Medical Liaison Manager

1 week ago

Pasig, National Capital Region, Philippines Hive Health Full time ₱1,200,000 - ₱2,400,000 per year

Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we're on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we'd love to meet you

About the Role

As the Medical Liaison Manager, you will lead Hive's medical adjudication operations to ensure claims are reviewed accurately, efficiently, and in alignment with policies and regulatory standards. You'll oversee a team of medical liaisons responsible for evaluating claims, managing provider coordination, and maintaining quality and compliance across the process.

This is both a strategic and hands-on leadership role. You'll drive continuous process improvements, coordinate across departments such as Adjudication, Legal, and Provider Partnerships, and play a key part in shaping how Hive delivers fast, fair, and reliable claims experiences to its members and providers.

Responsibilities

  • Lead and manage the medical liaisons team to meet accuracy, quality, and service targets
  • Oversee daily adjudication operations to ensure claims are processed efficiently and in compliance with policy guidelines
  • Conduct audits to ensure claims accuracy, completeness, and consistency with internal standards
  • Identify potential cases of fraud, waste, or abuse (FWA) and coordinate investigations with Legal and Compliance
  • Work cross-functionally with Claims, Provider Partnerships and Healthcare Services to address recurring operational issues
  • Monitor key metrics such as turnaround time, quality scores, and error rates, and implement corrective measures as needed
  • Drive continuous process improvements to enhance provider and member experience in the claims process

Qualifications

  • Bachelor's degree in nursing, healthcare management, business, or a related field
  • At least 5 years of experience in operations, healthcare administration, or team management
  • Strong analytical and problem-solving skills, with a focus on process improvement
  • Experience leading teams and driving performance in fast-paced environments
  • Comfortable working with data, reports, and digital systems to track metrics and quality outcomes
  • Excellent communication and stakeholder management skills across both medical and non-medical teams

Join our team as we revolutionalize healthcare in the Philippines—and beyond

Day 1 benefits for full-time employees – because we practice what we preach Enjoy comprehensive healthcare coverage for you and your dependent, and paid time off from the start.

Grow with us – mentorship, career development, and learning opportunities to help you thrive.

Global connections – gain insights and support from top minds at Harvard, Stanford, and beyond.

  • Medical Liaison Manager

    1 week ago

    Pasig, National Capital Region, Philippines Hive Health Full time ₱1,200,000 - ₱2,400,000 per year

    Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we're on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we'd love to meet youAbout the...

  • HMO Benefits Liaison

    1 week ago

    Pasig, National Capital Region, Philippines Hive Health Full time

    Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we're on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we'd love to meet youJob...

  • medical records

    1 week ago

    Pasig, National Capital Region, Philippines Prime Hospital and Medical Center Pasig Full time ₱250,000 - ₱500,000 per year

    Duties and Responsibilities:A. Records ManagementMaintain and update patient medical records and hemodialysis treatment logs.Ensure completeness, accuracy, and confidentiality of all patient information.File and retrieve patient charts and records efficiently.Encode and track dialysis treatment sessions and laboratory results in the hospital system.B. ICD-10...

  • Medical Information Client Manager/Team Lead

    1 week ago

    Pasig, National Capital Region, Philippines JWay Group Full time ₱1,200,000 - ₱2,400,000 per year

    As part of the Medical Information Contact Center (MICC) team, this position ensures client success by providing oversight of assigned clients, including implementation, ongoing management, regular touchpoints and meetings. This position understands client needs, and ensures deliverables meet expectations, including key performance indicators (KPIs) and...

  • Medical Concierge Associate

    1 week ago

    Pasig, National Capital Region, Philippines The Medical City Full time ₱600,000 - ₱800,000 per year

    The Medical City Ortigas is searching for an experienced Medical Concierge Associate (5-months project-based) to join the team and help lead the organization to the next level. This role is responsible for attending to in-depth telephone and walk-in/personal queries regarding hospital products, handles and assists requirements of the international patients,...

  • HMO Benefits Liaison

    1 week ago

    Pasig, National Capital Region, Philippines Hive Health Full time

    Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we're on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we'd love to meet youJob...

  • Liaison Officer

    1 week ago

    Pasig, National Capital Region, Philippines MSIC TRANSPORTATION INC Full time ₱192,000 - ₱216,000 per year

    Job Overview:The Liaison Officer acts as the primary point of contact between the organization including clients, government agencies, business partners, and community representatives. This role involves building and maintaining strong relationships, ensuring effective communication, and facilitating collaboration to achieve organizational goals. The Liaison...

  • Medical Records Officer

    1 week ago

    Pasig, National Capital Region, Philippines Prime Hospital and Medical Center Pasig Full time ₱450,000 - ₱600,000 per year

    Duties and Responsibilities:Records ManagementCollects, files, and maintains patient medical records in an organized and confidential manner.Ensures completeness and accuracy of patient charts before filing or release.Retrieves records promptly upon authorized request.ICD-10 Coding and DocumentationApplies accurate ICD-10 coding for diagnoses and procedures...

  • ward clerk

    1 week ago

    Pasig, National Capital Region, Philippines The Medical City Full time ₱600,000 - ₱1,200,000 per year

    About the role We are seeking a highly organised and detail-oriented Ward Clerk to join our team at The Medical City in Pasig City, Metro Manila. As a Ward Clerk, you will play a vital administrative support role within our nursing department, ensuring the smooth day-to-day operations of our hospital wards. This full-time position is an excellent...

  • Sales Manager

    2 days ago

    Pasig, National Capital Region, Philippines Juan Medical Full time

    We're looking for two (2) corporate sales managers to expand our vaccinations and annual physical examinations.What you will do:Work with the Juan Medical Team to acquire corporate clients in Metro Manila and neighboring provinces like Cavite, Laguna, Rizal, and BulacanPromote and acquire clients for vaccinations, annual physical examinations, and other...