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Clinical Appeals Lead — Health Plan Ops & Member Care

Optum

makati, metro manila, Philippines Full-time June 19, 2026
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Opportunity Description

A healthcare services provider is seeking a qualified candidate in the Philippines for a role in Medical & Clinical Operations. The position requires an active Doctor of Medicine licensure and Internal Medicine Diplomate certification, along with recent hospital experience. Responsibilities include managing multiple operations, developing strategies, and engaging members to assess their health needs. This role operates in a hybrid setup in either Makati or Alabang and involves night shifts. The company offers competitive pay, medical plans, and various employee benefits.
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Full-time Consulting

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