211 Health Management jobs in the Philippines
Health Management Analyst
Posted today
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Job Description
The Requirements
Required Skills and knowledge:
- 3+ years of working experience dealing with US health and welfare plans, ideally gained in a benefit consulting/brokerage firm, Health Plan, Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company. Prior experience working with US based consulting or health care firm a plus.
- Understanding of US health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes and health plan operations
- Basic understanding of Mental Health Parity regulations
- Intermediate knowledge and experience in MS Office particularly in Microsoft Excel and PowerPoint
- Excellent oral and written communication skills in English
- Strong communication and collaboration skills:
- o Client service orientation and ability to respond to all communications effectively and in a timely manner.o Ability to ask the right questions and seek help where appropriate from colleagues and clients.o Ability to collaborate and work across all levels of the organization, work in teams, leverage the resources of other related groups to accomplish common objectives, and work on virtual teams across geographies.
- Responsible, proactive, a self-starter and can work individually and as part of a team.
- Strong critical and analytical skills:
- o Strong analytical, creative, and integrative skillso Must possess strong critical thinking capabilities and the willingness to apply skills proactively, well-organized and detail oriented.o Flexibility and proven ability to identify and resolve issues.
- Project and time management Skills
- o Project management skills required; ability to work on multiple tasks in a fast-paced environment while adhering to strict deadlines is a must.o Strong client service orientation and ability to respond to all communications effectively and in a timely manner.o Continuous improvement mindseto Ability to quickly transfer learning into practice.
Job Types: Full-time, Part-time, Permanent
Benefits:
- Opportunities for promotion
- Paid training
- Promotion to permanent employee
- Work from home
Application Question(s):
- Do you have 3+ years of working experience dealing with US health and welfare plans?
- Do you have an understanding of US health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes and health plan operations?
Work Location: Hybrid remote in Fort Bonifacio
Health Management Analyst
Posted today
Job Viewed
Job Description
This position is responsible for providing support to United States based Health and Benefits Consultants. Within this role, as a member of North America client team, you will collect and analyse data that informs strategic business decisions. The expectation will be to efficiently and accurately produce several clients facing reports.
Your role will serve as the analyst for US Mental Health Parity and Addiction Equity Act (MHPAEA) non-quantitative treatment limit (NQTL) projects.
Your individual role will include meeting/deliverable management elements such as project kick-offs, project status/meeting minutes, prepare data requests, facilitate data collection, data review, prepare gap analysis (PPT) results summary and other activities.
As part of this role, you will manage emails with the vendors and internally to support projection completion. You will review vendor response and compile NQTL findings, highlight potential gaps in compliance, map to existing processes and more. This analysis will compare current NQTL mental health/substance use disorder (MH/SUD) limits, processes, factors, criteria, in addition to MH/SUD coverage versus medical surgical coverage.
You will continually learn about North America health and benefits concepts and principles and apply these skills in a global environment. Finally, you will interact with other members of our United States Health and Benefits team and can make important contributions to process improvements and new analytical tools.
This position requires a clinical mind who is detail oriented with work product and outputs using Microsoft Office tools. The position also requires the ability to accurately execute written and verbal instructions.
The Role
Manage Non-Quantitative Treatment Limits (NQTL) portion of parity assessment, including:
• Attend internal and off meetings with QTL/NQTL team.
• Prepare NQTL carrier data requests on behalf of each client:
o Review member facing vendor documents such as summary plan designs, summary of benefits, etc.
o Monitor carrier and vendor responses to data requests.
o Prepare initial review of carrier responses for parity projects.
o Determine the appropriate results and recommendations necessary for parity concerns and findings for various NQTLs and collaborate with MHPAEA Technical Reviewer to determine accuracy of language used.
o Coordinate with project manager regarding sending requests, timing, status, and follow-up.
o Validate completeness of response and report any issues or impact to timeline proactively to project manager.
o Map carrier responses to appropriate section of NQTL document
• Collaborate with health management senior reviewer and project manager to conduct follow up calls/emails with carriers/vendors as needed for clarification and submission of additional documents.
