Medical Liaison Manager
Hive Health(2 months ago)
About this role
The Medical Liaison Manager at Hive Health is responsible for leading the medical adjudication operations, ensuring efficient and accurate claims review in compliance with policies and regulatory standards. This role involves managing a team of medical liaisons, conducting audits, identifying fraud, and collaborating with various departments to address operational challenges. Additionally, the manager will drive process improvements to enhance the overall claims experience for both providers and members.
Required Skills
- Medical Liaison Management
- Claims Adjudication
- Team Leadership
- Audit Conducting
- Fraud Investigation
- Cross-Functional Collaboration
- Metric Monitoring
- Process Improvement
- Healthcare Administration
- Analytical Skills
+4 more
Qualifications
- Bachelor’s degree in nursing
- Bachelor’s degree in healthcare management
- Bachelor’s degree in business
- Bachelor’s degree in a related field
About Hive Health
ourhivehealth.comHive Health is a digital platform providing accessible and affordable Health Maintenance Organization (HMO) plans tailored specifically for small to medium enterprises (SMEs) in the Philippines. Focused on enhancing employee wellness, the platform offers a comprehensive range of benefits including teleconsultations, mental health services, and various healthcare coverages through an extensive network of accredited hospitals and clinics. With an emphasis on user-friendly technology, Hive Health simplifies health insurance management for both employees and HR teams, promoting a healthier and more productive workplace.