Clinical Administrator

Genfinity; Makati; On-site; PHP 360,000 - 480,000; Full time

Job summary

Genfinity in Makati is seeking a Clinical Administrator who will support clinical operations by validating case information and maintaining audit-ready documentation. You will coordinate outreach with prescriber offices and facilitate communications between prescribers and Clinical Pharmacists to ensure timely case resolution.

The role requires at least 1 year of U.S. healthcare experience, a Bachelor's degree, and proficiency with MS Office and MS Teams.

Qualifications

• Bachelor's degree required.
• At least 1 year U.S. healthcare experience.
• Proficiency with Microsoft Office tools and data-entry systems.
• Ability to conduct outbound calls and effectively communicate with provider offices.
• Comfortable with electronic communication (email/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 meeting deadlines.
• Ability to work independently and exercise sound judgment.
• Amenable to work on shifting schedule during U.S. business hours.
• Will ing to work onsite at the Makati Office.

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.

Skills

Communication

Detail oriented

Multitasking

Independent worker

Time management

Education

Bachelor's degree

Tools

MS Office

MS Teams

Data-entry systems

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.

Equal Opportunity Statement

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

Genfinity believes in each person's potential, and we'll help you achieve yours.

All information will be kept confidential according to EEO guidelines.