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Showing 192 Medical Professionals jobs in the Philippines
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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0
Job Description
**Requisition number:**
**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._
**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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1
Job Description
**Location:** Meycauayan, Bulacan, PH
**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**
**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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2
Job Description
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
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 ( ._**
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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3
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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4
Assistant Manager - Accounting (The Medical City Pangasinan)
Dagupan
The Medical City
Posted 1 day ago
Job Viewed
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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5
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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6
Job Description
**Work Schedule**
Standard (Mon-Fri)
**Environmental Conditions**
Office
**Job Description**
Join us as **Medical Project Coordinator** - And utilize your expertise to support and enhance drug safety operations, ensuring compliance with regulatory standards and optimal patient safety in clinical trials.
**What You'll Do:**
+ Coordinate and review safety data, utilizing line listings, company dashboard(s) and/or other visualization tools. Review data for safety trends, coding consistencies, and potential follow up with investigator sites. Identify potential issues and resolve or escalate as appropriate.
+ Review safety data and may provide summations for safety review meetings.
+ May review designated sections of aggregate reports.
+ May help to create/review safety and medical management plan(s) on studies (as applicable) and ensures that the processes included in plan documents are reflective of the contract and services requested.
+ May help manage routine project implementation, forecasting and coordination, including review of metrics and budget considerations.
+ Monitor the status of the data review and escalate any delays and/or risks to all stakeholders, including study leads.
+ May present at business development, client, and investigator meetings and participate in strategy/business development calls.
+ Resolve complex problems through in-depth evaluation of various factors and offers solutions.
+ May serve as the primary point of contact for clinical/data management project teams.
+ May assist management in training and mentoring.
**Education and Experience:**
+ Bachelor's degree in nursing or related Health Sciences (Physician's Assistant) or licensed RN
+ Previous experience to provide the knowledge, skills, and abilities to perform the job (comparable to 2+ years), to include 2+ years clinical safety experience (clinical research monitoring, or pharmacovigilance or combination of clinical research monitoring and pharmacovigilance)
In some cases, an equivalency, consisting of a combination of appropriate education, training and/or directly related experience, will be considered sufficient for an individual to meet the requirements of the role.
**Knowledge, Skills and Abilities:**
+ Knowledge of GCPs for medical oversight of clinical trials and SAE processing
+ Knowledge of drug development and safety reporting
+ Knowledge of safety data trending to include coding
+ Working knowledge of biostatistics, data management and clinical procedures
+ Strong problem solving and critical thinking skills
+ Good oral and written communication skills
+ Good attention to detail
+ Ability to work in a collaborative team environment
+ Ability to maintain a positive and professional demeanor in challenging circumstances
**Working Conditions and Environment:**
+ Work is performed in an office/ laboratory and/or a clinical environment.
+ Exposure to biological fluids with potential exposure to infectious organisms.
+ Exposure to electrical office equipment.
+ Personal protective equipment required such as protective eyewear, garments and gloves.
**Physical Requirements:**
+ Ability to work in an upright and /or stationary position for 6-8 hours per day.
+ Repetitive hand movement of both hands with the ability to make fast, simple, repeated movements of the fingers, hands, and wrists.
+ Frequent mobility required.
+ Occasional crouching, stooping, with frequent bending and twisting of upper body and neck.
+ Light to moderate lifting and carrying (or otherwise moves) objects including luggage and laptop computer with a maximum lift of 15-20 lbs.
+ Ability to access and use a variety of computer software developed both in-house and off-the-shelf.
+ Ability to communicate information and ideas so others will understand; with the ability to listen to and understand information and ideas presented through spoken words and sentences.
+ Frequently interacts with others to obtain or relate information to diverse groups.
+ Performs a wide range of variable tasks as dictated by variable demands and changing conditions with little predictability as to the occurrence. Ability to perform under stress. Ability to multitask.
+ Regular and consistent attendance.
Why Join Us?
When you join Thermo Fisher Scientific, you become part of a global team that values passion, innovation, and a commitment to scientific excellence. You'll work in an environment where collaboration and development are part of the everyday experience - and where your contributions truly make a difference.
Apply today to help us deliver tomorrow's breakthrough.
Thermo Fisher Scientific is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.
Standard (Mon-Fri)
**Environmental Conditions**
Office
**Job Description**
Join us as **Medical Project Coordinator** - And utilize your expertise to support and enhance drug safety operations, ensuring compliance with regulatory standards and optimal patient safety in clinical trials.
