Senior Customer Service & Compliance Lead

Accenture PLC; Quezon City; Hybrid; PHP 670,000 - 1,004,000; Full time

Job summary

Accenture is seeking a Customer Service Sr Analyst in Quezon City for a hybrid setup. The role involves overseeing staff performing reviews to ensure policy compliance, managing licensure, and supporting accreditation processes.

You will work with US healthcare contracts and regulatory standards, lead investigations into data breaches, and mentor team members while collaborating with Compliance and PMO teams to uphold quality and performance.

Qualifications

• 3+ years relevant experience in healthcare/compliance
• Minimum 1 year supervisory experience

Responsibilities

• Oversees staff performing reviews to ensure compliance with medical policy, eligibility, benefits, and contracts
• Maintains regulatory and accreditation compliance by interpreting and applying standards
• Ensures associates keep active licensure and reports issues to PMO and Compliance
• Facilitates accreditation activities by participating in audits as needed
• Provides leadership, mentoring, and supervision of staff
• Reports known data breaches to Compliance and conducts follow-up investigations
• Performs root cause analysis for deviations and coaching to improve performance
• Analyzes VOC trends and customer feedback to drive improvements
• Handles inbound/outbound communications with providers for data gathering
• Governs adherence to contractual regulatory expectations

Skills

Experience in healthcare/compliance

Supervisory experience

Job description

Accenture is seeking a Customer Service Sr Analyst in Quezon City for a hybrid setup. The role involves overseeing staff performing reviews to ensure policy compliance, managing licensure, and supporting accreditation processes.

You will work with US healthcare contracts and regulatory standards, lead investigations into data breaches, and mentor team members while collaborating with Compliance and PMO teams to uphold quality and performance.