• Support the overall completion of the NQTL component of the report.
• Schedule meetings and coordinate efforts of colleagues
• Participation in weekly or bi-weekly project status calls as needed.
• Participate in MHPAEA roundtable as needed.
• Maintain materials/documentation in a manner consistent with WTW work processes and peer review standards (e.g., filing of drafts, deliverables, client, and carrier documentation)
The Requirements
Required Skills and knowledge:
• 3+ years of working experience dealing with US health and welfare plans, ideally gained in a benefit consulting/brokerage firm, Health Plan, Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company. Prior experience working with US based consulting or health care firm a plus.
• Understanding of US health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes and health plan operations
• Basic understanding of Mental Health Parity regulations
• Intermediate knowledge and experience in MS Office particularly in Microsoft Excel and PowerPoint
• Excellent oral and written communication skills in English
• Strong communication and collaboration skills:
o Client service orientation and ability to respond to all communications effectively and in a timely manner.
o Ability to ask the right questions and seek help where appropriate from colleagues and clients.
o Ability to collaborate and work across all levels of the organization, work in teams, leverage the resources of other related groups to accomplish common objectives, and work on virtual teams across geographies.
• Responsible, proactive, a self-starter and can work individually and as part of a team.
• Strong critical and analytical skills:
o Strong analytical, creative, and integrative skills
o Must possess strong critical thinking capabilities and the willingness to apply skills proactively, well-organized and detail oriented.
o Flexibility and proven ability to identify and resolve issues.
• Project and time management Skills
o Project management skills required; ability to work on multiple tasks in a fast-paced environment while adhering to strict deadlines is a must.
o Strong client service orientation and ability to respond to all communications effectively and in a timely manner.
o Continuous improvement mindset
o Ability to quickly transfer learning into practice.
WTW is an Equal Opportunity Employer
Health Management Analyst
Posted today
Job Viewed
Job Description
This position is responsible for providing support to United States based Health and Benefits Consultants. Within this role, as a member of North America client team, you will collect and analyse data that informs strategic business decisions. The expectation will be to efficiently and accurately produce several clients facing reports.
Your role will serve as the analyst for US Mental Health Parity and Addiction Equity Act (MHPAEA) non-quantitative treatment limit (NQTL) projects.
Your individual role will include meeting/deliverable management elements such as project kick-offs, project status/meeting minutes, prepare data requests, facilitate data collection, data review, prepare gap analysis (PPT) results summary and other activities.
As part of this role, you will manage emails with the vendors and internally to support projection completion. You will review vendor response and compile NQTL findings, highlight potential gaps in compliance, map to existing processes and more. This analysis will compare current NQTL mental health/substance use disorder (MH/SUD) limits, processes, factors, criteria, in addition to MH/SUD coverage versus medical surgical coverage.
You will continually learn about North America health and benefits concepts and principles and apply these skills in a global environment. Finally, you will interact with other members of our United States Health and Benefits team and can make important contributions to process improvements and new analytical tools.
This position requires a clinical mind who is detail oriented with work product and outputs using Microsoft Office tools. The position also requires the ability to accurately execute written and verbal instructions.
QualificationsThe Role
Manage Non-Quantitative Treatment Limits (NQTL) portion of parity assessment, including:
- Attend internal and off meetings with QTL/NQTL team.
- Prepare NQTL carrier data requests on behalf of each client:
o Review member facing vendor documents such as summary plan designs, summary of benefits, etc.
o Monitor carrier and vendor responses to data requests.
o Prepare initial review of carrier responses for parity projects.
o Determine the appropriate results and recommendations necessary for parity concerns and findings for various NQTLs and collaborate with MHPAEA Technical Reviewer to determine accuracy of language used.
o Coordinate with project manager regarding sending requests, timing, status, and follow-up.
o Validate completeness of response and report any issues or impact to timeline proactively to project manager.
o Map carrier responses to appropriate section of NQTL document
- Collaborate with health management senior reviewer and project manager to conduct follow up calls/emails with carriers/vendors as needed for clarification and submission of additional documents.
