What Hospital Administrator Jobs are in the Philippines?
Showing 173 Hospital Administrator jobs in the Philippines
Job Description
The Medical City Clinic is looking for a Key Accounts Manager to join our growing team. This roles drives continuous traffic of patients availabing health services from various The Medical City Clinics.
A. Sales Management
- Directs and coordinates sales activities.
- Reviews operational records and sales reports to determine profitability.
- Monitors customer preferences to determine sales priorities.
- Ensures achievement of approved annual sales targets.
- Acquires the required number of new major corporate clients monthly.
- Promotes key TMC Clinic services including:
- Clinic Management
- Central Laboratory
- Annual Physical Examination
B. Account Management
- Resolves customer complaints regarding sales and services.
- Develops client engagement and customer satisfaction programs.
- Maintains client relationships through regular visits and business development activities.
C. Lead Generation
- Prospects, generates, qualifies, processes, and follows up sales leads.
D. Customer Relations Management
- Ensures prompt resolution of customer concerns.
- Monitors customer experience.
- Recommends solutions by coordinating with internal stakeholders.
E. Administrative Efficiency
- Presents reports requiring management decisions.
- Creates presentations and submits required reports.
- Performs other duties as assigned.
Qualifications:
A. Education: Graduate of BS Business Administration, BS Marketing, or any related course.
B. Experience: Preferably with more than six (6) years of relevant experience in Key Accounts Management.
C. Knowledge, Skills, and Abilities
- Strong negotiation skills
- Leadership skills
- Excellent communication skills
- Exceptional customer service skills
- Project Management skills
- Problem-solving and decision-making skills
- Risk Management skills
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Job Description
Company Description
TechLoom Global connects industry-leading companies across various sectors with top-tier global talent. Our expertise spans a wide range of functions, including sales development, product and engineering, marketing, operations, customer success, finance, and administrative support. As a TechLoom Global team member, you become part of a network of high-caliber professionals delivering real impact for forward-thinking companies navigating today's dynamic and competitive landscape.
Role Description
We are seeking an Medical Billing Specialist (ABA / Behavioral Health) to support the revenue cycle operations of a growing multi-specialty behavioral health provider. This is a hands-on billing role — not a supervisory or strategy role — for someone who knows ABA billing inside and out and can navigate the nuances of Medicaid billing across multiple states without heavy oversight.
You'll work as an embedded extension of the client's team, owning claims from submission through resolution. There's no hand-off to someone else for the hard parts — you research payor requirements, chase down aging claims, and resolve denials and rejections yourself, on a tight clock.
This role is ideal for someone who has real, hands-on ABA billing experience (Central Reach a strong plus), is comfortable self-researching payor rules before escalating, and takes ownership of collection outcomes rather than just processing transactions.
Responsibilities
- Own end-to-end billing execution for an ABA/behavioral health claims portfolio
- Submit, track, and follow up on claims across multiple state Medicaid systems
- Research and apply payor-specific billing requirements to ensure clean claim submission
- Maintain a minimum monthly (ideally weekly) touchpoint on all outstanding claims aged 30+ days
- Work all denied claims within 1 week of denial
- Work all rejected claims within 2 business days of rejection
- Maintain a claim collection rate above 90%, with a target of 95%
- Flag systemic billing or payor issues proactively rather than waiting to be asked
Qualifications
- 3–6 years of medical billing experience, with hands-on ABA billing experience strongly preferred (borderline required)
- Experience billing Medicaid across a variety of states
- Strong self-research skills — able to identify correct payor requirements independently before escalating
- Comfortable working in a fast-paced, high-accountability, deadline-driven environment
- Billing certifications a plus but not required
- HIPP experience is a huge bonus
Hands-on experience with:
- Central Reach (most common platform used — strong plus)
- Multi-state Medicaid billing systems
- Claims denial/rejection management and appeals workflows
- Payor portal research and compliance documentation
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Job Description
We are looking for a detail-oriented Claims Coordinator Specialist to join our healthcare team supporting a US-based infusion services account. In this role, you will review medical coding for infusion services, validate payer policies, and ensure billing accuracy in compliance with CMS and Medicare guidelines. This is an excellent opportunity for certified medical coders looking to specialize in outpatient infusion coding within a US healthcare account setup.
