Philippines Job Openings
Optum
Clinical Consultant
Makati City
FULL TIME
October 24, 2024
Positions in this function are responsible for providing expertise or general support in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties issues, implications and decisions. Analyzes and identifies trends for appeals and grievances. This includes senior level positions with education/certification/licensure other than an RN, such as BSW, MSW, DDS, Chiropractor, Physical Therapist, etc. (Positions responsible for claims appeals can be found in the Claims job family.)
Primary Responsibilities:
- Manages and is accountable for professional employees and/or supervisors
- Impact of work is most often at the local level
- 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
- Undergraduate degree or equivalent experience
- Active Medical License/Physician/Medical Director
- Specialization: Internal Medicine/Family Medicine/Surgery/Emergency Medicine
- 5+ years of experience in operations management or a similar role
- Proven track record of building and leading high-performing teams
- Proven solid analytical and problem-solving skills
- Proven excellent communication, interpersonal, and organizational skills
- Willing to work in US Shift and report in any of the sites
- Onsite work
Preferred Qualification:
- Experience in BPO/Call Center
At United Health 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.
Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Optum is a drug-free workplace. © 2024 Optum Global Solutions (Philippines) Inc. All rights reserved.
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