Senior Health Clinical Analytics & Care Coordination

Accenture in the Philippines; Quezon City; On-site; PHP 558,000 - 893,000; Full time

Job summary

Accenture in the Philippines is hiring Health Clinical Services Senior Analyst to support clinical reviews and member care coordination. The role requires RN licensure, BSN, and experience with medical policy and pre-certification processes.

You will work on-site in Quezon City, collaborating with medical staff to ensure appropriate, cost-effective care while handling case routing, data entry, and provider communications.

Qualifications

• Bachelor of Science Nursing (BSN) degree.
• Holds current and unrestricted US Registered Nurse license.
• 3 months clinical experience (480 hours) in a hospital setting.
• Active RN license and direct patient care experience.
• Clinical settings include inpatient and outpatient care.
• No state license required (may change with state requirements).
• UM experience preferred.

Responsibilities

• Conduct medical management reviews using clinical criteria and policies.
• Route cases to nursing or medical staff for review when needed.
• Promote access to medically necessary, cost-effective care.
• Collaborate with providers for discharge planning and care transitions.
• Verify benefits and eligibility; gather intake information.
• Enter data into client systems and route appropriately.

Skills

Nursing

RN license

Clinical care

Healthcare policy

Communication

Time management

Education

Bachelor of Science Nursing (BSN)

Job description

Accenture in the Philippines is hiring Health Clinical Services Senior Analyst to support clinical reviews and member care coordination. The role requires RN licensure, BSN, and experience with medical policy and pre-certification processes.

You will work on-site in Quezon City, collaborating with medical staff to ensure appropriate, cost-effective care while handling case routing, data entry, and provider communications.