Healthcare Navigator - Medical Sciences Graduate

What You'll Do

• Review and evaluate clinical documentation to determine medical necessity and appropriateness of healthcare services
• Coordinate with healthcare providers to validate medical claims and ensure quality patient outcomes
• Conduct utilization reviews applying evidence-based criteria for approvals or escalations
• Communicate effectively with patients regarding their healthcare coverage and claims status
• Analyze complex medical information and provide clear, actionable recommendations

What We Offer

• Competitive Salary Package: ₱28,000 basic salary + ₱1,000 flex fund allowance + 20% night differential (Up to ₱34,000 monthly)
• Excellent Benefits: HMO coverage from Day 1
• Financial Security: Guaranteed 14th month pay and performance-based annual increases
• Work-Life Balance: Structured scheduling with proper shift arrangements
• Career Development: Continuous learning opportunities and growth potential

Qualifications

• Graduate of Allied Sciences, Social Sciences, or related fields (Physical Therapy, Rad Tech, Pharmacy, Psychology, Medical Tech, Nutrition & Dietetics, etc.)
• Active PRC License is required
• Minimum 1-year experience in direct patient care (Long-Term Care, Home/Community-Based Services, Hospital/Facility Settings, or Case Management)
• Experience with managed care organizations, Medicare/Medicaid recipients preferred
• Familiarity with BPO healthcare processes in a Philippine setting
• HIV counseling experience is required
• Strong analytical and communication skills
• Ability to work onsite in Quezon City location

Work Arrangement

• Purely onsite position at our Quezon City office
• Proper shift scheduling with night differential benefits

How to Apply

Ready to advance your healthcare career? Apply through:

• Email your resume to: Sign Up to Apply
• Complete our application form: https://tinyurl.com/MetHealth-DreamCareerBuilder
• Visit our website: https://methealth.co/