Clinical Appeals Consultant
Optum
Posted
3 weeks ago
Makati, National Capital Region
Remote
PHP 50K
Mid Level
Full Time
Sema Summary
As a Clinical Appeals Consultant at Optum, you will play a key role in managing medical appeals processes. This full-time position offers a hybrid work environment in the thriving region of Makati, Philippines. The position requires considerable expertise in internal medicine, along with mid-level experience in clinical consulting. You'll support essential healthcare decision-making while collaborating closely with your team. Despite lacking specific benefits and salary details, the role promises a competitive wage and a professional growth opportunity.
About Company
Optum is a health services and innovation company dedicated to helping people live healthier lives. They focus on improving healthcare delivery and accessibility through technology and expert solutions.
Core Requirements
- Medical Doctor
- Internal Medicine
- Clinical Appeal Expertise
- Consulting Experience
- Problem-Solving Skills
Responsibilities
- Manage medical appeals
- Review clinical documentation
- Communicate with healthcare providers
- Ensure compliance with regulations
- Collaborate with interdisciplinary teams
- Provide insights for clinical decisions
- Assist in claim audits
Must Have skills
Nice To Have Skills
Job Keywords
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