Clinical Operations Asst. Manager

TP; Quezon City; Hybrid; PHP 1,800,000 - 2,400,000; Full time

Job summary

TP is seeking a Clinical Operations Assistant Manager (Manager) to lead a high-performance clinical operations team supporting a major US managed care program from the Philippines. The role focuses on service excellence, clinical quality, and team development in a fast-paced, metrics-driven environment.

Responsibilities include owning SLA/KPI performance, running disciplined operations, ensuring HIPAA/PHI compliance, leading QA, and mentoring RNs and team leads.

Qualifications

• PH RN license, BSN.
• Active/passed USRN license. (unrestricted)
• 5+ years clinical + healthcare operations experience.
• 3+ years leading teams in healthcare BPO/shared services.
• Strong grasp of US managed care, UM/CM, CMS/HIPAA.
• Proven SLA/KPI leadership in a metrics-driven environment.
• Amenable to US shift and onsite/hybrid setup.

Responsibilities

• Own daily SLA/KPI performance: turnaround time, quality, productivity, documentation.
• Run disciplined operations: huddles, interval monitoring, RCA, recovery plans.
• Enforce HIPAA/PHI compliance with zero tolerance for deviations.
• Lead clinical QA: audits, calibrations, coaching, documentation integrity.
• Develop and mentor RNs, clinical associates, and team leads.
• Partner with WFM, TA, QA, and client stakeholders on delivery and governance.
• Translate protocol updates into floor-ready workflows and training.

Skills

SLA/KPI leadership

US managed care

Team leadership

HIPAA/PHI compliance

RN license

Education

BSN

Philippine RN license

Job description

Clinical Operations Asst. Manager (Manager)

• Schedule: US Day Shift

Lead a high-performance clinical operations team supporting a major US managed care program. Drive service excellence, clinical quality, and team development in a fast-paced, metrics-driven environment.

What You\'ll Do

• Own daily SLA/KPI performance: turnaround time, quality, productivity, documentation.
• Run disciplined operations: huddles, interval monitoring, RCA, recovery plans.
• Enforce HIPAA/PHI compliance with zero tolerance for deviations.
• Lead clinical QA: audits, calibrations, coaching, documentation integrity.
• Develop and mentor RNs, clinical associates, and team leads.
• Partner with WFM, TA, QA, and client stakeholders on delivery and governance.
• Translate protocol updates into floor-ready workflows and training.

What You Need

• PH RN license, BSN.
• Active/passed USRN license. (unrestricted)
• 5+ years clinical + healthcare operations experience.
• 3+ years leading teams in healthcare BPO/shared services.
• Strong grasp of US managed care, UM/CM, CMS/HIPAA.
• Proven SLA/KPI leadership in a metrics-driven environment.
• Amenable to US shift and onsite/hybrid setup.

Preferred

• Experience in UM, CM, HRA, triage, or payer operations.
• Familiarity with URAC/NCQA environments.