Provider Relations & Medical Operations Leader

ACTIVEONE HEALTH, INC. in Mandaluyong, Philippines is seeking a professional to provide end-to-end medical, operational, and strategic oversight relating to claims adjudication and provider management. This role involves leading provider engagement, approving reconciliation impacting payments, and ensuring overall department coordination.

The ideal candidate will manage various responsibilities including accreditation, customer service concerns, and strategic recommendations based on utilization data. Strong analytical skills and medical guidance are essential for success in this position.