**What You'll Do:**
+ Coordinate and review safety data, utilizing line listings, company dashboard(s) and/or other visualization tools. Review data for safety trends, coding consistencies, and potential follow up with investigator sites. Identify potential issues and resolve or escalate as appropriate.
+ Review safety data and may provide summations for safety review meetings.
+ May review designated sections of aggregate reports.
+ May help to create/review safety and medical management plan(s) on studies (as applicable) and ensures that the processes included in plan documents are reflective of the contract and services requested.
+ May help manage routine project implementation, forecasting and coordination, including review of metrics and budget considerations.
+ Monitor the status of the data review and escalate any delays and/or risks to all stakeholders, including study leads.
+ May present at business development, client, and investigator meetings and participate in strategy/business development calls.
+ Resolve complex problems through in-depth evaluation of various factors and offers solutions.
+ May serve as the primary point of contact for clinical/data management project teams.
+ May assist management in training and mentoring.
**Education and Experience:**
+ Bachelor's degree in nursing or related Health Sciences (Physician's Assistant) or licensed RN
+ Previous experience to provide the knowledge, skills, and abilities to perform the job (comparable to 2+ years), to include 2+ years clinical safety experience (clinical research monitoring, or pharmacovigilance or combination of clinical research monitoring and pharmacovigilance)
In some cases, an equivalency, consisting of a combination of appropriate education, training and/or directly related experience, will be considered sufficient for an individual to meet the requirements of the role.
**Knowledge, Skills and Abilities:**
+ Knowledge of GCPs for medical oversight of clinical trials and SAE processing
+ Knowledge of drug development and safety reporting
+ Knowledge of safety data trending to include coding
+ Working knowledge of biostatistics, data management and clinical procedures
+ Strong problem solving and critical thinking skills
+ Good oral and written communication skills
+ Good attention to detail
+ Ability to work in a collaborative team environment
+ Ability to maintain a positive and professional demeanor in challenging circumstances
**Working Conditions and Environment:**
+ Work is performed in an office/ laboratory and/or a clinical environment.
+ Exposure to biological fluids with potential exposure to infectious organisms.
+ Exposure to electrical office equipment.
+ Personal protective equipment required such as protective eyewear, garments and gloves.
**Physical Requirements:**
+ Ability to work in an upright and /or stationary position for 6-8 hours per day.
+ Repetitive hand movement of both hands with the ability to make fast, simple, repeated movements of the fingers, hands, and wrists.
+ Frequent mobility required.
+ Occasional crouching, stooping, with frequent bending and twisting of upper body and neck.
+ Light to moderate lifting and carrying (or otherwise moves) objects including luggage and laptop computer with a maximum lift of 15-20 lbs.
+ Ability to access and use a variety of computer software developed both in-house and off-the-shelf.
+ Ability to communicate information and ideas so others will understand; with the ability to listen to and understand information and ideas presented through spoken words and sentences.
+ Frequently interacts with others to obtain or relate information to diverse groups.
+ Performs a wide range of variable tasks as dictated by variable demands and changing conditions with little predictability as to the occurrence. Ability to perform under stress. Ability to multitask.
+ Regular and consistent attendance.
Why Join Us?
When you join Thermo Fisher Scientific, you become part of a global team that values passion, innovation, and a commitment to scientific excellence. You'll work in an environment where collaboration and development are part of the everyday experience - and where your contributions truly make a difference.
Apply today to help us deliver tomorrow's breakthrough.
Thermo Fisher Scientific is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.
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7
Assistant Manager - Revenue Cycle Management (The Medical City Pangasinan)
Dagupan
The Medical City
Posted 1 day ago
Job Viewed
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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8
Job Description
**Work Schedule**
Standard (Mon-Fri)
**Environmental Conditions**
Office
**Job Description**
Join Us as a **Lead Medical Project Coordinator**
At Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers to make the world healthier, cleaner and safer. We provide our teams with the resources needed to achieve individual career goals while taking science a step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel frameworks for clinical research through our PPD clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality and accuracy will improve health outcomes that people and communities depend on - now and in the future.
The Lead Medical Project Coordinator leads the management, coordination and evaluation of medical projects for one or more programs in collaboration with management and other stakeholders to ensure consistency, alignment, and compliance of internal processes as well as optimal performance and issue resolution throughout project lifecycle. Represents the company in the medical research community and proactively liaises with clients to ensure optimal performance and utilization of medical project team(s).
