19 Health Management jobs in the Philippines

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

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

Description
This position is responsible for providing support to United States-based Health and Benefits Consultants. Within this role, as a member of the North American client team, you will collect and analyse data that informs strategic business decisions. The expectation will be to efficiently and accurately produce several client-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, preparing data requests, facilitating data collection, data review, preparing 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 responses 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, and criteria, in addition to MH/SUD coverage versus medical surgical coverage.

You will continually learn about North American 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 products and outputs using Microsoft Office tools. The position also requires the ability to accurately execute written and verbal instructions.

Manage the Non-Quantitative Treatment Limits (NQTL) portion of parity assessment, including:

• Attend internal and off meetings with the QTL/NQTL team.

• Prepare NQTL carrier data requests on behalf of each client:

• Review member-facing vendor documents such as summary plan designs, summary of benefits, etc.

• Monitor carrier and vendor responses to data requests.
• Prepare an initial review of carrier responses for parity projects.
• Determine the appropriate results and recommendations necessary for parity concerns and findings for various NQTLs and collaborate with MHPAEA Technical Reviewer to determine the accuracy of the language used.
• Coordinate with the project manager regarding sending requests, timing, status, and follow-up.
• Validate completeness of response and report any issues or impact on the timeline proactively to the project manager.

• Map carrier responses to the appropriate section of the 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 the 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)

Qualifications
The Requirements:

• 3+ years of working experience dealing with US health and welfare plans, ideally gained in a benefits consulting/brokerage firm, Health Plan, Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company. Prior experience working with US-based consulting or healthcare firm is 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:

• Client service orientation and ability to respond to all communications effectively and promptly.

• Ability to ask the right questions and seek help where appropriate from colleagues and clients.

• 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:

• Strong analytical, creative, and integrative skills

• Must possess strong critical thinking capabilities and the willingness to apply skills proactively, well-organized and detail-oriented.

• Flexibility and proven ability to identify and resolve issues.

• Project and time management Skills

• Project management skills are required; the ability to work on multiple tasks in a fast-paced environment while adhering to strict deadlines is a must.

• Strong client service orientation and ability to respond to all communications effectively and promptly.
• Continuous improvement mindset
• Ability to quickly transfer learning into practice

WTW is an Equal Opportunity Employer

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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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Are you a skilled and compassionate RN looking to make a real impact, every single day? At CLINIQON, we're on a mission to elevate patient care and advocacy, and we're looking for a Nurse Case Manager who's ready to lead with both heart and expertise.

If you thrive in a fast-paced environment, understand the ins and outs of Medicare, and are passionate about guiding patients through complex care journeys, we want to hear from you

Why This Role Matters

As a Nurse Case Manager, you're not just coordinating care, you're transforming lives. Your clinical knowledge and deep empathy will help ensure that patients receive the best possible services while navigating the ever-changing Medicare landscape. This is more than a job, it's your opportunity to grow, lead, and make a lasting difference.

Responsibilities:

• Manage a diverse caseload while ensuring timely, high-quality care
• Develop personalized care plans tailored to each patient's unique needs
• Maintain care plans and documentation that meet Medicare guidelines
• Stay ahead of regulatory updates to ensure optimal care and reimbursement
• Collaborate closely with physicians, social workers, and other care providers
• Facilitate smooth transitions and continuity of care across disciplines
• Ensure accurate, timely, and detailed documentation using EHR and case management tools
• Support quality of care with clean, compliant records
• Address patient concerns and Medicare challenges with empathy, urgency, and clarity

What We're Looking For

We're searching for a proactive, compassionate RN who combines clinical know-how with a drive to advocate for patients.

Requirements:

• Active RN license.
• 2–3 years of nursing experience, preferably in case management
• Strong knowledge of Medicare guidelines and compliance
• Experience working with interdisciplinary care teams
• Excellent communication, critical thinking, and organizational skills
• Comfort with EHR systems and case management software
• Must be amenable to start ASAP

Why Join Us?

• Permanent work-from-home
• Retention bonus
• Performance bonus
• Immense growth opportunities
• Company-provided assets
• HMO coverage
• Many more benefits

Ready to join a company that truly values your work?

Apply now by sending your resume to:

Let's make a difference together at CLINIQON.

