Clinical Administrator

Genfinity; Makati; On-site; PHP 420,000 - 660,000; Full time

Job summary

Genfinity seeks a Clinical Administrator to support clinical operations by reviewing and validating case information, maintaining documentation, coordinating outreach with prescriber offices, and facilitating communication between prescribers and Clinical Pharmacists to ensure timely case resolution. Requirements include a Bachelor’s degree and at least one year of U.S.

healthcare experience, plus proficiency with Microsoft Office and data-entry systems.

Qualifications

• Bachelor’s degree required.
• At least one year U.S. healthcare experience.
• Proficiency with Microsoft Office tools and data-entry systems.
• Capable of outbound calls and communicating with provider offices.
• Familiar with case management, documentation and compliance standards.

Responsibilities

• Review and validate case information for accuracy and completeness.
• Maintain audit-ready case documentation.
• Coordinate outreach with prescribers and offices.
• Prepare and distribute clinical and administrative documents.
• Facilitate communication between prescribers and Clinical Pharmacists.
• Monitor pending cases and follow up on requests.
• Act on system-generated alerts and workflow triggers.
• Collaborate with internal stakeholders to progress cases on time.

Skills

Outbound calls

Communication

Data entry

Microsoft Office

Documentation

Attention to detail

Time management

Independent work

Provider coordination

Education

Bachelor’s degree

Tools

Microsoft Office

Data-entry systems

MS Teams

Email/fax/phone tools

Job description

Clinical Administrator

Specializes in workers' compensation pharmacy management with a strong focus on patient advocacy. Combines clinical expertise and advanced analytics to streamline claims management and promote safer, more effective medication therapy management.

Job Overview:

Responsible for supporting clinical operations by reviewing and validating case information, maintaining thorough documentation, coordinating outreach with prescriber offices, preparing and distributing clinical correspondence, and facilitating communication between prescribers and Clinical Pharmacists to ensure timely case resolution.

Roles and Responsibilities:

• Receives and acts on system-generated alerts and workflow triggers.
• Reviews member, medication, and case information for accuracy and completeness.
• Maintains detailed and audit-ready case documentation.
• Conducts follow-ups with prescribers via calls, fax, and email.
• Prepares and distributes required clinical and administrative documents.
• Coordinates communication between prescribers and pharmacists.
• Monitors pending cases and follows up on outstanding requests.
• Collaborates with internal stakeholders to ensure timely case progression.

Qualifications:

• Bachelor’s degree required
• At least one year U.S. healthcare experience
• Proficiency with Microsoft Office tools and data-entry systems
• Capable of conducting outbound calls and effectively communicating with provider offices
• Comfortable with electronic communication such as email and MS Teams
• Familiarity with case management, documentation, and compliance standards.
• Experience in PBM, managed care, healthcare, or workers' compensation is an advantage.
• Strong attention to detail and accuracy in case processing.
• Capable of managing multiple priorities and meet deadlines.
• Ability to work independently, exercise sound judgment, and seek guidance when needed.
• Amenable to work on shifting schedule during U.S. business hours
• Willing to work onsite at the Makati Office.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, or any other characteristic protected by law.

Genfinity as an Equal Opportunity Employer, believes in each person’s potential, and we’ll help you achieve yours.

All information will be kept confidential according to EEO guidelines.