86,623 Jobs in Cainta

Work Location: Ortigas

Set-up: Full Onsite

Shift: Day Shift

The
Model Validation Analyst
will be responsible for validating bank models in compliance with the standards set by the Bank and the Bangko Sentral ng Pilipinas (BSP). The role ensures that models are managed effectively, remain accurate, and deliver high-quality, timely outputs. Senior candidates will take on more complex model validation assignments and may provide guidance to junior members of the team.

Key Responsibilities

• Conduct independent validation of bank models to ensure they are accurate, robust, and compliant with regulatory requirements.
• Align with the team's workplan and deliver timely and satisfactory validation outputs.
• Ensure quality control across model validation processes and documentation.
• Prepare validation reports and communicate findings effectively to stakeholders.
• Collaborate with internal teams to enhance validation processes and methodologies.
• For Senior Role: Lead complex model validation projects, provide technical expertise, and mentor junior analysts.

Work Experience

• Analyst Role:
  2–5 years of experience in modeling and/or model validation.
• Senior Role:
  5 or more years of experience in modeling and/or model validation.
• Background in Mathematics, Statistics, or Computer Science.

Required Skills

• Proficiency in programming languages such as
  R or Python
  .
• Strong analytical skills with a keen focus on quality control and attention to detail.

Good to Have

• Working knowledge of bank products: wholesale credit, retail credit, treasury, AML, fraud, and machine learning–based solutions.
• CFA or FRM certification.
• Strong understanding and experience in:
• AML and Financial Crime Compliance (FCC)
• Credit risk modeling
• Market risk
• Stress testing analysis
• Machine Learning and Deep Learning

RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS:

• Registered nurse with CIC or CCS certification
• At least 1 year of inpatient coding experience, preferably with exposure to DRG auditing or validation
• Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred
• Possesses knowledge of healthcare claims payment policy and processing specifically, CMS, Medicaid regulations, ICD-10 CM & DRG Expert, etc
• Has general knowledge of medical procedures, conditions, illnesses, and
  
  treatment practices
• Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency
• Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc.
• Must be willing to work onsite

We offer the following:

• Day 1 HMO coverage with free 2 dependents
• Life Insurance
• Annual Appraisals
• Onsite Allowance*, etc.

Office Locations:

• Manila: Cotiviti Office located at 15th Floor, Robinsons Cyberscape Gamma, Topaz Rd, Ortigas Center, Pasig
• Cebu: 1 Nito Tower Archbishop Reyes Avenue Cebu City

Crystal Steel Fabricators is looking for a Software Developer. Ideally this person will have some experience in a fabrication, manufacturing, or construction setting.

Responsibilities:

· Writing code and implementing computer programs on multiple systems in the business

· Building and using computer-assisted software engineering tools to automate some coding

· Performing all requirements needed for the implementation of automated computer systems from start to finish

· Using code libraries to simplify the writing of code

· Collaborating with software developers in the creation of programs for their organization

· Work with executives and other business leaders to identify opportunities for improvement

· Create reports for internal teams and/or external clients

· Collaborate with team members to collect and analyze data

· Use graphs, infographics, and other methods to visualize data

· Establish KPIs to measure the effectiveness of business decisions

· Structure large data sets to find usable information

· Work with a team of analysts and other associates to process information

· Create presentations and reports based on recommendations and findings

Job Requirements:

· Bachelor's degree, particularly in Computer Science, Management Information Systems, or something similar desired, however, strong experience relevant to the position will be considered instead.

· Python, C#.Net , SQL, Crystal Reports, and experience with other business software to handle the schedule and other programming tasks

· Website Development Tools (e.g. WIX, Google Analytics and etc.)

· Excellent Microsoft Excel Formulation

· Strong knowledge in Google APIs

· Excellent written communication

· Strong quantitative skills

· Some fabrication, manufacturing, or construction experience preferred

· Ability to read structural and architectural drawings is a plus.