Job Type: Full-time

Benefits:

• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Work from home

Application Question(s):

• Do you currently hold an active Registered Nurse (RN) license?
• Do you have at least 2 years of nursing experience, including case management or care coordination?
• Are you amenable to start ASAP?

Work Location: Remote

About Hoolime

Hoolime, a subsidiary of PathWell Health, is dedicated to empowering home health and hospice agencies by providing scalable, expert-driven solutions that reduce administrative burdens. We specialize in services such as Coding & OASIS Review, Revenue Cycle Management (RCM), Back-Office Staffing, Analytics, Recruiting, and more. Our mission is to streamline workflows, minimize errors, and drive stronger financial performance, allowing agencies to focus on delivering exceptional patient care. )

Position Summary:

PathWell Health is seeking a detail-oriented and proactive Order Management Specialist to support our US operations team. This role involves managing data and order workflows, coordinating with our US-based team, and ensuring timely communication and accurate billing preparation. The ideal candidate is organized, communicative, and capable of handling multiple priorities in a dynamic environment.

Key Responsibilities:

• Coordinate with the US-based team to facilitate efficient communication, timely information exchange, and effective issue resolution.
• Manage and maintain order-related data with accuracy and attention to detail.
• Contact clients/customers to obtain signed orders and escalate unresolved issues to the US team as necessary.
• Prepare orders for billing by ensuring all required information and signatures are complete.
• Conduct regular audits of orders to verify accuracy and compliance with company policies.
• Schedule and coordinate meetings, conference calls, and video conferences across multiple time zones.
• Compile, analyze, and generate reports related to operational metrics and key performance indicators (KPIs).
• Communicate effectively with teams across different PathWell Health offices via email and phone.
• Utilize various software tools and systems for reporting and data management.
• Perform additional duties and tasks as assigned by the management team.

Requirements:

• Excellent English communication and interpersonal skills.
• Bachelor's degree (Graduation is a must).
• Demonstrated leadership and problem-solving abilities.
• Willingness to work in the US shifts.
• Prior experience in dealing with US-based clients is preferred.
• Strong multitasking and organizational skills.
• Good command of basic computer applications and data management tools.

Why Join Hoolime:

• Work with a passionate, mission-driven team dedicated to improving healthcare outcomes.
• Gain exposure to international operations and US healthcare processes.
• Opportunity for professional growth within a fast-evolving organization.

Before you apply

Confined competitions are for Grade To Grade appointments. Candidates must be permanently appointed in the same grade in the HSE.

Reference

NRS15063

Category

Management/Admin/ICT

Grade

Grade VII 0582

Advertisement source

HSE

Advertisement Type

Confined competition

Important Information

This job is in the HSE.

County

• Dublin

Location

HSE National Office of Palliative Care

There is currently one permanent whole-time vacancy available in the National Office of Palliative Care, Dr Steevens' Hospital, Steeven's Lane, Dublin 8.

The National Lead for Palliative Care is open to engagement as regards the expected level of on-site attendance at an agreed HSE base in the context of the requirements of this role and the HSE's Blended Working Policy.

A panel may be formed as a result of this campaign
for Change and Project Manager, Clinical Management System (Community Connect) (Grade VII), National Office of Palliative Care, Dr Steevens' Hospital, Access and Integration
from which current and future, permanent and specified purpose vacancies of full or part-time duration may be filled.

Recruiter

National

Contract type

• Permanent Part-time
• Permanent Wholetime
• Specified Purpose Part-time
• Specified Purpose Wholetime

Post specific related information

Please ensure you download, save and read the Job Specification, Additional Campaign Information as well the Application Form. All of these documents are located at the bottom of this advertisement.

We strongly recommend that you read the Job Specification before completing your application form. Full details on this campaign plus the answers to many queries such as: "Am I eligible to apply?" "Where are the posts", "If I apply what happens next?" are available in the document Additional Campaign Information NRS15063 for this recruitment campaign.

We strongly recommend that you read the information in this document carefully before making an application. Take time to read through the various sections, which take you through the process from beginning to end.

Closing date

30/10/ :00:00

Proposed interview date

Interview dates will be agreed at a later date. Candidates will normally be given at least two weeks' notice of interview. The timescale may be reduced in exceptional circumstances.