- Support the overall completion of the NQTL component of the report.
- Schedule meetings and coordinate efforts of colleagues
- Participation in weekly or bi-weekly project status calls as needed.
- Participate in MHPAEA roundtable as needed.
- Maintain materials/documentation in a manner consistent with WTW work processes and peer review standards (e.g., filing of drafts, deliverables, client, and carrier documentation)
The Requirements
Required Skills and knowledge:
- 3+ years of working experience dealing with US health and welfare plans, ideally gained in a benefit consulting/brokerage firm, Health Plan, Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company. Prior experience working with US based consulting or health care firm a plus.
- Understanding of US health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes and health plan operations
- Basic understanding of Mental Health Parity regulations
- Intermediate knowledge and experience in MS Office particularly in Microsoft Excel and PowerPoint
- Excellent oral and written communication skills in English
- Strong communication and collaboration skills:
o Client service orientation and ability to respond to all communications effectively and in a timely manner.
o Ability to ask the right questions and seek help where appropriate from colleagues and clients.
o Ability to collaborate and work across all levels of the organization, work in teams, leverage the resources of other related groups to accomplish common objectives, and work on virtual teams across geographies.
- Responsible, proactive, a self-starter and can work individually and as part of a team.
- Strong critical and analytical skills:
o Strong analytical, creative, and integrative skills
o Must possess strong critical thinking capabilities and the willingness to apply skills proactively, well-organized and detail oriented.
o Flexibility and proven ability to identify and resolve issues.
- Project and time management Skills
o Project management skills required; ability to work on multiple tasks in a fast-paced environment while adhering to strict deadlines is a must.
o Strong client service orientation and ability to respond to all communications effectively and in a timely manner.
o Continuous improvement mindset
o Ability to quickly transfer learning into practice.
WTW is an Equal Opportunity Employer
Postdoc of Porcine Health Management
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- Job portal
- All vacancies
Postdoc of Porcine Health Management
**Department of Veterinary and Animal Sciences
Faculty of Health and Medical Sciences
University of Copenhagen**
We are looking for a highly motivated and dynamic postdoc for a 12-month position, to commence 1st January 2026.
The Postdoc will be involved in research projects within Porcine Health Management with a special focus on diagnostic strategies and antimicrobial reduction in pig production.
Information on the department can be found at:
Our research
Our research group works within different areas of Porcine Herd Health Management, including herd diagnostics, prevention of infectious and non-infectious diseases in pigs and prudent use of antibiotics.
The group consists of professors, research assistants, postdocs, PhD students and residents of ECPHM.
Your job
The Postdoc will be involved in field trials, data analyses and literature reviews. The work will include study design, data collection, data analyses and research publication and dissemination. The position will also involve teaching within porcine health management and doing other tasks that fall within the scope of Porcine Health Management research group´s tasks.
Profile
We are looking for a highly motivated and enthusiastic scientist with the following competencies and experience:
- Essential experience and skills:
- You have a PhD in Porcine Health Management
- You are highly experienced performing field studies in pig farms
- You are highly experienced performing data analyses
- You are experienced performing literature reviews
- You have an active interest in diagnostic strategies and reduction of antimicrobials in pigs
- Proficient communication skills and ability to work in teams
- Excellent English skills written and spoken
Desirable Experience And Skills
- Experience in publication of research in peer-reviewed international journals.
- Experience in research dissemination for different stakeholders.
Place of employment
The place of employment is at the Department of Veterinary and Animal Sciences, University of Copenhagen. We offer creative and stimulating working conditions in dynamic and international research environment.
Terms of employment
The position is covered by the Memorandum on Job Structure for Academic Staff.
