Medical Analyst jobs
Pharmacist - Clinical Content Analyst (Healthcare BPO) | Work from Home
NewMultiple openingsOptumWork from Home- Knowledge of medical coding systems and healthcare classifications.
- Develop, review, and update clinical content using Evidence-Based Medicine (EBM) principles…
US Healthcare AR & Medical Claims Analyst - START ASAP
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- JPRPasay
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Tech Support Analyst (Healthcare Background)
NewMultiple openingsOptumNational Capital Region- Health insurance
- Flexible schedule
- Provide first-level technical support to end users via phone, email, and chat.
- Troubleshoot hardware, software, system, and application issues.
- Risewave Consulting Inc.Pasig
- Health insurance
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- Perform outbound calls to insurance companies for claim status and resolution.
- PhilCare Inc.Makati
- We are looking for a sharp Data Analyst - Utilization Reviews to join our team!
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- OptumMakati
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View similar jobs with this employerCOMRISE / RISEWAVE CONSULTING INCOrtigas- Paid training
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- Med-MetrixPasig
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- StratifyIQNational Capital Region
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Medical Claims Analyst - Accounts Receivable
Often replies in 3 daysTargets RMSOrtigas- Paid training
- Health insurance
- Employee discount
- Opportunities for promotion
- Promotion to permanent employee
- Experienced on medical billing/ AR Collections.
- Ability to identify and correct medical billing errors.
- Proficient in processing health and medical insurance…
Medical Claims Analyst - Accounts Receivable
Often replies in 3 daysTargets RMSOrtigas- Paid training
- Health insurance
- Employee discount
- Opportunities for promotion
- Promotion to permanent employee
- Experienced on medical billing/ AR Collections.
- Ability to identify and correct medical billing errors.
- Proficient in processing health and medical insurance…
- Global Group Innovative Services INCOrtigas
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- At least 1 year and 6 months of experience as a Healthcare Quality Analyst.
- PhilCare Inc.Makati
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Job Post Details
Pharmacist - Clinical Content Analyst (Healthcare BPO) | Work from Home
Pharmacist - Clinical Content Analyst (Healthcare BPO) | Work from Home
Job details
Full job description
ROLE AND RESPONSIBILITIES
About the Role
We are looking for a Licensed Pharmacist - PharmD to join our healthcare team as a Clinical Content Analyst. In this role, you will be responsible for developing, reviewing, and maintaining evidence-based clinical content used in healthcare products and solutions. You will work closely with clinical experts, product teams, and stakeholders to ensure content accuracy, quality, and alignment with best practice standards.
This is an excellent opportunity for pharmacists who have strong clinical knowledge, research skills, and a passion for healthcare innovation, quality assurance, and content development.
Key Responsibilities
- Develop, review, and update clinical content using Evidence-Based Medicine (EBM) principles and medical literature.
- Ensure accuracy, quality, and usability of clinical content through quality assurance reviews and documentation maintenance.
- Serve as a clinical resource by addressing inquiries from internal teams and external clients.
- Collaborate with cross-functional teams, including Product Development, Product Management, and Business Analysts, to support product enhancements.
- Assist in planning, monitoring, and delivering clinical content projects within established timelines.
- Participate in research initiatives and activities that contribute to product improvement and innovation.
JOB QUALIFICATIONS
- Must be a Licensed Pharmacist (PH Registered Pharmacist)
- Candidates with a PharmD are strongly preferred
- With solid clinical and hospital experience (Hospital Pharmacy, Clinical Pharmacy)
- Minimum of 3 years’ experience in a BPO setting, handling US Healthcare accounts any of the following areas: Specialty pharmacy, Oncology drugs, Research, and content development, US pharmacy benefit management, Pharmacovigilance
- Knowledge of Utilization and Case management in US Healthcare accounts
- Knowledge of Evidence-Based Medicine (EBM) and clinical research methodologies
- Strong communication skills (both verbal and written)
- Demonstrated critical thinking, analytical, and problem-solving abilities
- Comfortable working with complex documents, clinical guidelines, and policies
- Experience using the InterQual tool is an advantage
- Highly detail-oriented with strong learning agility
- Medical or healthcare writing experience
- Project management experience
- Knowledge of medical coding systems and healthcare classifications
- Basic understanding of software development life cycle (SDLC) and healthcare technology products
- Willing to work on Eastern or Central US time zones
- Must be amenable to a Work-from-Home setup (Equipment provided by the company)
WHAT WE OFFER
- Market Competitive Pay Levels
- 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.
- 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 Type: Full-time
Pay: Php90,000.00 - Php100,000.00 per month
Application Question(s):
- What is your verified email address and updated contact number?
- Do you have a Doctor of Pharmacy (PharmD) degree?
Experience:
- Pharmacovigilance?: 2 years (Required)
License/Certification:
- Pharmacist license (Required)
Work Location: Remote