NOW HIRING: CLINICAL OPERATIONS ASSISTANT MANAGER

Job Title: Clinical Operations Assistant Manager

Program: Healthcare – Hybrid Voice & Back-Office Operations

Work Location: Vertis North, Quezon City

Work Setup: Onsite

Shift: US Day Shift

JOB OVERVIEW

Lead a high-performing clinical operations team supporting a major US managed care program. Drive service excellence, clinical quality, operational performance, and team development in a fast-paced, metrics-driven healthcare environment.

KEY RESPONSIBILITIES

- Own daily SLA/KPI performance, including turnaround time, quality, productivity, and documentation.

- Conduct team huddles, interval monitoring, Root Cause Analysis (RCA), and performance recovery planning.

- Ensure strict compliance with HIPAA and PHI requirements.

- Lead clinical quality assurance through audits, calibrations, coaching, and documentation reviews.

- Develop and mentor Registered Nurses (RNs), Clinical Associates, and Team Leaders.

- Manage competency programs, preceptorship, continuing education (CE) tracking, and license validity.

- Collaborate with WFM, Talent Acquisition, QA, and client stakeholders.

- Translate clinical protocol updates into practical workflows and training materials.

- Drive continuous improvement in clinical operations and team performance.

QUALIFICATIONS

- BS Nursing graduate with an active Philippine RN license

- Active, unrestricted USRN license (NCLEX passed)

- At least 5 years of clinical and healthcare operations experience

- At least 3 years of team leadership experience in healthcare BPO or shared services

- Strong knowledge of:

  - US Managed Care

  - Utilization Management (UM)

  - Case Management (CM)

  - CMS

  - HIPAA

- Proven experience managing SLAs, KPIs, and clinical operational performance

- Background in Utilization Review (UR)/Utilization Management (UM) with current experience managing UR operations

- Experience in UM, CM, HRA, triage, or payer operations is preferred

- Familiarity with URAC/NCQA standards is an advantage

- Training experience is preferred

- Willing to work onsite in Vertis North, Quezon City

- Willing to work on a US Day Shift

USRN LICENSE REQUIREMENT

The USRN license must be active.

Candidates whose USRN licenses are nearing expiration must be willing to renew their license.

REQUIRED ASSESSMENT

Candidates must complete an on-the-spot clinical review writing assessment during the interview.

Please bring a laptop or desktop computer to complete the assessment.

RECRUITMENT PROCESS

1️⃣ Profile Validation

2️⃣ Profile Review

3️⃣ Talent Acquisition (TA) Interview

4️⃣ Hiring Manager (HM) Interview

5️⃣ Client Interview

START SUBMITTING YOUR CVS NOW!