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The Project Management Sr. Lead/Manager will manage strategic and operational projects under the PMO for a leading U.S. healthcare client. This role ensures successful project execution from initiation to closure—driving business outcomes, compliance, and process optimization in alignment with healthcare industry standards and PMO governance.

The ideal candidate will have a solid understanding of U.S. healthcare operations (payer, provider, claims, clinical, or regulatory), coupled with PM expertise in matrixed environments.

Key Responsibilities:

Project Delivery & Governance

• Lead the end-to-end delivery of multiple business and cross-functional healthcare projects under PMO oversight
• Define project scope, objectives, timelines, deliverables, and success metrics in collaboration with stakeholders
• Develop and maintain project plans, RAID logs (Risks, Assumptions, Issues, Dependencies), and communication plans
• Ensure adherence to PMO frameworks, methodologies (Agile / Waterfall / Hybrid), and documentation standards.
• Conduct project health checks, audits, and status reviews as required by PMO governance

Stakeholder Management

• Act as a single point of contact between the business, IT, vendors, and PMO leadership
• Manage stakeholder expectations, facilitate steering committee meetings, and provide regular project status reports
• Collaborate with business SMEs, product owners, and technical leads to translate business needs into actionable project deliverables

Financial & Resource Management

• Track budgets, forecasts, and financial variances for assigned projects
• Support PMO in resource allocation, capacity planning, and vendor management activities
• Identify cost optimization opportunities and drive efficiency improvements

Healthcare Domain Focus

• Ensure project deliverables comply with U.S. healthcare regulations (HIPAA, CMS, NCQA, etc.)
• Manage projects in areas such as claims modernization, care management, interoperability, member/patient engagement, or regulatory compliance (e.g., CMS mandates, ICD-10, HEDIS)
• Coordinate business readiness, training, and change management activities tied to healthcare initiatives

Reporting & Continuous Improvement

• Report project performance metrics and contribute to PMO dashboards and executive summaries
• Support continuous improvement by identifying gaps in PMO processes and recommending enhancements
• Participate in lessons-learned sessions and institutionalize best practices

Required Qualifications:

• At least 5 years of project management experience, with 2+ years in U.S. healthcare domain
• Experience working under or within a centralized PMO structure.
• Proven success managing business, regulatory, or transformation projects in healthcare.
• Strong understanding of healthcare processes — claims, eligibility, provider data, EDI, or clinical operations.
• Proficiency with project management tools (MS Project, JIRA, Smartsheet, Clarity PPM, or similar).
• Excellent communication, presentation, and stakeholder management skills.

Preferred Qualifications:

• PMP, PRINCE2, or PMI-ACP certification an advantage
• Experience with Agile / SAFe / hybrid project management methodologies
• Experience working with major U.S. healthcare payers (e.g., UnitedHealth, Anthem, Aetna, Humana, Cigna) or providers

Key Competencies:

• Strategic thinking and business acumen
• Strong analytical and problem-solving abilities
• Exceptional organization and time management
• Stakeholder engagement and influence
• Adaptability in dynamic, cross-functional environments
• Results-driven with a focus on measurable outcomes

Assistant Manager – BPO (Healthcare / Revenue Cycle Management)

Location: On-site, Iloilo City

Employment Type: Full-Time

We are looking for an Assistant Manager with strong experience in Healthcare Revenue Cycle Management (RCM) to oversee day-to-day operations and ensure smooth delivery of services within a healthcare BPO environment.

Key Responsibilities:

• Lead and manage a team handling healthcare RCM processes
• Oversee daily operations and ensure client satisfaction
• Drive continuous process improvement and operational excellence
• Manage performance metrics and team development
• Ensure compliance with healthcare regulations and client requirements

Qualifications:

• Proven experience in Healthcare RCM and BPO operations
• Strong leadership, people management, and operations management skills
• Knowledge of healthcare compliance standards and industry regulations
• Excellent analytical, problem-solving, and communication skills
• Bachelor's degree in Business Administration, Healthcare Management, or related field
• Previous experience in a similar leadership role is an advantage

This role is based on-site in Iloilo City.

Interested applicants may also send their CV directly to

Job Type: Full-time

Work Location: In person

Hiring: Virtual Assistant US Healthcare Accounts Receivable / Claims Management Specialist
Remote | Full-time / Part-time

Vital Virtuals Global HR Solutions is looking for a
Virtual Assistant
with at least
1 year of experience in Medical Billing and US Healthcare Accounts Receivable & Claims Management
.

Responsibilities:

• Follow up on outstanding claims
• Handle denials, appeals, and resubmissions
• Manage collections & patient balances
• Maintain AR reports & update claim statuses

Qualifications:

• 1+ year AR/claims experience
• Knowledge of billing, denials & collections
• Familiar with EMR/EHR systems (preferred)
• Organized, detail-oriented, strong communicator

Compensation & Benefits:

• $5/hr (first 90 days), $6/hr after
• HMO after 6 months
• Remote, flexible, career growth opportunities

Tools: Time Doctor, Virtual Desktop (Zoom for communication)

We are seeking a motivated and experienced PHRN Clinical Trainer to join our Healthcare Business Processing Outsourcing Team.

In this role, you will be responsible for overseeing the clinical training programs, ensuring deployed employees possess the necessary skills and knowledge to deliver exceptional services to our clients. The ideal candidate will have a strong background in healthcare operations, training, and supervision, coupled with excellent communication and leadership skills.

Key Responsibilities:

• Facilitates in person new hire, upskill, refresher, skill enhancement, knowledge update, compliance and leadership development training sessions, as needed
• Facilitates and attends train the trainer sessions, as needed
• Reviews and audits daily attendance, training and class endorsement reports
• Reviews and audits class training dashboards
• Reviews and audits trainee assessment and performance data
• Performs and observes trainer skill, knowledge and behavior coaching sessions, as needed
• Creates and reviews upskill, recursive and knowledge update curriculum, modules and assessments, as needed
• Provides and gathers insights and recommendations to curriculum, course or content updates
• Performs root cause analysis, documents insights and creates recommendations and action plans on program KPIs and identified AFIs
• Attends and participates in Quality Team calibration calls, submits calibration forms
• Hosts, attends and participates in internal training and program calls
• Hosts, attends and participates in external training and program calls
• Executes, completes, reviews and audits all HR-related governance processes and documentation, as needed
• Reviews and audits requests for trainee logins, as applicable and as prescribed by the program
• Ensures timely and open communication with all partners, stakeholders and clients
• Drafts, creates, writes and reviews processes and procedures, as needed
• Performs training observations
• Maintains, audits and submits requests for training supplies
• Attends and moderates HR-related meetings, hearings and escalations
• Drafts, creates and provides insights to the Training Game Plan
• Keeps up-to-date and provides recommendations on training and facilitation trends and concepts
• Tracks team productivity
• Performs, completes, audits and reviews ad hoc tasks and deliverables as assigned by training leadership
• Builds, creates and maintains training performance reports and presentation decks
• Plans and outlines allocation of training resources and logistics
• Leads and facilitates 1:1 sessions with trainers, in the absence of a Training Manager

Qualifications:

• Must be Registered Nurse with Active License
• Minimum 2 years clinical training experience
• Experience in creating and maintaining trackers and reports
• Experience in coding, utilization review or denials management is must
• Extensive experience in training facilitation
• Experience in managing learning management systems
• Experience in creating content, training material and other training collateral