Healthcare Denials QC & Process Optimization Analyst

PwC Acceleration Center Manila; Taguig; On-site; PHP 420,000 - 660,000; Full time

Job summary

PwC Acceleration Center Manila is seeking an RCMS US Healthcare QC Analyst (Clinical/Coding Denials). You will assess client operations, identify improvement opportunities, and help design strategies to enhance productivity, quality, and efficiency within our advisory services.

You’ll collaborate with healthcare clients to implement technology solutions and automation while growing relevant skills. As an Associate, you will work with diverse teams across geographies, focusing on learning,

Qualifications

• Bachelor's degree required.
• 1–4 years of experience required.
• Fluent oral and written English.
• Experience with coding denials/QA/training preferred.

Responsibilities

• Analyze operational processes to identify areas for improvement and productivity gains.
• Develop strategies to optimize operational efficiency and performance.
• Collaborate with clients to implement technology solutions and automation.
• Support development of operational excellence frameworks to improve quality.
• Gather and interpret data to inform operational strategies.
• Apply lean process improvement techniques to streamline operations.
• Engage in project management tasks to support initiatives.
• Utilize emerging technologies to enhance processes and solutions.
• Contribute to innovative solutions for client challenges.
• Participate in team discussions to provide insights for improvements.

Skills

English proficiency

Coding denials

Billing processes

Billing software

Education

Bachelor's degree

Job description

PwC Acceleration Center Manila is seeking an RCMS US Healthcare QC Analyst (Clinical/Coding Denials). You will assess client operations, identify improvement opportunities, and help design strategies to enhance productivity, quality, and efficiency within our advisory services.

You’ll collaborate with healthcare clients to implement technology solutions and automation while growing relevant skills. As an Associate, you will work with diverse teams across geographies, focusing on learning,