We are seeking a strategic and results-driven Vice President / AVP of Healthcare BPO Operations to lead large-scale US healthcare operations in the Philippines.

This is a senior executive opportunity for professionals with extensive experience in healthcare BPO delivery, client governance, financial management, and large-scale operational leadership.

Key Accountabilities

• Own end-to-end delivery and strategic direction of healthcare BPO operations.

• Lead multi-layered leadership structures and drive organizational performance.

• Establish operational strategies aligned with client expectations and business objectives.

• Oversee healthcare delivery across Utilization Management, Care Management, and Disease Management.

• Manage client governance, executive relationships, and Quarterly Business Reviews.

• Drive P&L performance, budgeting, forecasting, and margin improvement.

• Ensure compliance with HIPAA, PHI protection, and applicable US healthcare requirements.

• Lead business expansion, transformation, automation, and process optimization initiatives.

• Build a strong leadership pipeline and improve organizational retention and engagement.

Required Experience & Qualifications

• Minimum 10 years of Healthcare Operations experience.

• At least 5 years in Director, Senior Director, AVP, VP, or equivalent leadership positions.

• Demonstrated experience managing 500+ FTEs.

• Direct healthcare domain expertise in UM, Care Management, or Disease Management.

• Strong understanding of US healthcare operations and clinical processes.

• Knowledge of MCG/Milliman, InterQual, CMS, and HIPAA.

• Proven experience in executive client management and commercial accountability.

• Strong financial, analytical, strategic planning, and decision-making skills.

• Bachelor's degree in Nursing, Healthcare Administration, Business Administration, or related fields.

Top Preference: USRN professionals with recent hands-on Utilization Management experience and large-scale healthcare BPO leadership.

Additional Advantage

• Medical Coding knowledge (ICD-10, CPT, HCC).

• Lean Six Sigma or Process Excellence certifications.

• Experience managing multiple healthcare accounts.

Hiring Restrictions

Candidates previously employed by any of the following companies are NOT eligible:

• Teleperformance (TP)

• PSG Global

• Majorel

• Aegis

Prescreening Questions

1. Total Healthcare Operations experience?

2. Total years in executive/senior leadership?

3. Largest team size managed?

4. Which US healthcare programs have you managed?

5. Have you managed Utilization Management operations?

6. Are you an active USRN?

7. Describe your P&L and budget management experience.

8. Which healthcare platforms/guidelines are you familiar with?

9. Current/Last Drawn Salary?

10. Expected Salary?

11. Current Location?

12. Notice Period?

13. LinkedIn Profile?

14. Have you previously worked with TP, PSG Global, Majorel, or Aegis?

Work Location: MOA, Pasay City | 100% Onsite

Apply today! We are looking for exceptional healthcare BPO executives who can lead large-scale operations and deliver measurable business results.