Key Responsibilities
- Review diagnosis and medication coding for infusion services, particularly when payer restrictions are identified
- Evaluate payer medical policies and CMS guidelines to determine medical necessity and coverage
- Ensure accurate alignment between clinical documentation and billing codes prior to service delivery
- Coordinate and validate completion of Advance Beneficiary Notices (ABNs) in the system, including appropriate modifiers
- Apply knowledge of Medicare guidelines and FDA label coverage to coding decisions
- Collaborate with infusion intake, billing, and clinical teams to resolve coding discrepancies
- Identify and escalate complex reimbursement or compliance issues as needed
- Maintain accurate documentation to support coding decisions and audit readiness
- Support compliance with regulatory, payer, and organizational billing policies
- Participate in process improvement initiatives related to coding accuracy and reimbursement optimization
Qualifications (Must Haves)
- Bachelor's Degree in Health Information Management, Medical Coding, or a related field
- Certified Professional Coder (CPC) – American Academy of Professional Coders or American Health Information Management Association (AHIMA)
- 1–3 years of experience in medical coding, healthcare billing, or revenue cycle
- Willingness to undergo on-the-job training in coding systems, payer policies, and internal workflows
Preferred Qualifications
- Certified Outpatient Coder (COC) – American Academy of Professional Coders, or Certified Hematology and Oncology Coder (CHONC) – American Academy of Professional Coders
- 3+ years of medical coding or hospital billing experience, including at least 1 year in hospital outpatient department (HOPD) infusion coding
- Advanced training in Medicare billing guidelines and infusion coding practices
- Proficiency in Spanish or other languages is a plus
Benefits
- Day 1 HMO
- Mandated Benefits
- 13th Month
- Leave Credits
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Assistant Manager - Accounting (The Medical City Pangasinan)
Posted 2 days ago
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Job Description
The Medical City Pangasinan is searching for an experienced Assistant Manager - Accounting. This role will be responsible for financial reporting, government submissions, and budget oversight—while mentoring your team and improving systems and processes. You’ll be a key partner to senior management, providing insights that shape smarter business decisions and long-term growth.
This role reports directly to the Finance Controller of the Finance Services Department.
What's The Role All About?
Job responsibilities include, but not limited to:
- Lead financial reporting: Oversee monthly financial statements and ensure timely, accurate data to support decision-making.
- Manage compliance: Ensure timely submission of audited financials and full compliance with BIR, SEC, and other regulatory bodies.
- Mentor and lead teams: Supervise the Accounting and Materials Management Department, ensuring smooth daily operations and team development.
- Drive process improvement: Analyze workflows, identify inefficiencies, and implement solutions to improve accuracy and speed.
- Support strategic decisions: Provide financial insights and analysis to guide budgeting, forecasting, and resource allocation.
Who Are We Looking For?
An effective Procurement Associate must possess the following skills:
- A graduate of Accounting, Finance, or a related field ; CPA preferred .
- Has extensive experience in accounting roles, ideally in a supervisory or team lead capacity.
- Deep understanding of local accounting standards, taxation, and government compliance .
- Strong communicator with the ability to present financial insights clearly and influence stakeholders.
- A structured thinker with high financial fluency and a passion for operational excellence.
- Strong attention to detail and leadership skills
Ideally, a candidate must be at least a graduate of Accounting, Finance, or a related field;CPA preferred. With experience in SAP and/or other accounting systems and with at least two (2) years of relevant accounting experience in a managerial or supervisory capacity
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Costing & Pricing Analyst - The Medical City Clinic
Posted 4 days ago
Job Viewed
Job Description
The Medical City Clinic is looking for a Costing and Pricing Analyst to join our growing team. This role supports sustainable growth and patient access by developing, analyzing, and monitoring costing and pricing for healthcare services and packages, ensuring that pricing decisions are financially sound, compliant with healthcare regulations and aligned with operational and market realities.
