HEALTHCARE UTILIZATION MANAGEMENT QUALITY jobs in FORT BONIFACIO MAKATI CITY, United Kingdom

Perform quality audits across all functions of utilization management operations, reviewing completed work in... improvements Utilization Management Quality Auditor Team Lead Location: McKinley Hill, Taguig (Temporary Work from Home...

and Grievances, Medical Coding, Abstractions (HEDIS and/or Clinical Abstractions), and Utilization Management Should have the... management SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Proficient knowledge on US Healthcare Practice, HIPAA / HEDIS...

period. Meets a target production output or quota and a quality standard to be set by Management. Occasional duties include... Information Management Company that has been in business for more than 15 years. We employ nearly 600 medical professionals...

Utilization and Case Management,) corporate organizational structure (including functional responsibilities), and basic research...Job Description: The A&G Quality Analyst is responsible for assisting and in organizing and facilitating strategic...

of Medicine licensure in the Philippines At least 5 years experience in Utilization Management/Case Management... and working with US clients Experience in Utilization Management/Case Management and/or other clinical decision-making processes...

of Medicine licensure in the Philippines At least 5 years experience in Utilization Management/Case Management... and working with US clients Experience in Utilization Management/Case Management and/or other clinical decision-making processes...

, discharge planning, case management, utilization review, etc. Appeals and grievance experience required Demonstrated clinical... to others and ensure that quality of output and accuracy of information is maintained, in alignment with SLAs. Responsibilities...

conditions by organizing the high-quality daily care services required. Coordinate with various healthcare providers... (PHRN) With 1 year hospital experience, extensive utilization management background and working knowledge of using...

, recruiting and billable hours management. Performs phone and database quality consistency monitoring of staff that are performing... where we are dedicated to delivering outstanding service and providing top-notch medical information services to patients, healthcare...

pharmaceutical and healthcare industries. The focus of this position will center on the planning, execution, and strategy of digital... Visit client sites if needed and designated by supervisor Project Management Tactical oversight and project management...

a team of healthcare processors in charge of clinical appeals, claims denial or utilization management to achieve client... and scheduling experience Proficiency in key performance indicators, business process cycle, project management, quality management...

and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring... and evaluating). This includes case management, coordination of care, and medical management consulting. Function may...

Overview: The clinical quality program team is a group of RNs who helps increase health care access, appropriate utilization..., clinician collaboration to identify the patient’s needs, proactively perform quality assessments, and telephonic outreaches...

. We are committed to quality. We shall imbue quality in our products and services, and quality in our relationships with our clients... development. We have a social responsibility to improve quality of life and shall always espouse positive Filipino values...

, utilization reports, Schedule of Benefits, Policies, etc.) 2. CUSTOMER MANAGEMENT - pertains to responsibilities and tasks... on effective utilization management Elevates to proper channels concerns that needs higher level decisions B. EXTERNAL Assists...