We are hiring two highly analytical and collaborativeBusiness Analyststo join ourTransformation Finance Team. Each analyst will specialize in supporting one of the two distinct pillars within our company-wideTransformation Project Management Office (PMO). These roles are critical in driving strategic initiatives, enhancing financial...

  • Finance Analyst

    1 week ago

    Taguig, National Capital Region, Philippines eData Services Phils., Inc. Full time ₱204,000 - ₱264,000 per year

    We are looking for a detailed-oriented Finance Analyst to manage and analyze the financial data for our US-based clients. This role involves comprehensive bookkeeping oversight, financial reporting, Bookkeeping, Data Processing, Data Analysis, and Reconciliation.Minimum QualificationsGraduates of Accounting, Finance, or any business-related courseHas Basic...

  • Marketplace Finance Analyst

    2 days ago

    Taguig, National Capital Region, Philippines Red Selvage International Full time ₱900,000 - ₱1,200,000 per year

    Job Title: Marketplace Profitability AnalystDepartment: Commercial / FinanceReports To: Commercial Manager / Finance ManagerLocation: BGC, TaguigEmployment Type: Full-timeAbout the RoleThe Marketplace Profitability Analyst plays a critical role in ensuring that all marketplace activities—such as promotions, campaigns, and platform charges—are financially...

  • Finance Automation Analyst

    6 days ago

    Taguig, National Capital Region, Philippines Cobden & Carter International Full time

    Summary: A leading financial services and insurance firm is looking for a Finance Automation Analyst to lead automation projects within the finance department. In this role, you will collaborate with the Finance and IT teams to identify areas for automation, design and implement solutions using tools such as Excel, VBA, Tableau, and Microsoft 365 Power Apps,...

  • Senior Finance Analyst FP&A

    6 days ago

    Taguig, National Capital Region, Philippines Asurion Full time

    The Senior Finance Analyst FP&A will fill a key role within Asurion's Finance organization. This position will have primary responsibility for financial reporting and analysis across the APAC Supply Chain organization. The ideal candidate will have strong financial competence and business acumen, deep knowledge of financial reporting tools and techniques,...