We have successfully supported the top 50 pharmaceutical companies and more than 750 biotechs, spanning 2,700 clinical trials across 100+ countries in the last 5 years.
**What You'll Do:**
+ Work independently to perform and/or lead first pass review of safety data utilizing line listings, company dashboard(s), and/or other visualization tools.
+ Review data for safety trends, coding consistencies, and potential follow up with investigator sites. Proactively identify any potential issues and resolve or escalate as appropriate.
+ Review safety data and provide comprehensive summations for safety review meetings. Review designated sections of aggregate reports.
+ Initiate and lead initiatives to improve current processes and develops new processes regarding medical monitoring and department services. May develop guidance documents and assist with the implementation and/or revision of corporate level documents such as SOP's and WPD's.
+ Independently function as the Project Lead for medical monitoring services when SAE case processing has not been contracted. Manage project implementation, coordination, maintenance and close out of assigned studies as applicable. Serve as the primary point of contact for clinical project teams on studies and can act as the alliance level lead on larger alliance/multi-protocol studies.
+ Create and maintain safety and medical management plan(s) on studies (as applicable) and ensure that the processes included in the plan document are reflective of the contract and service requested for studies that have department involvement as well as standalone studies (ex. MM and/or MPC).
+ Work independently to monitor the project financial status, unit forecasting, actual realization, and team allocations in systems. Coordinate staff projections based on contract values and actual hours used. Escalate any financial and/or operational risks and can attend risk management meetings to discuss.
+ Present at business development, client, and investigator meetings and participate in strategy/business development calls. Represent studies at risk management meetings.
+ Independently determine hours required for out of scope work for both the MM and MPC and provides this to the finance/study team for contract modifications. Attend meetings to discuss/justify the modification requirements.
+ Train and develop new team members. Serve as main point of contact for team member questions with escalation to management as appropriate. May provide input on individual performance to direct line manager. Organize and lead meetings with team members to discuss potential process issues, answer questions, and brainstorm ideas and solutions.
+ Resolve complex problems through in-depth evaluation of various factors and offers solutions.
**Education and Experience Requirements:**
+ Bachelors degree in Nursing or related Health Sciences (Physician's Assistant) or licensed RN
+ Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 8+ years), to include 8+ years clinical safety experience (clinical research monitoring, or pharmacovigilance or combination of clinical research monitoring and pharmacovigilance)
In some cases an equivalency, consisting of a combination of appropriate education, training
and/or directly related experience, will be considered sufficient for an individual to meet the
requirements of the role.
**Knowledge, Skills, Abilities:**
+ Superior knowledge of GCPs for medical oversight of clinical trials
+ Advanced knowledge of drug development and safety reporting
+ Extensive knowledge of safety data trending to include coding
+ Good knowledge of biostatistics, data management and clinical procedures
+ Exceptional problem solving and critical thinking skills
+ Exceptional project management and budget skills
+ Excellent mentoring skills and ability to train and lead others
+ Exceptional oral and written communication skills
+ Detail-oriented mindset
+ Able to work in a collaborative team environment
+ Ability to maintain a positive and professional demeanor in challenging circumstances
**Working Environment:**
Thermo Fisher Scientific values the health and wellbeing of our employees. We support and encourage individuals to create a healthy and balanced environment where they can thrive. Below is listed the working environment/requirements for this role:
+ Work is performed in an office/ laboratory and/or a clinical environment.
+ Exposure to biological fluids with potential exposure to infectious organisms.
+ Exposure to electrical office equipment.
+ Personal protective equipment required such as protective eyewear, garments and gloves
**Why join us?**
When you join Thermo Fisher Scientific, you become part of a global team that values passion, innovation, and a commitment to scientific excellence. You'll work in an environment where collaboration and development are part of the everyday experience-and where your contributions truly make a difference.
Apply today to help us deliver tomorrow's breakthroughs.
Thermo Fisher Scientific is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.
Standard (Mon-Fri)
**Environmental Conditions**
Office
**Job Description**
Join Us as a **Lead Medical Project Coordinator**
At Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers to make the world healthier, cleaner and safer. We provide our teams with the resources needed to achieve individual career goals while taking science a step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel frameworks for clinical research through our PPD clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality and accuracy will improve health outcomes that people and communities depend on - now and in the future.
