Senior Health Utilization Management Analyst

Accenture PLC; Taguig; Presencial; PHP 550 000 - 750 000; Tempo integral

Resumo da oferta

Accenture Health seeks a Health Clinical Services Senior Analyst in Taguig, Philippines, to apply nursing expertise in a non-bedside Utilization Management role. This onsite position involves reviewing medical records, preparing clinical summaries, and coordinating with clinical teams.

The role emphasizes accuracy, confidentiality, and timely decision support, with rotation schedule and opportunities to deepen UM knowledge within a global healthcare operations environment.

Qualificações

• Recognized nursing degree, diploma, or acceptable equivalent.
• Current and unrestricted US Registered Nurse license.
• At least three months or 480 hours of clinical RN experience involving direct patient care.
• Minimum of three (3) months of Utilization Management or Utilization Review experience.
• Strong written and verbal communication skills in English.
• Ability to analyze medical records and prepare clear clinical documentation.
• Working knowledge of standard computer applications.

Responsabilidades

• Review medical records and clinical documentation for assigned UM cases.
• Evaluate case information based on established review processes and client guidelines.
• Prepare organized, concise, and accurate clinical summaries.
• Identify missing clinical information and coordinate follow-up as needed.
• Document review findings and case actions accurately.
• Support medical-necessity, care-management, and related clinical-review processes.
• Communicate relevant case information to clinical teams and medical directors.
• Manage assigned cases within required quality and turnaround-time standards.
• Protect confidential healthcare and patient information.
• Participate in quality reviews, process calibration, and continuous-improvement activities.

Conhecimentos

Nursing degree

US RN license

UM/Utilization Management experience

Direct patient care experience

English communication

Medical record analysis

Computer literacy

Formação académica

Nursing degree or equivalent

Ferramentas

MS Office

Descrição da oferta de emprego

Accenture Health seeks a Health Clinical Services Senior Analyst in Taguig, Philippines, to apply nursing expertise in a non-bedside Utilization Management role. This onsite position involves reviewing medical records, preparing clinical summaries, and coordinating with clinical teams.

The role emphasizes accuracy, confidentiality, and timely decision support, with rotation schedule and opportunities to deepen UM knowledge within a global healthcare operations environment.