Clinical Appeals Supervisor

Optum Philippines; Makati; On-site; PHP 600,000 - 900,000; Full time

Job summary

Optum Philippines is seeking an RN Supervisor to oversee the daily operations of the nursing team, ensuring high-quality patient care, regulatory compliance, and operational excellence. The role provides leadership, coaching, and support to Registered Nurses while collaborating with cross-functional teams to meet clinical and performance goals.

The position requires a nursing degree with ICU/ER/Gen-Med experience, plus 2+ years in supervisory roles within HC/BPO settings.

Qualifications

• Bachelor's degree in Nursing.
• Undergraduate degree or equivalent experience.
• 1+ years of critical care hospital experience preferably - ICU/MS/ER/Gen - Med Recon, Adult care.
• 2+ years of supervisory BPO HC experience.
• Solid working knowledge and proficiency in Microsoft Packages, Outlook, Word, and Excel.
• Proven good Communications Skills.
• Proven computer literate, Good ISP should be at least 50MBPS.

Responsibilities

• Oversee the daily operations of the nursing team, ensuring high-quality patient care, regulatory compliance, and operational excellence.

Skills

Communication skills

Critical care nursing knowledge

Supervisory experience

Nursing leadership

Education

Bachelor's degree in Nursing

Undergraduate degree or equivalent experience

Tools

Microsoft Office

Outlook

Excel

Word

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The RN Supervisor is responsible for overseeing the daily operations of the nursing team, ensuring high-quality patient care, regulatory compliance, and operational excellence. This role provides leadership, coaching, and support to Registered Nurses while collaborating with cross-functional teams to achieve clinical, quality, and performance objectives.

Shift

7pm-4am or 3pm-12MN MNL | Fixed weekends off; US

Primary Responsibility

• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications

• Bachelor's degree of Nursing
• Undergraduate degree or equivalent experience
• 1+ years of critical care hospital experience preferably - ICU/MS/ER/Gen - Med Recon, Adult care
• 2+ years of supervisory BPO HC experience
• Solid working knowledge and proficiency in Microsoft Packages, Outlook, Word, and Excel
• Proven good Communications Skills
• Proven computer literate, Good ISP should be at least 50MBPS

Preferred Qualification

• Case Management experience

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Optum is a drug-free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved.