Clinical Operations Manager

Nezda Technologies, Inc.; Metro Manila; On-site; PHP 1,200,000 - 1,700,000; Full time

Job summary

Nezda Technologies, Inc. is seeking a Manager - CDI Operations in the Philippines to oversee US healthcare CDI operations. You will manage performance, workforce, and client relationships while ensuring adherence to productivity, quality, and turnaround targets.

You will lead Team Leaders, CDI Specialists, Quality Auditors, and Trainers, focusing on continuous improvement, regulatory compliance, and AI-enabled initiatives. Strong English communication and US-hours flexibility are required.

Qualifications

• Bachelor's degree in Nursing (BSN) or related healthcare field.
• Active US Registered Nurse (USRN) license is required.
• 5–7 years of US healthcare operations experience, preferably in CDI or related services.
• 2–3 years of people management or operations leadership experience.
• Strong knowledge of Clinical Documentation Improvement and CMS guidelines.
• Certifications: AHIMA CCS or AAPC CIC with CCDS or CDIP.
• Experience in healthcare BPO, KPO, or offshore US healthcare operations.
• Excellent English communication and client-facing skills.
• Willingness to work US business hours or night shifts.

Responsibilities

• Oversee daily CDI operations to meet productivity and quality targets.
• Monitor reports and dashboards, identify gaps, and implement actions.
• Manage workforce allocation, staffing, and costs.
• Develop Team Leaders, CDI Specialists, Quality Auditors, Trainers.
• Lead performance management, coaching, and succession planning.
• Serve as operational contact for US clients and report performance updates.

Skills

Healthcare operations

People leadership

Data analysis

Client communication

Process improvement

Education

BSN or related healthcare degree

Job description

As Manager - CDI Operations, you will oversee assigned US healthcare CDI operations in the Philippines.

You will lead operational performance, workforce management, team development, client relationships, and quality compliance while ensuring service delivery meets established productivity, quality, and turnaround time targets.

Key Responsibilities

• Manage daily CDI operations to meet productivity, quality, utilization, turnaround time, and service-level targets.
• Monitor operational reports and dashboards, identify performance gaps, and implement corrective actions.
• Oversee workforce allocation, staffing requirements, attendance, attrition, and operational costs.
• Lead and develop Team Leaders, CDI Specialists, Quality Auditors, Trainers, and support staff.
• Manage employee performance, coaching, development plans, succession planning, and retention initiatives.
• Serve as a key operational contact for US healthcare clients and communicate performance updates, risks, and improvement plans.
• Prepare and present performance reports, root cause analyses, corrective action plans, and business review materials.
• Ensure compliance with applicable US healthcare regulations, CDI standards, coding guidelines, privacy, and security requirements.
• Collaborate with HR, Recruitment, Training, Quality, Workforce Management, IT, and Finance.
• Drive continuous improvement, automation, AI-enabled initiatives, transitions, and account expansion.

Must-Have Qualifications

• Bachelor's degree in Nursing (BSN) or a related healthcare degree.
• Active US Registered Nurse (USRN) license.
• 5-7 years of US healthcare operations experience, preferably in CDI, medical coding, clinical operations, utilization management, or related services.
• 2-3 years of people management or operations leadership experience.
• Strong knowledge of Clinical Documentation Improvement, physician documentation, MS-DRGs, SOI/ROM, ICD-10-CM/PCS, and CMS guidelines.
• Required certifications: AHIMA CCS or AAPC CIC, together with CCDS or CDIP.
• Experience in healthcare BPO, KPO, shared services, or Philippine offshore healthcare operations.
• Strong analytical, problem-solving, decision-making, reporting, presentation, and client-facing capabilities.
• Excellent written and verbal English communication skills.
• Willingness to work US business hours or night shifts as required.

Good-to-Have Qualifications

• Active Philippine Registered Nurse (PHRN) license.
• Previous experience managing CDI teams or offshore US healthcare operations.
• Exposure to healthcare automation, AI-enabled technologies, analytics, and digital transformation.