28 Professionals In Healthcare jobs in San Mateo

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 Responsibilities:**
+ Provide claims expertise support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
+ Analyze, identify trends and provide reports as necessary
+ Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
+ Manage subrogation files
+ 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
This is a challenging role with serious impact. You'll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It's a fast paced environment that takes focus, intensity and resilience.
**Required Qualifications:**
+ High school diploma or GED or equivalent work experience
+ 1+ years of claims or collections experience
+ 1+ years of experience analyzing and solving customer problems
**Preferred Qualifications:**
+ Experience working with subrogation
+ Experience with negotiations
+ Experience working in the health care industry
_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. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._

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.**
All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 5 leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join this group and we'll have an impact on you. Apply now and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 5 leader.
**Primary Responsibilities:**
+ Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies
+ Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function
+ Educate customers regarding the availability of receiving invoices and remitting payments through online applications
+ Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
+ Manage the preparation of invoices and complete reconciliation of billing with accounts receivables
+ 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
What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
**Required Qualifications:**
+ An education level of at least a high school diploma or GED OR equivalent years of working experience
+ Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
+ Ability to multi-task and to understand multiple products and multiple levels of benefits within each product
+ Able to work a 40 hour schedule within the operating hours of the site
**Preferred Qualifications:**
+ 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
+ Experience in billing or collections
_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. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._

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 Responsibilities:**
+ Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities
+ Analyze and identify trends and provides reports as necessary
+ Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
+ 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 Qualifications:**
+ An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
+ 4+ years of experience in claims recovery and resolution
+ Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
+ Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
**Physical Requirements and Work Environment:**
+ Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
_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. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._

Role Overview:
We are looking for a Quality Auditor Healthcare to ensure high standards of performance and compliance within our ROI (Release of Information) team. The successful candidate will play a key role in monitoring, evaluating, and improving both voice and non-voice processes.

Key Responsibilities:

• Monitor and evaluate ROI executive performance through audits (voice and non-voice).
• Analyze call data to identify improvement opportunities.
• Provide constructive feedback and collaborate on process improvements to enhance call efficiency.
• Prepare reports on call quality and performance metrics.
• Ensure timely completion of audits and feedback in line with agreed TATs.

Qualifications:
Background in Healthcare/RCM is preferred
Strong oral and written communication skills
Flexible to work in any shift (24/7 operations)
Detail-oriented with strong analytical and reporting skills

We are seeking a results-driven US Healthcare Recruiter to source, screen, and hire top healthcare professionals for our US-based clients. The ideal candidate will have a deep understanding of the US healthcare industry, strong interpersonal skills, and the ability to manage the full recruitment lifecycle.

Key Responsibilities:

• Source qualified healthcare professionals (RNs, LPNs, CNAs, Therapists, etc.) through various channels including job boards, social media, referrals, and networking.
• Conduct initial phone screenings, assess candidate qualifications, and ensure alignment with job requirements.
• Coordinate interviews between candidates and hiring managers or clients.
• Manage end-to-end recruitment process including offer negotiation and onboarding assistance.
• Maintain a strong candidate pipeline for current and future openings.
• Stay up to date with US healthcare licensing and credentialing requirements.
• Develop and maintain relationships with candidates to ensure a positive recruitment experience.
• Meet weekly/monthly hiring targets and key performance indicators (KPIs).
• Collaborate with the HR and compliance teams to ensure documentation and credentialing are in place.
• Provide regular reports on hiring progress and market insights to leadership.

TEMP WORK FROM HOME SET UP!

Customer Service Representative
- VOICE HEALTHCARE ACCOUNT
- With at least 6 Months BPO Experience
- has 35 Mbps and UP internet speed
- High School Graduate/ Senior High School Graduate
- Competitive salary! 18k to 21k basic
- Equipment will be Provided by the company
- HMO on Day 1 (upon regularization 1 dependent)
- Life Insurance on Day 1
- Performance Based Incentives
- 10% Night Differential
- Temporary Work From Home Set Up!
- Fixed Weekends Off!

Site Location : 11F Bonifacio One Technology Tower, Bonifacio Global City, Taguig

**Job Types**: Full-time, Permanent

**Salary**: Php18,000.00 - Php21,000.00 per month

**Benefits**:

- Health insurance
- Life insurance

Schedule:

- 8 hour shift
- Monday to Friday
- Night shift

TEMP WORK FROM HOME SET UP!

Customer Service Representative
- VOICE HEALTHCARE ACCOUNT
- With at least 6 Months BPO Experience
- has 35 Mbps and UP internet speed
- High School Graduate/ Senior High School Graduate
- Competitive salary! 18k to 21k basic
- Equipment will be Provided by the company
- HMO on Day 1 (upon regularization 1 dependent)
- Life Insurance on Day 1
- Performance Based Incentives
- 10% Night Differential
- Temporary Work From Home Set Up!
- Fixed Weekends Off!

Site Location : 11F Bonifacio One Technology Tower, Bonifacio Global City, Taguig

**Job Types**: Full-time, Permanent

**Salary**: Php18,000.00 - Php21,000.00 per month

**Benefits**:

- Health insurance
- Life insurance

Schedule:

- 8 hour shift
- Monday to Friday
- Night shift

The ideal candidate will have at least 4 years of experience in sales , particularly in agency or distribution management , and a strong understanding of the healthcare market landscape. This role will focus on expanding client partnerships, identifying new business opportunities, and driving revenue growth.

Key Responsibilities:

• Develop and implement strategic business development plans to grow market presence in the healthcare industry
• Identify and establish partnerships with healthcare providers, medical distributors, pharmaceutical companies, or clinics
• Manage and grow sales channels, including agencies and distribution networks
• Conduct market research to identify emerging trends, customer needs, and competitor activity
• Prepare and deliver business proposals, presentations, and sales forecasts
• Collaborate with internal teams (marketing, operations, and finance) to align sales strategies with business goals
• Ensure post-sales support and build long-term client relationships
• Monitor performance metrics and provide regular reporting to senior leadership

Qualifications:

• Bachelors degree in Business, Marketing, Healthcare Management, or a related field
• At least 4 years of proven experience in sales, business development, or distribution management , preferably in the healthcare or pharmaceutical sector
• Strong network and understanding of the healthcare sales landscape (hospitals, clinics, or distributors)
• Excellent negotiation, presentation, and relationship-building skills
• Goal-oriented, self-motivated, and able to work independently or in a team
• Willingness to travel for business development activities as needed

Position Title: Corporate Accounts Manager
Location: Makati

Job Description:
The Corporate Accounts Manager handles relationship management for business clients, ensuring satisfaction through program delivery, strategic engagement, and service coordination.

Responsibilities:

• Manage assigned corporate client accounts
• Conduct meetings, renewals, and negotiations with client stakeholders
• Identify client needs and tailor services accordingly
• Coordinate with internal teams for service delivery
• Prepare and present regular account reports and updates
• Monitor performance metrics and resolve concerns proactively
• Build long-term client relationships and explore growth opportunities

Qualifications:

• Bachelors degree in Business, Marketing, or a related field
• Minimum of three (3) years of experience in corporate account management
• Background in healthcare, insurance, or service industry is an advantage
• Strong communication, presentation, and problem-solving skills
• Strategic and client-focused with the ability to manage multiple accounts
• Experience in healthcare industry is a plus