For regular employees, we offer an industry-leading benefits package that includes:

Competitive Salary

13th Month Pay

HMO with 3 free Beneficiaries on Day One

20% ND Maternity/Paternity Leave

Opportunity for rapid career growth for Top Performers

Retirement/Life Insurance for Qualified Staff

Work-life Balance Processes and Programs

Job Responsibilities:

Answers phone calls and provides important information/assistance to clients

Checks mail, fax, and internet mail to provide customer assistance

Communicates with customers on the phone or using written correspondence to take care of concerns

Answer participant questions,as well as talk to participants to achieve a full understanding of what critical information is being asked.

What are we looking for?

Open to candidates who completed college no experience required

Open to High School and Senior High School Graduates with BPO experience

Excellent to above-average English communication skills

BPO experience is a plus but not necessary

Can do onsite work

Within 25km to 35 km

BE PART OF A GROWING TEAM AND ENJOY WORK-LIFE BALANCE APPLY NOW

The Service Management Lead will provide the vision, thought leadership, governance, and continuous improvement of IT Service Management. This role is accountable for ensuring that all ITIL processes are understood, consistently adhered to, and executed by product/service owners across IT.

Key Responsibilities

• Own, promote, and govern IT Service Management, covering Incident, Problem, Change, and Service Level Management.
• Drive standardization, implementation, and adoption of Service Management disciplines throughout the organization.
• Identify areas for continuous improvement in IT practices across the business.
• Define, align, and document Service Management processes in collaboration with stakeholders in IT and business units, establishing the Group's ITIL framework.
• Facilitate and govern IT Service Level and Operational Level Agreements across multiple functions, businesses, and partners.
• Partner with stakeholders to define Key Performance Indicators (KPIs) for IT services.
• Track KPIs and communicate performance through management review meetings.
• Manage exceptions to established ITSM processes when necessary.
• Lead, mentor, and develop the ITSM team through a supportive and collaborative leadership approach.

Key Requirements

• Education:
  Degree in an IT-related field.
• Experience:
  Minimum of 10 years in various IT roles, including at least 5 years in IT Service Management leadership.
• ITSM Expertise:
  Strong knowledge and practical experience in Incident, Problem, Change, and Service Level Management.
• Performance Management:
  Skilled in timely tracking and analysis of Key Performance Indicators (KPIs).
• Process Knowledge:
  Deep understanding of the end-to-end IT software and system lifecycle (concept, design, development, testing, deployment, operations, and maintenance).
• Communication Skills:
  Excellent written and verbal communication, with the ability to engage peers and executive leadership.
• Analytical Skills:
  Strong logical and analytical thinking with the agility to address and resolve issues.
• Leadership:
  Proven ability to lead, coach, and empower remote teams.
• Certifications:
  Current ITIL certification(s).

JOB SUMMARY:

The Clinical Appeals Nurse is in responsible for creating a convincing and effective appeal based on clinical documentation, payer-specific standards, and compliance with federal and state policies. The Clinical Appeals Nurse is responsible for clinical denial appeals and follow-up, providing appropriate denial information to departments to ensure systems, processes, and effectiveness measures are created and implemented to resolve root cause issues and reduce/ eliminate denials. The Clinical Appeals Nurse ensures that appeals are filed on time.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Performs medical record reviews concurrently and/or retrospectively and be able to determine why cases are denied and whether an appeal is required
• Able to review clinical denials in a timely manner and appropriately utilizing clinical criteria sets such as of InterQual criteria (Acute, Procedures, etc.). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medically necessary services denied for no authorization.
• Able to write an effective and efficient appeal based on clinical documentation and payer-specific policies and client-specific instructions.
• Able to think critically and able to use clinical judgment in providing effective and well-supported appeals.
• Maintains thorough and current knowledge in clinical expertise and stay relevant in the fast changing trends in healthcare, reimbursement methodologies and utilization.
• Able demonstrate basic patient accounting knowledge i.e. UB04 claim form and Explanation of Benefits ("EOB") components, adjustments, credits, debits, balance due, patient liability, etc.
• Able to read and understand medical abstract information from handwritten to type written medical record.
• Demonstrates proficiency in utilization of electronic tools and competency in Microsoft Office.
• Able to observe specific payer guidelines for appeal submission and ensures compliance to law and regulations.
• Other tasks/functions that may be assigned by the company as per business requirement; these may change from time to time to reflect the changing requirement of your position and our business.