Terms of appointment and payment accord to the agreement between the Ministry of Finance and The Danish Confederation of Professional Associations on Academics in the State.
Negotiation for salary supplement is possible.
The application, in English, must be submitted electronically by clicking APPLY NOW below.
Questions
For further information please contact Professor Ken Steen Pedersen; e-mail ;
Foreign applicants may find this link useful: (International Staff Mobility).
Application procedure
Your Online Application Must Be Submitted In English By Clicking 'Apply Now' Below. Furthermore, Your Application Must Include The Following Documents/attachments – All In PDF Format
Motivated letter of application (max. one page).
- CV incl. education, work/research experience, language skills and other skills relevant for the position.
- A certified/signed copy of a) PhD certificate and b) Master of Science certificate. If the PhD is not completed, a written statement from the supervisor will do.
- List of publications.
Deadline for applications: 20 October 2025, 23:59 CET.
We reserve the right not to consider material received after the deadline, and not to consider applications that do not live up to the abovementioned requirements.
The further process
After the expiry of the deadline for applications, the authorized recruitment manager selects applicants for assessment on the advice of the hiring committee. All applicants are then immediately notified whether their application has been passed for assessment by an unbiased assessor. Once the assessment work has been completed each applicant has the opportunity to comment on the part of the assessment that relates to the applicant him/herself.
You can read about the recruitment process at
The University of Copenhagen wish to reflect the diversity of society and encourage all qualified candidates to apply regardless of personal background.
APPLY NOW
Part of the International Alliance of Research Universities (IARU), and among Europe's top-ranking universities, the University of Copenhagen promotes research and teaching of the highest international standard. Rich in tradition and modern in outlook, the University gives students and staff the opportunity to cultivate their talent in an ambitious and informal environment. An effective organisation – with good working conditions and a collaborative work culture – creates the ideal framework for a successful academic career.
Info
Application deadline:
Employment start:
Working hours:
Full time
Department/Location:
Institut for Veterinær- og Husdyrvidenskab
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DE029835 - Health Clinical Services Senior Manager
Posted today
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Job Description
- ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Health Clinical Services Senior Manager WORK SETUP: RTO Responsibilities:
- Oversees staff whose teams' primary duties may include, but are not limited to:
- Conducts pre-service, concurrent, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
- Service requests may be from inbound calls and facsimile.
- Outbound calls to the provider may be required to gather additional information that may be needed.
- Other staff responsibilities may be review and analysis of post service claims utilizing the member's benefit contract and health plan guidelines.
Completes review of pended claims post service for either Medical Necessity or Contractual Reviews. OTHERS: Project Shift Schedule: Night Shift Project Rest Day: Weekends Project/Team Location: Taguig Uptown Bonifacio Tower 3
SKILL AND QUALIFICATIONS:At least 12 years relevant experience and 10 years supervisory
- Holds current and unrestricted US Registered Nurse license. No state specific RN licensure required.
- BPO experience should be any account (Health account experience is only a plus, but not required)
- Work Background/Experience in General: Must be open to BPO & Non-BPO Experience
Health Services Auxiliary Aide
Posted today
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Job Description
Summary:
The Health Services Auxiliary Aide is responsible in assisting the school nurses in the administration of emergency treatment and medication to students and employees. This position also covers assisting the School Physician and School Dentist in all clinical activities.
Qualifications:
- Graduate of Bachelor's degree in Nursing or any related field.
- Preferably with certifications related to health and safety management.
- At least one year of relevant working experience.
- Good communication and interpersonal skills.
- Proficient in the use of MS applications.
- Willing to report in Clark, Pampanga.
- Willing to commit in an agency employment.
- Available to start immediately.
Remarks:
For faster application processing, interested applicants may also directly send their application to -
If you will submit your application through the above-mentioned email, please refer to the following guidelines:
Application Requirements:
- Application Letter
- Up to date Comprehensive Curriculum Vitae
- Transcript of Records
- Diploma
- PRC ID
Please make sure to indicate your intended position in the subject area and send your documents in Portable Document Format (PDF).
