Senior Solutions Researcher (Team Leader)

Acquire.AI; Philippines; On-site; PHP 600,000 - 1,000,000; Full time

Benefits offered by this job

HMO coverage

Yearly Kick-Off Parties

Value Awards

Internal promotions

Leadership training

14th Month Pay

Referral program

Paid time off

Birthday leave

Job summary

Acquire Intelligence in Manila is seeking a Senior Solutions Researcher (Team Lead) to research U.S. ACA health plans, verify provider networks, and guide a growing team of researchers.

This is an onsite, night-shift role based in Eastwood City, Quezon City. You will train researchers, review work for accuracy, and maintain complete audit trails while delivering precise, well-documented findings to support healthcare access decisions.

Qualifications

• Experience in U.S. healthcare, health insurance, or related field.
• Ability to supervise/train or review work of others.
• Excellent written and spoken English and comfort communicating with U.S. carriers and providers.
• Strong organization and case-management skills with attention to detail.
• Willingness to work fixed overnight schedule (Philippine time).

Responsibilities

• ACA health plan and provider-network research using approved sources.
• Verify formulary details and drug tiers.
• Document research with audit-ready records and summaries.
• Train and review Solutions Researchers; manage workload and coaching.
• Perform research directly when needed to meet deadlines.

Skills

U.S. healthcare knowledge

Team supervision

Online research accuracy

English communication

Organization / case management

Phone verification

Microsoft Office

Night shift readiness

Tools

Salesforce

Web research tools

PDFs & screenshots

Job description

We’re an award-winning global outsourcer providing contact center and back office services on behalf of our global clients. Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! SENIOR SOLUTIONS RESEARCHER (Team Lead) Eastwood City, Quezon City Night Shift | Onsite | Full-Time

Got a sharp eye for detail and a passion for getting healthcare research right? Join our team as a Senior Solutions Researcher, where you'll dig into U.S. health insurance plans, verify provider networks, and help guide a growing team of researchers.

ABOUT ACQUIRE INTELLIGENCE

At Acquire Intelligence, our mission is to help business work smarter. We bring together the best people, efficient processes, and automation to help companies grow faster and operate with confidence. Our purpose is to simplify how businesses work, improve performance, and lead meaningful change across the globe. If you're passionate about making a real impact through innovation and collaboration, Acquire Intelligence is the place to grow your career.

A SNAPSHOT OF YOUR ROLE

As a Senior Solutions Researcher, you'll research U.S. Affordable Care Act (ACA) individual health insurance plans, verify provider networks and prescription drug formulary, and document your findings with precision. This work directly affects people's access to healthcare, so accuracy, thorough documentation, and compassionate service matter in everything you do. Beyond your own casework, you'll help train, guide, and review the work of Solutions Researchers, serving as the team's first point of contact for research questions and escalated cases. This is a research and quality-control role, not a sales position: you won't be recommending plans or providing legal or medical advice.

WHAT YOU'LL DO

ACA Health Plan & Provider Network Research

Research U.S. ACA individual health insurance plans using approved carrier websites, provider directories, plan documents, government resources, and company-approved tools. Identify plans available within an applicant's state, county, ZIP code, and coverage year, and review plan documents for out-of-pocket limits, copayments, coinsurance, referral requirements, and other coverage details. Determine whether specific physicians, specialists, hospitals, clinics, laboratories, and pharmacies participate in a particular plan network, confirming the exact plan and network name rather than relying on the carrier name alone. Call insurance carriers and provider offices to verify information that's incomplete, inconsistent, or unclear online, and document the details of every verification call.

Prescription Drug Formulary Research

Determine whether prescribed medications appear on a plan's current formulary, verifying drug name, dosage, form, and formulation. Document drug tiers and restrictions such as prior authorization, step therapy, quantity limits, or specialty-pharmacy requirements. Distinguish between brand-name and generic medications, and elevate unclear or conflicting formulary information.

Documentation and Case Records

Create complete, well-organized research records with legible screenshots or PDFs showing the source, plan name, and research date. Write concise research summaries that allow another team member to reproduce and validate your findings. Maintain a complete audit trail for every material conclusion, and safeguard applicant and participant information in line with company privacy and confidentiality standards.

