Metro Manila · On-site · Full-time
ROLE AND RESPONSIBILITIES Function is responsible for performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determin
Metro Manila · On-site · Full-time
ROLE AND RESPONSIBILITIES The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The Appeals
Metro Manila · Hybrid · Full-time
The Client Success Project Manager is responsible for supporting the coordination, execution, and successful delivery of customer-facing projects during the early engagement phase. This role partners closely with North America-based clients, internal Project Managers, technical S
Metro Manila · Hybrid · Full-time
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel
Metro Manila · Hybrid · Full-time
Job Responsibilities Design, architect, and deliver scalable AI/ML solutions supporting enterprise business initiatives. Build and maintain NLP, RAG, OCR, and machine learning applications. Deploy and manage AI models across cloud environments. Collaborate with Product, Engineeri
Metro Manila · Hybrid · Full-time · Rotating shift
Job Responsibilities Provide first-level technical support to end users via phone, email, and chat. Troubleshoot hardware, software, system, and application issues. Resolve incidents and service requests within agreed service levels. Document issues, resolutions, and support acti
Metro Manila · Hybrid · Full-time
Job Responsibilities Business Analysis & Requirements Management
Davao · On-site · Contract · Rotating shift · No experience needed
Role and Responsibilities: Customer Service: Address customer inquiries and issues by identifying their needs, including questions about benefits, eligibility, and claims. Guidance and Education: Educate customers on consumer-driven health care topics to help them manage their he
Metro Manila · Hybrid · Full-time
Key Responsibilities Campaign Management: Plan, execute, and optimize online marketing campaigns across channels such as email, social media, display advertising, paid search and partner marketing. Performance Reporting: Analyze and report on the performance of all digital market
Metro Manila · Hybrid · Full-time · Night shift
About the role Integrated Marketing Associate Director responsible for planning, executing, and optimizing online marketing campaigns across channels such as email, social media, display advertising, paid search and partner marketing. This role involves analyzing and reporting on
Metro Manila · Hybrid · Full-time
About the role The Portfolio Marketing Director leads portfolio-level marketing strategy for Optum Rx, shaping how the business defines, organizes, and activates its value story across products, services, audiences, and growth initiatives. This role translates business strategy,
Metro Manila · Hybrid · Full-time
About the role This role involves planning, executing, and optimizing online marketing campaigns across multiple channels including email, social media, display advertising, paid search, and partner marketing. You will analyze campaign performance against ROI and KPI goals, devel
Metro Manila · Hybrid · Full-time
ROLE AND RESPONSIBILITIES The Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of the concurrent and/or peer
Metro Manila · Hybrid · Full-time · Night shift
Primary Responsibilities Lead the content strategy for 1:1 direct marketing channels (email, SMS, direct mail), defining channel objectives, content frameworks, audience engagement approaches, and personalization strategies aligned to business goals. Establish governance and stan
Metro Manila · Hybrid · Full-time · Night shift
About the role Supports execution of product marketing deliverables for the Network team end-to-end - routing, timelines, revisions, QA, and delivery - coordinating cross-functional reviews with Legal, Compliance, Product, Strategy, and client teams. You will develop and refresh
Metro Manila · Hybrid · Full-time
Job Responsibilities Analyze, generate, and maintain cloud compliance and audit reports. Support internal and external audits for public cloud assets. Ensure cloud environments adhere to governance, compliance, and security requirements. Collaborate with security, infrastructure,
Metro Manila · On-site · Full-time · Night shift
Job Summary We are seeking an experienced Healthcare Technical Project Manager to lead end-to-end healthcare technology projects supporting clinical and non-clinical business initiatives. The ideal candidate will have strong project management expertise, experience in healthcare
Muntinlupa · On-site · Full-time · Rotating shift · No experience needed
ROLE AND RESPONSIBILITIES:You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims. You will guide and educate the
Metro Manila · Hybrid · Full-time
Support execution of audience specific growth and retention marketing campaigns, lifecycle programs, communication plans, and engagement initiatives across assigned audiences and business priorities. · Assist with campaign planning, briefing, content co
Metro Manila · On-site · Full-time · Rotating shift
Job Description The Patient Scheduling Advocate is responsible for assisting patients with scheduling and managing appointments for physicians and medical imaging services. This role serves as a primary point of contact for patient inquiries and concerns, ensuring accurate appoin
Metro Manila · Remote · Full-time
ROLE AND RESPONSIBILITIES Leads and supports clinical content development projects from planning through release, including project tracking, scope management, and stakeholder coordination. Collaborates with Clinical Leadership, physician researchers, Clinical Managers, and Medic
Davao · Hybrid · Full-time · Day shift
ROLE AND RESPONSIBILITIES Audits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation. They also check if the codes are in accordance with industry coding standards as outlined by the Officia
Cebu · Hybrid · Full-time
ROLE AND RESPONSIBILITIES The Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of the concurrent and/or peer
Metro Manila · Hybrid · Full-time
Manage assigned audience growth and retention marketing initiatives from planning through execution, measurement, optimization, and leadership updates. · Translate campaign briefs, business priorities, audience insights, and value propositions into act
Metro Manila · On-site · Full-time
Leads and supervises a team of PHRN medical coders, ensuring coding accuracy, productivity, compliance, quality standards, and operational excellence.
Metro Manila · Hybrid · Full-time
ROLES AND RESPONSIBILITIES The PHRN Coder Supervisor is responsible for leading and managing a team of Philippine Registered Nurses (PHRNs) and Medical Coders to ensure accurate, compliant, and timely coding of medical records and healthcare documentation. This role oversees dail
Davao · On-site · Contract · Rotating shift · No experience needed
Role and Responsibilities: Customer Service: Address customer inquiries and issues by identifying their needs, including questions about benefits, eligibility, and claims. Guidance and Education: Educate customers on consumer-driven health care topics to help them manage their he
Muntinlupa · On-site · Full-time · Rotating shift
ROLE AND RESPONSIBILITIES:You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims. You will guide and educate the
Metro Manila · Hybrid · Full-time
About the role Own intake coordination and request steerage for PBM and pharmacy sales enablement support. Manage the intake process for sales enablement requests across PBM and pharmacy growth teams, ensuring requests are captured clearly, routed appropriately, prioritized again
Metro Manila · Hybrid · Full-time
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel
Metro Manila · On-site · Full-time
ROLE AND RESPONSIBILITIES The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The Appeals
Metro Manila · On-site · Full-time
Join us in evolving health care so everyone can have the opportunity to live their healthiest life.
Metro Manila · Hybrid · Full-time
3+ years of experience in Quality Engineering, Test Automation, or Software Testing with Python and Playwright expertise
Metro Manila · On-site · Full-time
Respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs.
Metro Manila · Remote · Full-time
Turn data into impactful healthcare insights using Power BI, SQL & Databricks in a WFH-first role.
Metro Manila · On-site · Full-time
Join us in evolving health care so everyone can have the opportunity to live their healthiest life.
Metro Manila · Hybrid · Full-time
3+ years of IT Project Management experience, preferably within a healthcare environment.
Metro Manila · Hybrid · Full-time
Lead complex healthcare implementation projects, join us as a Project Manager.
Metro Manila · Hybrid · Full-time
Growth & Retention Management drives customer acquisition,engagement,and loyalty through data-driven strategies,CRM,lifecycle marketing&optimization.