The Lead Medical Project Coordinator leads the management, coordination and evaluation of medical projects for one or more programs in collaboration with management and other stakeholders to ensure consistency, alignment, and compliance of internal processes as well as optimal performance and issue resolution throughout project lifecycle. Represents the company in the medical research community and proactively liaises with clients to ensure optimal performance and utilization of medical project team(s).
We have successfully supported the top 50 pharmaceutical companies and more than 750 biotechs, spanning 2,700 clinical trials across 100+ countries in the last 5 years.
**What You'll Do:**
+ Work independently to perform and/or lead first pass review of safety data utilizing line listings, company dashboard(s), and/or other visualization tools.
+ Review data for safety trends, coding consistencies, and potential follow up with investigator sites. Proactively identify any potential issues and resolve or escalate as appropriate.
+ Review safety data and provide comprehensive summations for safety review meetings. Review designated sections of aggregate reports.
+ Initiate and lead initiatives to improve current processes and develops new processes regarding medical monitoring and department services. May develop guidance documents and assist with the implementation and/or revision of corporate level documents such as SOP's and WPD's.
+ Independently function as the Project Lead for medical monitoring services when SAE case processing has not been contracted. Manage project implementation, coordination, maintenance and close out of assigned studies as applicable. Serve as the primary point of contact for clinical project teams on studies and can act as the alliance level lead on larger alliance/multi-protocol studies.
+ Create and maintain safety and medical management plan(s) on studies (as applicable) and ensure that the processes included in the plan document are reflective of the contract and service requested for studies that have department involvement as well as standalone studies (ex. MM and/or MPC).
+ Work independently to monitor the project financial status, unit forecasting, actual realization, and team allocations in systems. Coordinate staff projections based on contract values and actual hours used. Escalate any financial and/or operational risks and can attend risk management meetings to discuss.
+ Present at business development, client, and investigator meetings and participate in strategy/business development calls. Represent studies at risk management meetings.
+ Independently determine hours required for out of scope work for both the MM and MPC and provides this to the finance/study team for contract modifications. Attend meetings to discuss/justify the modification requirements.
+ Train and develop new team members. Serve as main point of contact for team member questions with escalation to management as appropriate. May provide input on individual performance to direct line manager. Organize and lead meetings with team members to discuss potential process issues, answer questions, and brainstorm ideas and solutions.
+ Resolve complex problems through in-depth evaluation of various factors and offers solutions.
**Education and Experience Requirements:**
+ Bachelors degree in Nursing or related Health Sciences (Physician's Assistant) or licensed RN
+ Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 8+ years), to include 8+ years clinical safety experience (clinical research monitoring, or pharmacovigilance or combination of clinical research monitoring and pharmacovigilance)
In some cases an equivalency, consisting of a combination of appropriate education, training
and/or directly related experience, will be considered sufficient for an individual to meet the
requirements of the role.
**Knowledge, Skills, Abilities:**
+ Superior knowledge of GCPs for medical oversight of clinical trials
+ Advanced knowledge of drug development and safety reporting
+ Extensive knowledge of safety data trending to include coding
+ Good knowledge of biostatistics, data management and clinical procedures
+ Exceptional problem solving and critical thinking skills
+ Exceptional project management and budget skills
+ Excellent mentoring skills and ability to train and lead others
+ Exceptional oral and written communication skills
+ Detail-oriented mindset
+ Able to work in a collaborative team environment
+ Ability to maintain a positive and professional demeanor in challenging circumstances
**Working Environment:**
Thermo Fisher Scientific values the health and wellbeing of our employees. We support and encourage individuals to create a healthy and balanced environment where they can thrive. Below is listed the working environment/requirements for this role:
+ Work is performed in an office/ laboratory and/or a clinical environment.
+ Exposure to biological fluids with potential exposure to infectious organisms.
+ Exposure to electrical office equipment.
+ Personal protective equipment required such as protective eyewear, garments and gloves
**Why join us?**
When you join Thermo Fisher Scientific, you become part of a global team that values passion, innovation, and a commitment to scientific excellence. You'll work in an environment where collaboration and development are part of the everyday experience-and where your contributions truly make a difference.
Apply today to help us deliver tomorrow's breakthroughs.
Thermo Fisher Scientific is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.
Is this job a match or a miss?
Apply Now
9