Senior Clinical QA Analyst (PHRN) - Competitive Salary

Concentrix; Quezon City; On-site; PHP 335,000 - 670,000; Full time

Benefits offered by this job

Competitive salary and benefits

Dynamic and collaborative work enviro

Job summary

Concentrix in the Philippines is seeking a Clinical Senior Quality Analyst (PHRN) to lead quality reviews of clinical cases and ensure guideline adherence and documentation accuracy. You will analyze audit data and drive improvements across processes with support from Operations, Training, and stakeholders.

The role requires an active PHRN license, a nursing degree, and experience in QA or clinical auditing. A collaborative, growth-oriented environment and competitive benefits are offered.

Qualifications

• Active Philippine Registered Nurse (PHRN) license.
• Bachelor's degree in Nursing.
• At least 1 year of QA experience (external applicants).
• At least 1 year hospital bedside nursing experience.
• Experience in clinical audits, utilization management, medical necessity reviews, or clinical appeals.
• Strong analytical, documentation, and communication skills.
• Knowledge of MCG/InterQual and USRN licensure is an advantage.

Responsibilities

• Conduct and validate quality reviews of clinical cases.
• Assess guideline application, documentation accuracy, and compliance.
• Analyze audit trends and identify opportunities for process improvement.
• Participate in calibrations, quality reviews, and audit alignment activities.
• Provide coaching and mentoring to support operational excellence.
• Collaborate with Operations, Training, and stakeholders to improve quality outcomes.

Skills

Analytical skills

Documentation

Communication

Education

Bachelor's degree in Nursing

Tools

MCG InterQual

Job description

Concentrix in the Philippines is seeking a Clinical Senior Quality Analyst (PHRN) to lead quality reviews of clinical cases and ensure guideline adherence and documentation accuracy. You will analyze audit data and drive improvements across processes with support from Operations, Training, and stakeholders.

The role requires an active PHRN license, a nursing degree, and experience in QA or clinical auditing. A collaborative, growth-oriented environment and competitive benefits are offered.