Key Responsibilities
- Develop and maintain costing and pricing models for services, procedures, and packages.
- Analyze cost structures, utilization trends, and margin performance
- Conduct market and competitive pricing analysis across clinics, diagnostic centers, and hospitals.
- Support pricing discussions with HMOs, corporate accounts, and institutional partners.
- Ensure pricing compliance with applicable healthcare regulations (e.g., senior citizen and PWD discounts, PhilHealth case rates, DOH, and other applicable guide)
- Monitor post-implementation pricing performance and recommend necessary adjustments
- Collaborate with other departments to validate assumptions and volume drivers.
- Provide costing and pricing inputs for budgeting, forecasting, and management reporting.
Qualifications
- Bachelor’s degree in Finance, Accounting, Economics, or other related field
- Preferably with 1-2 years of relevant work experience (costing, pricing, financial analysis, or healthcare finance)
- Knowledge of cost accounting
- Proficiency in Excel and financial modeling; experience in Anaplan is an advantage
- Strong analytical skills with the ability to translate data into insights
- Good communication and interpersonal skills
- Highly collaborative
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Assistant Manager - Revenue Cycle Management (The Medical City Pangasinan)
Posted 2 days ago
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Job Description
The Medical City Pangasinan is searching for an Assistant Manager - Revenue Cycle Management This role will be responsible for overseeing end-to-end revenue cycle operations, ensuring accurate claims processing, timely collections, regulatory compliance, and operational excellence across the organization. You’ll be a key partner to business units and enterprise stakeholders, providing leadership and insights that improve revenue performance, operational efficiency, and patient financial services.
This role reports directly to the RCM Enterprise Office Head of the RCM Operations Department.
What's The Role All About?
Job responsibilities include, but not limited to:
- Lead revenue cycle operations: Oversee claims processing, accounts receivable follow-up, return-to-hospital (RTH) management, denials monitoring, and collections to ensure optimal revenue cycle performance.
- Ensure compliance and reporting: Implement enterprise-wide RCM standards, submit accurate operational reports, and ensure compliance with PhilHealth, HMO, corporate payer, and internal policies.
- Mentor and lead teams: Supervise RCM staff, conduct coaching and performance reviews, manage workforce allocation, and promote a culture of accountability and continuous improvement.
- Drive process improvement: Identify workflow bottlenecks, implement corrective actions, support automation initiatives, and continuously improve revenue cycle processes and operational efficiency.
- Support strategic decision-making: Monitor key performance indicators, lead audits and compliance reviews, resolve escalated issues, and collaborate with stakeholders to enhance revenue outcomes.
Who Are We Looking For?
An effective Assistant Manager - Revenue Cycle Management must possess the following skills:
- A graduate of Healthcare Administration or a related field ; a degree in Nursing or Allied Health courses is preferred.
- Has progressive experience in Revenue Cycle Management (RCM) operations , including team leadership and cross-functional collaboration.
- Strong understanding of PhilHealth policies, HMO billing, claims management, denials, accounts receivable, and hospital revenue cycle workflows .
- Excellent communication and stakeholder management skills with the ability to simplify complex operational and financial information into actionable insights.
- A structured thinker with strong analytical, process improvement, and problem-solving capabilities focused on operational excellence.
- Strong leadership, organizational, workload management, and continuous improvement skills.
Ideally, a candidate must be a graduate of Healthcare Administration or a related field, preferably Nursing or an allied health course. With at least three (3) years of progressive experience in Revenue Cycle Management operations, including leadership of teams and cross-functional initiatives. Must possess strong knowledge of PhilHealth regulations, HMO billing processes, claims management, accounts receivable follow-up, denials management, and hospital revenue cycle workflows. Experience with hospital information systems (HIS/EMR), payer portals, process improvement initiatives, and data-driven operational management is highly preferred.
