Clinical QA Analyst I: Elevate Healthcare Quality

MedRisk; Philippines; On-site; PHP 334,800 - 558,000; Full time

Job summary

MedRisk is searching for a Quality Assurance Clinical Analyst Level I in the Philippines. This role is essential for ensuring compliance and accuracy in clinical reviews within a healthcare context. The ideal candidate has a background in Nursing or a related field, along with a clinical license.

Key responsibilities include auditing clinical reviews, monitoring call protocols, and collaborating closely with clinical teams. Strong analytical abilities and communication skills are paramount for success in this position.

Qualifications

• Minimum of 2 years in clinical review or quality assurance within healthcare or BPO.
• Active and unrestricted Philippine nursing or clinical license preferred.
• Familiarity with HIPPA, URAC, and other healthcare compliance standards.

Responsibilities

• Evaluate case reviews for accuracy and compliance.
• Assess calls for adherence to clinical protocols.
• Verify clinical review processes comply with regulations.
• Recommend process enhancements for efficiency.

Skills

Attention to detail

Communication skills

Analytical abilities

Proficiency in healthcare management systems

Education

Bachelor’s degree in Nursing, Physical Therapy, or Healthcare Administration

Tools

Electronic Medical Records (EMR)

Microsoft Office

Job description

MedRisk is searching for a Quality Assurance Clinical Analyst Level I in the Philippines. This role is essential for ensuring compliance and accuracy in clinical reviews within a healthcare context. The ideal candidate has a background in Nursing or a related field, along with a clinical license.

Key responsibilities include auditing clinical reviews, monitoring call protocols, and collaborating closely with clinical teams. Strong analytical abilities and communication skills are paramount for success in this position.