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39 Jobs Available

US Registered Nurse | Day 1 HMO!

Optum

Optum Makati 31.14 km

Earn Up to 120,000 Monthly

Day 1 HMO

Project Based Healthcare Customer Service Specialist in Makati up to 20K a month!

Optum

Optum Makati 31.14 km

Earn Up to 18,000 Monthly

Day 1 HMO

Earn up to 23K as CSR in Makati plus Day 1 HMO. Apply now & join our amazing team!

Optum

Optum Makati 31.14 km

Earn Up to 18,000 Monthly

Day 1 HMO

We are hiring more CSRs in Taguig McKinley Site! Apply now & get up to 23K plus Day 1 HMO

Optum

Optum Taguig 34.13 km

Earn Up to 18,000 Monthly

Day 1 HMO

Be a CSR for Healthcare Account | Fresh Grads are Welcome | Apply now in Alabang Site!

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Be a Customer Service Specialist for Healthcare company in Alabang! with Day 1 HMO and Retirement Plan!

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Project Based Customer Support is needed in Alabang | Fresh Grads are welcome | Apply Now!

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Customer Support is needed in Alabang | Fresh Grads are welcome | Apply Now!

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Fortune 5 company is now hiring for Customer Service Associate! | Alabang Site!

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

We are hiring for Customer Support! | Get Day 1 HMO + Retirement Plan | Alabang

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Fortune 5 company is now hiring for Customer Service Associate! | Alabang Site!

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

URGENT! Customer Service Rep needed for Healthcare Account in Alabang

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Join us and be a Healthcare Representative for a Healthcare Account @ Alabang

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Customer Support is needed in Alabang | Apply Now w/ Day 1 HMO & Retirement Plan

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

URGENT! Customer Service Representative | Earn up to 26k | Apply now at Alabang

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Get up to 23K & Day 1 HMO as Customer Service Specialist! Apply now at Alabang

Optum

Optum Alabang 35.72 km

Earn Up to 17,000 Monthly

Day 1 HMO

Project Based CSRs needed in Alabang site! Apply now & join our healthcare team!

Optum

Optum Alabang 35.72 km

Earn Up to 18,000 Monthly

Become a Customer Service Healthcare Specialist in Alabang! Earn up to 26K plus Day 1 HMO!

Optum

Optum Alabang 35.72 km

Earn Up to 18,000 Monthly

Day 1 HMO

Become our Customer Care Specialist in QC and receive up to 23K!

Optum

Optum Quezon City 36.05 km

Day 1 HMO

Fresh Graduate? Join us now as Customer Support! | Quezon City

Optum

Optum Quezon City 36.05 km

Day 1 HMO

Optum Makati - US Registered Nurse | Day 1 HMO!

Location 21F Tower 2, One Ayala, Ayala Avenue, Makati, Metro Manila, Philippines

View and Apply

Job Pitch

WHAT WE OFFER

Market Total Rewards Package
Retirement Plan
Medical Plan (HMO) from Day 1 of employment
Dental, Medical, and Optical Reimbursements
Life and Disability Insurance
Paid Time-Off Benefits
Sick Leave Conversion
Tuition Fee Reimbursement
Employee Assistance Program (EAP)
Annual Performance Based Merit Increases
Employee Recognition
Training and Staff Development
Employee Referral Program
Employee Volunteerism Opportunity
All Mandatory Statutory Benefits

WHO WE ARE

Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
We’re a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together

Job Description

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. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
Make Final Determinations Based on Clinical and Departmental Guidelines. Understand and adhere to applicable legal/regulatory requirements (e.g., federal/state requirements, HIPAA, CMS, NCQA/URAC accreditation)
Achieve and Maintain Established Productivity and Quality Goals. Adhere to relevant quality audit standards in performing reviews, making determinations and documenting recommendations.

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work.SM.

JOB QUALIFICATIONS

Valid and unrestricted USRN license and PHRN License required
Must have a minimum of 2 years hospital experience (ICU,CCU, Critical Care)
Must have a BPO healthcare voice experience as Case Management or have worked in the US before as a Nurse.
Has strong English communication skills (Pure Voice Account)
Must be willing to report onsite.