Job Type: Full-time
Application Question(s):
- How much is your expected monthly salary?
Work Location: In person
Director of Health Services Operations
Posted today
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Job Description
Clinica Prime Cebu Inc. is seeking a Director of Health Services Operations to oversee the seamless management of our flagship clinic, mobile units, projects, quality assurance initiatives, and IT-driven healthcare systems. This role is pivotal in ensuring operational excellence, patient-centered care, and sustainable growth.
Key Responsibilities:
Clinic & Mobile Services
- Manage day-to-day activities of the main clinic and mobile facilities, ensuring delivery of safe, efficient, and patient-focused healthcare services.
- Establish and refine operational guidelines that promote consistency and service efficiency.
Projects & Initiatives
- Direct clinical projects from planning through execution, ensuring adherence to timelines, budgets, and desired outcomes.
- Monitor progress and resolve challenges to achieve project goals.
Quality & Compliance
- Design and oversee quality assurance frameworks to maintain compliance with regulatory standards.
- Conduct routine audits, resolve gaps, and drive continuous improvement in patient outcomes and service delivery.
Technology Oversight
- Supervise clinical IT infrastructure and the integration of electronic health records (EHR) into daily operations.
- Collaborate with IT teams to troubleshoot and enhance system performance.
Leadership & Management
- Lead and inspire a multidisciplinary team, cultivating a culture of collaboration, accountability, and professional development.
- Develop and manage budgets while maintaining cost-effectiveness and operational sustainability.
Strategic Direction
- Partner in shaping long-term operational strategies aligned with company objectives.
- Identify opportunities to expand and improve healthcare services, keeping pace with evolving industry trends and regulations.
Other Duties:
- Undertake additional responsibilities as required by organizational needs.
Qualifications:
- Bachelor's degree in Healthcare Administration, Nursing, Public Health, Business Administration, or a related discipline; Master's degree preferred.
- At least 5 years' experience in healthcare operations, project management, or a leadership capacity.
- Background in clinic, hospital, or mobile healthcare settings is strongly desirable.
- Knowledge of clinical workflows, patient care standards, and local healthcare compliance (DOH, PhilHealth, etc.).
- Demonstrated success in project oversight, budgeting, and execution.
- Familiarity with healthcare IT platforms and EHR systems.
- Strong leadership qualities with proven experience mentoring and developing teams.
- Excellent organizational, analytical, and decision-making skills.
- Skilled communicator capable of engaging stakeholders and guiding organizational change.
- Willing to work onsite at Oakridge Business Park, A.S. Fortuna, Mandaue City, Cebu
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Drug Testing and Occupational Health Services Specialist
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It's fun to work in a company where people truly BELIEVE in what they're doing
We're committed to bringing passion and customer focus to the business.
The Drug Testing and Occupational Health Services (DTOHS) Specialist is responsible for supporting the end-to-end coordination, documentation, and verification of drug testing and occupational health services for our clients. This includes reviewing results, following up with clinics or vendors, ensuring compliance with DOT/non-DOT regulations, and updating systems accordingly. The role requires strong attention to detail, timely communication, and the ability to navigate complex service chains involving multiple external and internal stakeholders.
Duties and Responsibilities
- Review and process drug testing and occupational health service results in alignment with client requirements and regulatory standards
- Follow up with clinics, vendors, or labs to obtain pending documentation or clarify service discrepancies.
- Input case updates, detailed notes, and follow-up actions in the internal tracking system.
- Coordinate resolution of delayed or escalated cases by collaborating with internal teams or vendor partners.
- Maintain accurate logs for audit readiness and regulatory compliance, especially for DOT-covered employees.
- Interpret service codes and determine whether additional follow-up or clarification is required.
