Mga Trabaho sa UST sa Pilipinas

UST is looking for a Java Developer with strong experience in Java development, · Spring Boot, microservices and application modernization. · ...

Review requests for authorization of elective services and contact appropriate medical and support personnel to identify alternative treatment service levels etc using approved clinical protocols · Analyze retrospective review requests and appeals in accordance with local state ...

The Helpdesk Team Lead is responsible for guiding and supporting a team of service desk technicians to ensure quality support services. · Apart from operations experience, the ideal candidate should also have Workforce Management (WFM) experience. · ...

The Appeals and Grievances Analyst ensures cases are handled accurately and in compliance with CMS regulations. · Process and document appeals and grievances following company and CMS guidelinesInvestigate cases, prepare summaries, and support operational excellenceAssign and co ...

UST is seeking a QA Lead who will design and implement QA strategies to guarantee the reliability and quality of software applications. · ...

The Workday Lead will partner with customer teams to support end users via resolving functional and configuration issues. · Manage/support Workday system modules and integrations, · Semi-annual upgrade processes, · Degree of freedom deploy new functionality as approved, · ...

The associate plays a critical role in delivering exceptional customer service by addressing inquiries and resolving issues related to password/login concerns and insurance benefits eligibility.Respond to customer inquiries via telephone and written correspondence · Analyze custo ...

Juanita is looking for a Java Technical Lead with strong experience in Java development, · Spring Boot and application modernization. · Bullet Points Provide technical leadership to the development team. · Drive high-quality code delivery. · ...

++Conduct analysis on business requirements and prepare technical design, Collaborate with cross-functional teams, including business analysts, testers, support teams to translate business requirements into effective and user-friendly end-to-end solutions. · +Design and implement ...

The Utilization Review RN is responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity. · ...

The role is responsible for ensuring all decisions are precise and thorough, developing trend reports for management, and guaranteeing compliance with CMS requirements for UM policies and procedures. · ...

The Data Correction Specialist is responsible for identifying and correcting discrepancies in healthcare provider information within various applications and databases. This role is critical for maintaining data integrity and ensuring accurate claims processing. · 3+ Year experie ...

We have a strong global presence and a dedicated workforce of over · 4000 people spread across the world. · This position description identifies the responsibilities · and tasks typically associated with the performance of · the position.All appeals and grievance cases must be ...

Partner with customer teams live on Workday to support end users via resolving functional and configuration issues... · ...

The Helpdesk Team Lead is responsible for guiding and supporting a team of service desk technicians to ensure quality support services. · This role manages daily operations, monitors SLA performance, handles incident and request workflows, and works with stakeholders to improve o ...

Korean Bilingual CSR (Healthcare - Hybrid) · At UST HealthProof, you will join a fast-paced, growing company in our mission to reshape the future of health insurance through significantly reducing administrative costs and building better healthcare experiences for our health plan ...

This position involves conducting analysis on business requirements and preparing technical design. It requires collaboration with cross-functional teams to translate business requirements into effective end-to-end solutions using Java and Spring Boot. · ...

This role is responsible for ensuring all decisions are precise and thorough, · developing trend reports for management, · and guaranteeing compliance with CMS requirements for UM policies and procedures.Create and execute strategies to keep department processes efficient and cos ...

Partner with customer teams live on Workday to support end users via resolving functional and configuration issues ensuring data integrity delivering enhancements and achieving greater process efficiencies. · ...

We're looking for a skilled Full Stack Engineer with strong Front-End expertise to join our energetic team. · Develop and maintain advanced web applications using , JavaScript, TypeScript, HTML, · CSS · ...