MINIMUM REQUIRED QUALIFICATIONS (SKILLS, KNOWLEDGE AND ABILITIES

Education:

• Graduate of BS in Nursing
• Strong writing and grammatical skills
• Above average written and verbal communication skills

Certification/licensure

• Must be Registered Nurse and with active USRN license.

Knowledge and Skills:

• Demonstrates proficiency in the application of medical necessity criteria.
• Ability to conduct intensive research regarding State/Federal guidelines and other regulatory processes.
• Excellent communication skills in verbal and professional letter writing skills.
• Able to think critically.
• MS Office proficient
• Ability to multi-task.
• Ability to work with minimal supervision and able to work under pressure within the given timeframe.

BENEFITS:

• Temporary Work From Home Setup
• Career Growth
• Annual Appraisal
• HMO Coverage on Day 1 plus 2 free dependents upon regularization

Qualifications:

• High school degree/GED, or higher. College experience is preferred
• Previous customer service experience will be preferred.
• Good mobile phone industry knowledge. Technical knowledge is a plus.
• Excellent communication and customer service skills.
• Computer literacy and good organizational skills.
• Strong creative thinking and problem-solving skills.
• The ability to work under pressure and handle stress.
• Pleasant and clean looking, fluent in English and Filipino.
• Willing to assigned at SM Megamall
• Team Player.

Duties and responsibilities:

• Provide quality customer service while demonstrating the ability to effectively troubleshoot and resolve technical inquiries
• Obtain and evaluate all relevant information needed to resolve customer complaints
• Prepare product or service reports by collecting and analyzing customer
• information
• Handle customer complaints or concerns quickly and professionally to maintain
• good customer relationships and ensure repeat customers.
• Maintaining a positive, empathetic, and professional attitude toward customers at
• all times.
• Ensure that all CSR KPIs are attained and properly managed
• Follow communication procedures, guidelines and policies
• Ensure customer satisfaction and provide professional customer support.

Job Types: Full-time, Permanent

Pay: Php18,070.00 per month

Education:

• Bachelor's (Required)

Work Location: In person

Duties and Responsibilities:

• Preparation of Budget Estimates, Cost Analysis/Cost Valuation
• Monitoring of Budget and Cost to Complete/Anticipated Final Cost

• Review of Tender, Billings, Change Orders, etc.

• Checking and validation of Close-out Report

Qualifications:

• Graduate of any Engineering Course
• 5 years experience as Quantity Surveyor
• Knowledge in SAP
• Proficiency in advanced MS Excel

Location: Pasig City

Work Set-up: Onsite

Salary Range: 18,000-23,000 (depending on experience) + 2,000 transportation allowance

As an HR Associate, you will be the go-to person for all HR-related matters. You will be responsible for a wide range of HR functions, including recruitment, onboarding, employee relations, performance management, and HR policy implementation. This role requires strong organizational skills, excellent communication abilities, and a solid understanding of HR best practices.

Key Responsibilities

• Recruitment and Onboarding: Manage the full recruitment cycle from job posting to offer letter. Conduct new hire orientation and ensure a smooth onboarding process for all new employees.
• Employee Relations
• Performance Management
• HR Policies and Procedures
• Compensation and Benefits
• HR Administration

Qualifications

• Bachelor's degree in Human Resources, Business Administration, or a related field.
• 2-3 years of proven experience as an HR
• Solid understanding of HR functions and best practices.
• Knowledge of local and national labor laws and regulations.
• Excellent interpersonal and communication skills, with the ability to build rapport with employees at all levels.
• Strong problem-solving and decision-making abilities.
• High level of integrity and confidentiality.
• Proficiency in HRIS (Human Resources Information System) and MS Office Suite.

Job Type: Fixed term

Contract length: 12 months

Pay: Php18, Php23,000.00 per month

Benefits:

• Company Christmas gift
• Company events
• Promotion to permanent employee

Application Question(s):

• We have a budget of 18k-23K (depending on experience), how much is your expected salary?

Experience:

• Human resources: 2 years (Required)
• Recruitment: 1 year (Required)

Work Location: In person