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Job Description
**Company:** Nestlé Integrated Business Services Manila, Inc.
**Job Type:** Full Time
**Education:** Bachelor's Degree (Medical-related course preferred)
**Experience:** At least 2+ years of experience in medical, healthcare, or BPO environment
Joining **Nestlé** means being part of the largest food and beverage company in the world, driven by a purpose to enhance quality of life and contribute to a healthier future.
**Nestlé Integrated Business Services Manila, Inc.** delivers world-class business support across global markets, with a strong focus on accuracy, efficiency, and service excellence.
**Position Summary**
As a **Medical Risk Specialist** , you will support the delivery of medical insurance and risk management services across markets. You will play a critical role in **medical claims processing, insurance analysis, and stakeholder coordination** , ensuring accuracy, compliance, and timely resolution of insurance-related activities.
You will collaborate closely with **Group Risk Services (GRS), Total Rewards, and external insurance providers** to drive operational excellence and continuous improvements in medical insurance processes.
**A Day in the Life**
+ Analyze **medical claims, billing, and coding data** to ensure accuracy and completeness of insurance processes
+ Manage and process **medical insurance claims** , including validation, documentation, and follow-ups with insurers
+ Coordinate with internal stakeholders and external partners (insurers, brokers, third-party administrators) to resolve issues and escalations
+ Maintain and validate **employee census data** aligned with insurance policies and agreements
+ Prepare reports on **claims utilization, trends, and risk insights** to support decision-making
+ Support **governance, compliance, and internal control activities** in relation to medical insurance
+ Drive **process improvements and automation initiatives** to enhance efficiency and service delivery
+ Conduct regular reviews, stakeholder discussions, and knowledge-sharing sessions
**Key Responsibilities**
+ Ensure **accurate and timely claims processing and reporting**
+ Manage and resolve **insurance-related queries and escalations**
+ Maintain high-quality **medical data management standards**
+ Support **risk analysis, compliance, and governance frameworks**
+ Deliver insights through **data analysis and reporting**
+ Contribute to **continuous improvement and stakeholder satisfaction**
**Qualifications & Skills**
+ Bachelor's degree in **Nursing, Medical Technology, Psychology, or related field**
+ Minimum of **2 years' experience** in healthcare, medical insurance, or BPO setting
+ Knowledge of **medical insurance processes, claims handling, and coding**
+ Proficiency in **MS Office (Excel, Word)** and familiarity with **SAP systems**
+ Experience in **data analysis, reporting, and database management**
+ Understanding of **risk management, compliance, and internal controls**
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Job Description
**Job category:** Medical & Clinical Operations
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Primary Responsibility:**
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualification:**
+ College graduate of any Allied Health Related Courses
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Optum is a drug-free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved._
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Job Description
We are currently seeking a BPO Medical Records Specialist to join our team in Manila, National Capital Region (PH-00), Philippines (PH).
**Roles and Responsibilities:**
- Provides guidance on preparing case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal.
- Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal.
- Ensures timely review, accurate processing, and response to appeal in accordance with State, Federal and NCQA standards.
- May also perform clinical reviews. Review claim appeal for reconsideration and recommend approvals/denials based on determination level or prepare for medical review presentation.
- Communicates with providers, facilities and other departments regarding appeal requests.
- Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal an d NCQA standards.
- Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeal requests.
- Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices.
- Individuals have a well-rounded knowledge of the policies and procedures for appeals processing, specifically for Medicaid and medical necessity review.
- Uses sound judgement, especially in non-routine appeals, to make decisions to keep the appeal process moving forward in accordance with contractual timeliness standards.
- Maintain files on individual appeals by gathering, analyzing and reporting verbal and written member and provider appeals.
- 1-3 years of experience in processing appeals or utilization management.
