HMO Staff | Dayshift | Onsite (Makati, Cavite & Bataan)

Private Advertiser; Metro Manila; On-site; PHP 300,000 - 520,000; Full time

Job summary

Private Advertiser in Makati City / Cavite area seeks a Liaison Officer to serve as a Care Partner and Member Advocate. You will help members access timely, medically appropriate, and affordable healthcare while acting as the client’s face in facilities.

Responsibilities include guiding members through the healthcare journey, coordinating with providers, advocating for members, and ensuring adherence to policies and medical necessity standards to improve overall patient experience.

Qualifications

• Background in healthcare coordination or related field.
• Experience in navigating healthcare services and benefits.
• Strong communication and interpersonal skills.
• Ability to engage compassionately with members and providers.
• Attention to policy details and medical necessity standards.

Responsibilities

• Guide members through healthcare facilities and their end-to-end journey.
• Facilitate appropriate utilization of member benefits and services.
• Coordinate with healthcare providers to support timely care delivery.
• Advocate for members and address healthcare-related needs.
• Promote quality outcomes and positive member experience.
• Ensure service coordination complies with client policies and standards.
• Support effective communication between members, providers, and the client.

Skills

Healthcare coordination

Patient navigation

Member services

Benefits administration

Care coordination

Education

Nursing

Medical Technology

Physical Therapy

Pharmacy

Healthcare Administration

Allied Health Sciences

Other healthcare-related courses

Job description

Working Conditions:
Full Onsite
Day shift
M-F (8AM-5PM ) Sat (8AM-12nn) during training
TWC Building, Makati City & Imus, Cavite & Bataan
Full-time work

Qualifications

Education Required

Bachelor's Degree in:

Nursing

Medical Technology

Physical Therapy

Pharmacy

Healthcare Administration

Allied Health Sciences

Other healthcare-related courses

Preferred

Registered Nurse (RN)

Other licensed healthcare professional

Experience Required

Minimum 2–3 year's experience in:

HMO Operations

Hospital Operations

Utilization Management

Case Management

Patient Relations

Healthcare Customer Service

Preferred

Experience within HMO or managed healthcare environment

Experience in member engagement and care coordination

Experience working with physicians and hospital administrators

About the role

As a Liaison Officer, you will serve as a Care Partner and Member Advocate, helping members access timely, medically appropriate, cost-effective, and seamless healthcare services. You will act as the face of the client within healthcare facilities, guiding members through their healthcare journey and supporting an exceptional experience that makes healthcare more accessible, affordable, predictable, and easy to navigate for Filipinos.

Key responsibilities

• Guide members through healthcare facilities and their end-to-end healthcare journey.

• Facilitate the appropriate utilization of member benefits and services.

• Coordinate with healthcare providers to support timely and seamless care delivery.

• Advocate for members and help address their healthcare-related needs and concerns.

• Promote quality healthcare outcomes and a positive member experience.

• Ensure interactions and service coordination comply with client policies, medical necessity standards, and utilization management principles.

• Support effective communication between members, healthcare providers, and the client.

What we're looking for

• Experience in healthcare coordination, patient navigation, member services, benefits administration, or a related field.

• Strong communication and interpersonal skills, with the ability to engage compassionately with members and healthcare providers.

• Good understanding of healthcare services, benefit utilization, and care coordination principles.

• Sound judgment and attention to detail when applying policies and medical necessity standards.

• Ability to manage multiple member needs while maintaining a professional and service-focused approach.

• Commitment to promoting accessible, affordable, and high-quality healthcare.