Care Management PH RN Voice Sr Analyst
Manila, Philippines
4d ago

Job Description

  • Oversees staff whose primary function is to support the clinical, claim managers and client teams with the delivery of administrative duties and in a supportive role.
  • Accountable for the overall skill / competency and development of his / her direct reports.
  • Accountable for overall service level performance of associates according to established policies and business rules set by the client.
  • Performs regular performance management steps in managing team performance.
  • Ensures full compliance to the following :
  • Daily performance tracking is ongoing; daily, weekly and month to date performance of all associates are readily available

    Schedules 1x1 coaching sessions in advance and coaching documentation is accomplished within the appropriate time frame

    Provides weekly status report detailing major work accomplishments, operations-related issues and risks, performance improvement opportunities, and upcoming activities.



  • Graduate of Bachelor’s Degree in Nursing
  • Holds active and unrestricted local (PH) Registered Nurse license
  • Must have at least 6 months Supervisory / Team Lead experience in a front-office (voice) call center or BPO back-office environment
  • Must also have at least 3 months experience as a Registered Nurse in a clinical setting
  • Claims reviews / audit and data entry experience
  • Knowledge of disability claims management process and ability to interpret and apply member contracts
  • Knowledge of ICD-9 and ICD-10 and CPT codes is an advantage
  • Equal Employment Opportunity Statement

    All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.

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