- Monitor time-sensitive tasks and contribute to SLAs through accurate and prompt task completion
- Support the development of best practices and process
Minimum Qualifications
- 1-3 years of experience in healthcare, occupational health, background screening or case management preferred
- Familiarity with DOT regulations, drug testing procedures, or occupational health services (e.g., TB tests, physicals, vaccinations) is a plus.
- Excellent written and verbal communication skills.
- Strong organizational skills with a proven ability to handle multiple priorities
- Comfortable navigating clinical, vendor or compliance portals.
- Proficient in Microsoft Office, including Outlook, Excel and data entry tools.
Marketing Services Manager
Posted today
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Job Description
He/She/They will manage and develop content requirements for campaigns and always-on content. Provides focused and hands-on support to a team of marketers and creatives to deliver world-class content designed to win the attention and loyalty of internal and external customers.
The Responsibilities we will trust you with are:
- Lead and support the development of Always-On content for assigned product and campaign verticals and ensure quality cascade across all our owned external customer-facing channels (website, social) and internal customer-facing channels (Product Training, eNewsgram, etc).
- Provide direction for content and creative development in support of marketing and product requirements.
- Ensure cohesiveness and consistency in language and branding across the Digital Products.
Your Qualifications and Your Experiences should be:
- Holder of a Bachelor's Degree in Marketing or Business related course.
- At least 5 years' experience in marketing, advertising, and content creation.
You must be willing to be assigned in Ortigas and work on site.
Client Services Manager
Posted today
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Job Description
Job Purpose:
Lead the commercial relationship with current clients in order to achieve the strategic outcomes of Probe CX and the Client.
Develop strong commercial relationships with the client:
· Establish regular one on one contact in order to foster strong commercial relationships with key client influencers and decision makers
· Establish a clear understanding of the client's strategic drivers and communicate to the business
· Identify and make recommendations on strategic value-adds Stellar can provide for the client
· Develop and implement a strategic client management plan to ensure the ongoing success of the relationship
· Work with the Group Manager Operations (GMO) / General Manager Operations (GM) / General Manager Client Relations Group (GMCR) to resolve all client issues quickly and effectively
Lead commercial governance processes:
· Manage all change requests and contract variations
· Develop commercial impact statements and recommend the appropriate course of action on change requests and contract variations
· Negotiate commercial outcomes with the clients and where appropriate escalate to the GMO / GM / GMCR
· Maintain all written client correspondence including ad-hoc agreements that fall outside of the contractual requirements
· Audit centre invoices to ensure alignment with commercial agreements
· Oversee reporting to ensure internal stakeholders are clearly aware of client business drivers that may not be defined within the contract
· Manage the annual price review process
Organic growth and contract retention:
· Oversee all proposals for growth and / or changes to existing contracts including pricing, risk assessment and proposal development
· Manage the client contract renewal and / or re-tender process
· Develop risk and opportunity strategy papers for Probe CX to analyse commercial client relationships
· Conduct a monthly review of the contract P&L with the GMO / GM / GMCR to identify opportunities to improve revenue gains
Develop and oversee communication forums between the client and Probe CX operations:
· Identify and implement ways of improving the lines of communication, in keeping with OBM
· Escalate to the GMO / GM / GMCR all areas of performance that place the relationship with the client at risk venture
· Anticipate sensitive topics and work with the operational delivery team to ensure the company is prepared to manage the client and solution (eliminate surprises)
· Oversee client performance reviews including the development of presentation materials
· Work with the GMO / GM / GMCR to assess the health of key Stellar operational platforms including CPI, BBRs, TNTC
· Assist in developing an 'Account Management' team, including coordination of the company's stakeholders
Ad hoc Project Management for designated clients as required:
· Other reasonable duties as required
Qualifications:
· Must have at least 2 years of related work experience
· Experienced in client management, negotiation, statistical analysis, and pricing
· Must have above average written and verbal communication skills
· Amenable to work on a dayshift schedule and to work onsite in Eastwood, Quezon City