Location
taguig
Job Type
Full-time
Posted
June 06, 2026
Job Description
Job Description
Sutherland Taguig, National Capital Region, Philippines
The role involves clinical operations across Utilization Management and Care Management, including:
- Reviewing medical documentation and pre-authorization requests
- Conducting concurrent and retrospective reviews
- Managing member care coordination, follow-ups, and clinical documentation
- Voice & Non-Voice communication with members
Qualifications
- Active USRN or PHRN license
- Good to excellent English communication skills
- No clinical and BPO experience required but preferred
Job Details
- Seniority level: Entry level
- Employment type: Full-time
- Job function: Customer Service
- Industries: IT Services and IT Consulting
- Location: Taguig, National Capital Region, Philippines