Application details

Please submit completed application to: , using the subject line NRS15063 Grade VII, Change and Project Manager, Clinical Management System (Community Connect)
Please note that you must submit your application form via email only.
Email applications will receive a response within 2 working days, which will let you know that we received your email. If you have not received an email response within 5 working days, we highly recommend that you contact the NRS via email to

to verify that your email has been received.
Informal enquiries

Maurice Dillon, National Lead for Palliative Care

Email:

Related files

NRS15063 Application Form

DOC, 98KB

NRS15063 Job Specification

DOC, 68KB

NRS15063 Additional Campaign Information

DOC, 159KB

Location:  Taguig

Headcount: 1

Shift:  EMEA

Status: Hiring ASAP

Responsibilities:

• Take ownership for developing project plan and coordinate/track proposal-related activities to ensure all deadlines are met in line with client requirements
• Create the shell/template/strawman of questions for the proposal based on the client RFP
• Assist in identifying resources to support the proposal
• Develop information and company generic content in a way that is relevant to a particular proposal
• Take version control of master copy of proposal document and ensure it is kept up to date with material/input provided by members of the team assigned to work on the bid
• Review proposal for consistency and compliance with RFP
• Schedule necessary review(s) of the proposal document and finalize content with the sales lead

Requirements:

• Minimum 5 years of experience in bid/proposal management
• Experience in a professional services organization
• Familiarity with RFP response technology (e.g., Loopio, RFP 365, Qvidian)
• Skills in creative writing, copywriting, and graphic/information design
• Proficiency in Microsoft Office (Word, PowerPoint, Excel)
• Knowledge of Adobe InDesign is a plus
  

We are looking for HLM (Hospital Laboratory Management) Officer who will be responsible for planning, coordinating, and executing laboratory transition and transformation projects — including system implementation, service centralization, and regulatory integration — while ensuring minimal disruption to diagnostic services. The role works closely with laboratory teams, hospital management, IT, and vendors to maintain quality, compliance, and continuity of patient care during transitions.

RESPONSIBILITIES:

• Execute end-to-end laboratory transition and transformation projects. Develop project timelines, milestones, and deliverables with cross-functional teams.
• Assess workflows and identify areas for improvement through gap analysis. Oversee system transitions, relocations, and integration of new systems. Provide on-site support during go-live and stabilization phases.
• Conduct gap analyses (clinical, technical, operational, and regulatory). Coordinate with HR, Supply Chain, IT, and Facilities teams. Manage integration of new laboratory instruments and IT systems (UAT and go-live readiness).
• Ensure projects comply with DOH, ISO, CAP, and other accreditation standards.
• Prepare documentation and permits pre- and post-acquisition. Support internal audits and quality assurance initiatives.
• Identify inefficiencies and bottlenecks in laboratory operations.
• Implement new systems and workflow improvements. Track KPIs such as turnaround time, test accuracy, and utilization.
• Train and support laboratory personnel during transitions. Promote continuous improvement and innovation culture.
• Oversee data migration and LIS platform validation. Support stabilization and issue resolution post-transition. Prepare project reports and performance metrics.

QUALIFICATIONS:

• Bachelor's Degree in Medical Technology, Clinical Laboratory Science, or a related healthcare or science discipline.
• Preferably a Registered Medical Technologist (RMT) licensed by the Professional Regulation Commission (PRC).
• At least 2–3 years of relevant work experience in clinical laboratory operations, healthcare management, or process improvement roles.
• In-depth knowledge of laboratory workflows, quality management systems, and diagnostic testing processes. Familiarity with DOH, ISO 15189, CAP, and other accreditation standards, including documentation and audit requirements.
• Capable of performing root cause analyses, developing action plans, and monitoring outcomes. Proficient in preparing project reports, SOPs, and compliance documentation.

Why Join Medi Linx Laboratory Inc?

Be part of a dynamic healthcare transformation team leading innovation in clinical laboratory integration and operations across multiple hospital networks.

Job Type: Full-time

Benefits:

• Flexible schedule
• Health insurance
• Opportunities for promotion
• Paid training

Work Location: In person

Expected Start Date: 10/27/2025