Senior Healthcare Ops Lead, Patient Access & Authorization

Our Clients; Quezon City; On-site; PHP 900,000 - 1,800,000; Full time

Job summary

Our Clients is seeking a Healthcare Operations Manager – Patient Access & Authorization to lead high-volume authorization workflows, ensure compliance, and align operations with organizational and client goals. You will work with clinical teams, payers, and leadership to minimize delays, improve outcomes, and implement standardized processes.

The role focuses on program implementation, operational transition, and scalable processes in a fast-growing environment, requiring strategic oversight and

Qualifications

• Bachelor’s degree in Healthcare Management, Business Administration, Nursing, Allied Health, or related field.
• 5–7 years of experience in healthcare operations, patient access, prior authorization, or related environment.
• 3 years of people management or leadership experience.
• Experience with orthopedic or multi-specialty workflows preferred.
• Strong knowledge of CPT, ICD-10, medical terminology, and clinical documentation.
• Proficiency with EHR systems, payer portals, and authorization platforms.

Responsibilities

• Provide operational leadership for Patient Access and Benefits & Authorization functions, ensuring efficient workflows.
• Manage Supervisors, Team Leads, and teams with clear performance expectations.
• Oversee authorization and pre-certification operations for orthopedic services and related procedures.
• Establish and monitor KPIs, analyze data, and drive continuous improvement.

Skills

Healthcare Ops Leadership

Patient Access

Team Leadership

Process Improvement

Data Analysis

Regulatory Compliance

Education

Bachelor’s degree in Healthcare Management

Advanced degree preferred

Tools

EHR Systems

Payer Portals

Authorization Platforms

MS Office

Job description

Our Clients is seeking a Healthcare Operations Manager – Patient Access & Authorization to lead high-volume authorization workflows, ensure compliance, and align operations with organizational and client goals. You will work with clinical teams, payers, and leadership to minimize delays, improve outcomes, and implement standardized processes.

The role focuses on program implementation, operational transition, and scalable processes in a fast-growing environment, requiring strategic oversight and