Senior Advisor, HMO Operations

Strata Results Group; Las Piñas; On-site; PHP 1,500,000 - 2,100,000; Full time

Job summary

Strata Results Recruitment in Las Piñas, Philippines, seeks an Advisory Director – HMO Operations to provide strategic guidance on optimizing HMO operations within a healthcare organization. This leadership role emphasizes governance, compliance, and process improvement, supporting executive management to achieve organizational objectives.

The ideal candidate will bring over 10 years in healthcare operations, deep knowledge of Philippine HMO regulations and accreditation standards, and a proven

Qualifications

• Master's degree in Healthcare Administration, Business Administration, or related field.
• Minimum 10 years of experience in healthcare operations.
• Strong knowledge of Philippine HMO regulations, hospital operations, and accreditation standards.
• Experience in providing strategic advisory services and leading operational improvements.
• Excellent analytical, leadership, communication, and executive presentation skills.

Responsibilities

• Provide expert guidance on HMO operations, including authorization, claims processing, billing, and reimbursement workflows.
• Recommend policies and best practices to improve efficiency and patient experience.
• Advise management on regulatory developments and risk mitigation strategies.
• Collaborate with hospital executives on strategic HMO initiatives.
• Attend executive board meetings and provide recommendations.
• Evaluate GM performance and provide strategic feedback.
• Represent the organization in advisory forums and industry meetings.

Skills

Strategic planning

HMO operations

Healthcare regulations

Governance & compliance

Data analysis

Executive leadership

Stakeholder management

Communication skills

Education

Master's degree in Healthcare Administration, Business Administration, or related field

Job description

Strata Results Recruitment in Las Piñas, Philippines, seeks an Advisory Director – HMO Operations to provide strategic guidance on optimizing HMO operations within a healthcare organization. This leadership role emphasizes governance, compliance, and process improvement, supporting executive management to achieve organizational objectives.

The ideal candidate will bring over 10 years in healthcare operations, deep knowledge of Philippine HMO regulations and accreditation standards, and a proven