DE033033-Health Clinical Services Senior Analyst

Accenture; Taguig; On-site; PHP 446,000 - 781,000; Full time

Job summary

Accenture is hiring a Health Clinical Services Senior Analyst in Taguig (Night Shift). Candidates must hold a US RN license and have at least 3 months of clinical experience, with duties including grievance and appeals case management and detailed case summaries for client Medical Directors.

Work setup is RTO with rotation and night shift, located in Uptown Bonifacio Tower 3, Taguig. Only applicants with legal right to work in the country are eligible to apply.

Qualifications

• BSN/GNM/DBS in nursing or equivalent.
• Current and unrestricted US RN license.
• Minimum 3 months clinical experience (480 hours).
• Active RN license with direct patient care experience.
• Clinical settings include inpatient, outpatient, or community clinic.

Responsibilities

• Grievance and Appeals: Create complete appeal records using standardized IRE forms and include required docs.
• Prepare detailed case summaries in narrative format for each appeal.
• Submit cases to geographic region as directed and present summaries to client Grievance Team and Medical Directors.
• Complete assignments within client turnaround times and conduct written communication assessments.

Skills

Nursing

Clinical experience

Patient care

Written communication

Education

Bachelor of Science Nursing (BSN)

General Nursing & Midwifery Diploma

Basic Bachelor of Science in Nursing

Associate Nursing Degree

Nursing Diploma

Job description

—ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE—

Position Title

Health Clinical Services Senior Analyst

Work Setup

RTO

Responsibilities

Grievance and Appeals Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. Creates a detailed case summary in narrative format for each appeal. Submits cases as directed for each applicable geographic region. Presents verbal and written case summaries to client’s Grievance Team and client Medical Directors. Completes assignments within client-designated turnaround times. Need to conduct written communication assessments

Others

Project Shift Schedule: Night Shift Project Rest Day: Rotation Project/Team Location: Taguig, Uptown Bonifacio Tower 3

Qualifications

• Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Basic Bachelor of Science (BSC) in Nursing degree or Associate Nursing Degree or Nursing Diploma
• Holds current and unrestricted US Registered Nurse license
• 3 months clinical experience (480 hours of working experience as a RN)
• Work experience as an active RN license and providing direct patient care
• Clinical setting includes inpatient hospital, outpatient hospital or community clinic
• No state license required (doability will be revisited if there’s a specific state of RN license needed) With at least 3 month UM experience Flex: Open to candidates (without UM experience) with Appeals experience

About Accenture

Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.

Visit us at www.accenture.com

Equal Employment Opportunity Statement

We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicablelaw.Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.