Clinical Appeals Lead — Health Plan Ops & Member Care

Optum; Makati; Hybrid; PHP 1,200,000 - 2,200,000; Full time

Benefits offered by this job

Market Competitive Pay Levels

Retirement Plan

Medical Plan (HMO) from Day 1

Dental, Medical, and Optical Reimbursements

Life and Disability Insurance

Sick Leave Conversion

Tuition Fee Reimbursement

Employee Assistance Program (EAP)

Annual Performance Based Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Employee Volunteerism Opportunity

All Mandatory Statutory Benefits

Job summary

A healthcare services provider is seeking a qualified candidate in the Philippines for a role in Medical & Clinical Operations. The position requires an active Doctor of Medicine licensure and Internal Medicine Diplomate certification, along with recent hospital experience. Responsibilities include managing multiple operations, developing strategies, and engaging members to assess their health needs. This role operates in a hybrid setup in either Makati or Alabang and involves night shifts. The company offers competitive pay, medical plans, and various employee benefits.

Qualifications

• Active, unrestricted Doctor of Medicine licensure in the Philippines.
• Internal Medicine Diplomate certification.
• Recent hospital experience.

Responsibilities

• Manage and administer multiple Medical & Clinical Operations functions.
• Lead performance of managers and senior staff.
• Develop strategies and identify organizational problems.
• Engage members to assess their health during phone discussions.

Job description

A healthcare services provider is seeking a qualified candidate in the Philippines for a role in Medical & Clinical Operations. The position requires an active Doctor of Medicine licensure and Internal Medicine Diplomate certification, along with recent hospital experience. Responsibilities include managing multiple operations, developing strategies, and engaging members to assess their health needs. This role operates in a hybrid setup in either Makati or Alabang and involves night shifts. The company offers competitive pay, medical plans, and various employee benefits.