- 1 yr experience in advanced roles such as team lead, trainer, SME, or QA
- RN - Registered Nurse - State required Licensure and/or Compact State Licensure
- Knowledge of utilization management process
- Knowledge of NCQA, Medicaid requlations
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skills
- Required shift timings - US daytime"
**About NTT DATA**
NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.
Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, .
**_NTT DATA endeavors to make_** **_ **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_ **_._** **_This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here ( . If you'd like more information on your EEO rights under the law, please click here ( . For Pay Transparency information, please click here ( ._**
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Job Description
Position: Medical Scientific Liaison (MSL)
Location: Pasig
Type: Full-time
Team: Medical Affairs Team
Reports to: Medical Affairs Manager
About Philcare Pharma
Philcare Pharma, Inc. is an innovative, growth-stage pharmaceutical company focused on developing breakthrough therapies in Critical Care, Cardio-metabolic and Anesthesia and Pain. Now in its 13th year of operation with 11 innovative products in the market and a robust pipeline of promising candidates, we're making significant strides in addressing unmet medical needs for hospitalized patients needing emergency and critical care. As a mid-sized organization, we offer the stability of established operations with the excitement and growth opportunities of a dynamic company.
Position Overview
We are seeking a talented and driven Medical Science Liaison (MSL) to join our Clinical Application Support team. In this pivotal role, you will serve as the scientific bridge between our company and the medical community, establishing and nurturing relationships with Key Opinion Leaders (KOLs) in the Anesthesia and Critical Care space. The ideal candidate combines exceptional scientific expertise with outstanding communication skills and a strategic mindset.
Key Responsibilities
Scientific Engagement
- Develop and maintain relationships with KOLs, healthcare providers, and academic researchers in assigned territory
- Deliver compelling scientific presentations and facilitate discussions on company products, pipeline assets, and therapeutic areas
- Identify and support regional and national thought leaders for advisory boards, speaking engagements, and clinical research opportunities
- Provide scientific support for investigator-initiated studies and clinical trials
Medical Information & Education
- Respond to unsolicited medical information requests with accurate, balanced scientific information
- Develop and update scientific content for medical education programs
- Support the development of publications and scientific posters
- Collaborate with KOLs on publication opportunities and educational initiatives
Insights Generation & Strategy
- Collect and communicate field insights that inform company strategy
- Provide competitive intelligence and market feedback to internal stakeholders
- Contribute to medical strategy development for products and pipeline assets
- Support the identification of unmet medical needs and research opportunities
Cross-Functional Collaboration
- Partner with Commercial and Regulatory teams to ensure aligned scientific messaging
- Support clinical trial initiatives through site identification and investigator relationships
- Participate in product launch planning and medical strategy development
- Contribute to advisory boards and medical congress planning
Qualifications
Required:
- Advanced scientific degree (PhD, PharmD, MD, or equivalent) in a relevant discipline
- Minimum of 3-5 years of experience in pharmaceutical/biotech industry or clinical practice in the field of Anesthesia, Critical Care and/or cardio-metabolic.
- Demonstrated scientific expertise in (therapeutic area/disease state)
- Excellent presentation and scientific communication skills
- Strong interpersonal abilities and relationship-building skills
- Ability to travel approximately 50-60% of the time (primarily regional)
Preferred:
- Previous MSL experience or equivalent medical/scientific role
- Experience with clinical research and/or clinical practice
- Knowledge of compliance regulations governing pharmaceutical industry interactions with healthcare providers
- Experience with product launches or supporting late-stage clinical development programs
Success Metrics
Performance in this role will be evaluated based on:
- Quality and depth of KOL relationships
- Scientific leadership in the therapeutic area
- Insights generation and strategic contributions
- Cross-functional collaboration effectiveness
- Compliance with industry regulations and company policies
What We Offer
- Competitive base salary with a comprehensive benefits package including HMO and performance-based bonus
- Professional development opportunities and continuing education support
- Collaborative and science-driven work environment
- Opportunity to make a meaningful impact on patient care
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