Team Leadership and Quality Control

Train Solutions Researchers on plan research, provider-network verification, formulary research, telephone verification, and documentation procedures. Assign and prioritize research cases, review team output for accuracy and completeness, and return incomplete work with clear, constructive coaching. Track team workload, turnaround times, and accuracy, and elevate high-risk or unresolved cases to leadership. Perform research directly when workload, complexity, or deadlines require it.

A BIT ABOUT YOU

Must-Haves

• Professional experience in U.S. healthcare, health insurance, benefits administration, medical research, insurance operations, quality assurance, or a closely related field.
• Experience supervising, training, or reviewing the work of other employees.
• Demonstrated ability to conduct detailed online research using multiple sources, with strong quality-control skills and an eye for subtle discrepancies.
• Excellent written and spoken English, with the ability to communicate confidently with U.S. insurance carriers, healthcare providers, and internal teams, and to understand U.S. accents over the phone.
• Strong organizational, prioritization, and case-management skills, with the ability to follow detailed procedures and meet deadlines without sacrificing accuracy.
• Sound judgment on when to keep researching, verify by phone, or escape a case.
• Proficiency with Microsoft Office, web browsers, PDFs, screenshots, and online research tools.
• Willingness to work a fixed overnight schedule, Monday to Friday, 9:30 PM to 6:00 AM Philippine Time (aligned to 8:30 AM to 5:00 PM U.S. Central Time), which shifts to 10:30 PM to 7:00 AM when the U.S. moves to Central Standard Time; occasional overtime may be required in the fourth quarter.

Good-to-Haves

• Experience with U.S. healthcare or health insurance, particularly ACA individual health plans.
• Experience researching provider networks or prescription drug formularies.
• Familiarity with insurance terms such as deductibles, copayments, coinsurance, out-of-pocket maximums, prior authorization, step therapy, quantity limits.
• Experience handling confidential medical, financial, or personally identifiable information.
• Experience making professional calls to U.S. organizations.
• Experience using Salesforce.

WHAT SUCCESS LOOKS LIKE

Your research is accurate, complete, and backed by a clear, traceable audit trail. Your team consistently delivers high-quality, compliant work and meets turnaround targets. Conflicting or incomplete information is flagged and escalated appropriately, never guessed at. You're a dependable point of contact who communicates clearly, coaches effectively, and shows up consistently.

WHY JOIN THE A-TEAM?

Come for a career, stay for the fun! Here's what's waiting for you: HMO coverage for you and your family. Epic Yearly Kick-Off Parties with major giveaways. Recognition through our Value Awards — we celebrate your wins. Real career growth with opportunities for internal promotions. Meaningful work with talented and supportive teams. Your future matters: 900+ internal promotions every year. Access to 2,700+ leadership training courses. Extra rewards along the way: 14th Month Pay after 5 years of continuous service. Employee Referral Program — earn up to ₱42,000 per successful hire. Enjoy work-life balance: 24 Paid Time-Off Credits annually, with leave credits convertible to cash. Paid Birthday Leave — celebrate your day your way.

WHAT WE VALUE

We're proud of our diverse global team, all working in a collaborative environment and happy to share these common values: Curious and Clever: Smart questions spark smart solutions. Entrepreneurial Energy: Think like an owner. Solve like a founder. Fast with Intent: We move fast and deliver real results. Laugh and Learn: We don't take ourselves too seriously, just our results. What are you waiting for? Come for a career, stay for the fun! Join the A-Team and experience the A-Life! Acquire Intelligence is an award-winning, global business outsourcer with 10,000 staff and over 16-years’ experience in delivering intelligent contact center and back-office functions for global businesses across many industries including telecommunications, banking and financial services, insurance, media, education and retail. We're an entrepreneurial business that is highly experienced in working with our partners to solve real‑life problems quickly. A genuine partnership approach is at the heart of we do. Our teams are highly proficient in exceeding expectations, especially in situations where in‑house teams may be typically challenged with the business processes of “big business.” We have Class A offices across 14 locations across Australia, the Dominican Republic, the Philippines and the United States, as well as comprehensive Work-from-Home environments, where client-permitted. We're recognized as being Safe, Flexible and innovative, giving our clients the capability to Outsource with confidence. As a dynamic organization with the ability to take your career to the next level, we're looking for strong candidates with BPO experience to join our growing team. We value our employees highly and, as such, offer excellent career development programs and competitive compensation and benefits packages.

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