Coding and Clinical Manager (MD)

Optum Philippines; Philippines; On-site; PHP 1,800,000 - 3,200,000; Full time

Job summary

Optum Philippines is seeking a seasoned Operations Manager to coordinate and supervise daily activities across a 70 FTE team within the IRR Clinical span and ensure adherence to quality and service targets. The role requires an MD with Internal Medicine background and 2+ years in medical practice, plus 1–2 years in BPO operations management. Onsite in Makati.

Responsibilities include coaching, performance reviews, and cross-department collaboration to improve processes and scalability.

Qualifications

• MD degree required, Internal Medicine preferred.
• Minimum 2 years practicing as an MD.
• 1–2 years as an Operations Manager in a BPO setting.

Responsibilities

• Coordinate, supervise and be accountable for daily/weekly/monthly team activities.
• Set priorities to meet Quality, Adherence, Service Level and AHT goals.
• Coordinate work with other supervisors, managers and departments.
• Identify and resolve operational problems using defined processes and judgment.
• Provide coaching and feedback to team members and conduct performance reviews.
• Offer expertise and customer service support to team members, customers, and providers.
• Assist with additional ad hoc responsibilities as assigned.

Skills

Analytical skills

Medical records literacy

Microsoft Office

Learning new systems

Multitasking

Communication

Professional appearance

Ownership mindset

Team collaboration

Problem solving

Education

MD (Doctor of Medicine), Internal Medicine background

Job description

• Coordinate, supervise and is accountable for the daily/weekly/monthly activities of team members
• Sets priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level and AHT
• Coordinate work activities with other supervisors, managers, departments, etc.
• Identify and resolve operational problems using defined processes, expertise and judgment
• Provide coaching and feedback to team members, including formal corrective action
• Conduct regular performance reviews for team members
• Provide expertise and customer service support to team members, customers, and/or providers
• Assists with other ad hoc responsibilities deemed necessary by his/her supervisors.

Job Scope and Guidelines

• Require minimal assistance with standard and non-standard requests.
• Work with Clinical Review Manager to solve more complex problems.
• Abide by and perform to the best of abilities and all function, duties and responsibilities to be assigned by the Company in due course.
• Comply with the orders and instructions given from time to time by the Company through its authorized representatives.
• Shall not disclose any confidential information in respect of the affairs of the Company to any unauthorized representatives.
• Perform any other administrative or non-administrative duties as assigned by any representative of the Company from time to time either through direct written order or by oral assignment.
• Participate in coding meetings and education conferences to maintain coding skills and accuracy.
• Demonstrate willingness and flexibility in working additional hours or changing hours.
• Consistently demonstrate time awareness: strive to meet deadlines; reduce non-essential interruptions to an absolute minimum.
• Demonstrate thorough understanding on how position impacts the project and organization.
• Exceed customer expectations. Proactively identify and respond to the different needs of team members and different team representatives working within Optum.

Soft Skills

• Strong analytical and research skills
• Expertise in reading a medical record
• Computer proficiency in operating Microsoft Office Applications
• Ability to learn new and complex computer system applications
• Ability to multitask and prioritize
• Ability to communicate effectively.
• Make a positive first impression and present a professional appearance
• Demonstrate a positive attitude and strong work ethic
• Offers to help fellow employees whenever possible
• Takes ownership of problems; demonstrates pride in one's job and the organization
• Self-directed, highly motivated, pleasant, cooperative, assertive yet compassionate
• Demonstrates a good rapport and works to establish cooperative working relationships with all members of the team.
• Must have demonstrated experience and ability to develop processes and suggest improvements to make more efficient / scalable.
• Strong attention to detail

External Qualifications

• Candidate must hold an MD (Doctor of Medicine) degree as their highest educational attainment, preferably with a background in Internal Medicine.
• Must have at least 2 years of experience practicing as an MD.
• Must have 1 to 2 years of experience as an Operations Manager in a BPO setting.
• Certification as a CPC or CIC coder is a plus. (not necessary)
• This is an onsite role based in Makati.
• The position will support approximately 70 FTEs across the overall IRR Clinical span