Managed Care jobs in Taguig

JOB DESCRIPTION Review and accurately interpret Managed Care contract terms Load contract terms into various claims adjudication systems. Prepare complex contract analyses as requested with high degrees of accuracy and efficiency Works closely with Managed Care Operations team to ensure timely and a

JOB SUMMARY Responsible for the accurate and timely review of all claims in accordance with applicable contracts, state and federal regulations, health plan requirements, policies and procedures, and generally accepted business practices. ESSENTIAL DUTIES AND RESPONSIBILITIES Analyzes professional a

Role: Ensuring timely and accurate enrollment, credentialing and re-credentialing for company's hospitals and affiliated entities with commercial and government payers. This role is essential to enabling compliant billing and uninterrupted reimbursement by maintaining accurate provider data, managin

Role: Ensuring timely and accurate enrollment, credentialing and re-credentialing for company's hospitals and affiliated entities with commercial and government payers. This role is essential to enabling compliant billing and uninterrupted reimbursement by maintaining accurate provider data, managin

A healthcare management firm based in Metro Manila is seeking a Managed Care Operations Analyst to support contract operations and reimbursement processes. The role involves managing documentation, fee schedules, and providing analytical support. An ideal candidate should have a Bachelor’s degree in

A healthcare management firm based in Metro Manila is seeking a Managed Care Operations Analyst to support contract operations and reimbursement processes. The role involves managing documentation, fee schedules, and providing analytical support. An ideal candidate should have a Bachelor’s degree in

A healthcare management firm based in Metro Manila is seeking a Managed Care Operations Analyst to support contract operations and reimbursement processes. The role involves managing documentation, fee schedules, and providing analytical support. An ideal candidate should have a Bachelor’s degree in

Multinational work environment Night shift set up About Our Client Our client is a leading healthcare organization committed to delivering value-based care through innovative contract management and performance analytics Job Description Conduct reviews of managed care agreements to identify complian

Position Summary: The Managed Care Operations Analyst supports contract operations, compliance, and reimbursement processes to ensure adherence to payer agreements. This role manages contract documentation, fee schedules, policy tracking, and provides analytical and escalation support to leadership.

Role: Ensuring timely and accurate enrollment, credentialing and re-credentialing for company's hospitals and affiliated entities with commercial and government payers. This role is essential to enabling compliant billing and uninterrupted reimbursement by maintaining accurate provider data, managin

Role: Ensuring timely and accurate enrollment, credentialing and re-credentialing for company's hospitals and affiliated entities with commercial and government payers. This role is essential to enabling compliant billing and uninterrupted reimbursement by maintaining accurate provider data, managin

A healthcare management firm based in Metro Manila is seeking a Managed Care Operations Analyst to support contract operations and reimbursement processes. The role involves managing documentation, fee schedules, and providing analytical support. An ideal candidate should have a Bachelor’s degree in

Multinational work environment Night shift set up About Our Client Our client is a leading healthcare organization committed to delivering value-based care through innovative contract management and performance analytics Job Description Conduct reviews of managed care agreements to identify complian

A healthcare management firm based in Metro Manila is seeking a Managed Care Operations Analyst to support contract operations and reimbursement processes. The role involves managing documentation, fee schedules, and providing analytical support. An ideal candidate should have a Bachelor’s degree in

The Managed Care Analyst supports the managed care department by providing analytical, reporting, and project support related to payer contracts, claims resolution, and payer relations. This role works closely with internal teams and external payors to ensure contract compliance, accurate reimbursem

A healthcare management firm is seeking a Managed Care Analyst to support the managed care department. The role involves providing analytical, reporting, and project support related to payer contracts and claims resolution. Candidates should have at least 1 year of experience in managed care or heal

Position Summary: The Managed Care Operations Analyst supports contract operations, compliance, and reimbursement processes to ensure adherence to payer agreements. This role manages contract documentation, fee schedules, policy tracking, and provides analytical and escalation support to leadership.

A healthcare management firm based in Metro Manila is seeking a Managed Care Operations Analyst to support contract operations and reimbursement processes. The role involves managing documentation, fee schedules, and providing analytical support. An ideal candidate should have a Bachelor’s degree in

MedRisk LLC

Primary Duties & Responsibilities * Clinical Oversight: * Confirming attendance of initial evaluation (IE) and receipt of IE Report * Reviews documentation and updates cases with accurate clinical information, including but not limited to ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength

Cobden & Carter International

Role: This position is part of the Managed Care team in the Global Business Services (GBS). The Managed Care Operations Analyst supports managed care contract operations and compliance activities to ensure accurate reimbursement and adherence to payor agreements. This role is responsible for operati