Medical Utilization Reviewer

Job Expectations:

• Position Type: Associate - Individual Contributor
• Employment Type: Full-Time, Permanent (Direct Hire)
• Work Setup & Location: Fully Onsite - McKinley West Park, Taguig
• Work Schedule: Weekdays; Night Shift (US)
• Industry: Healthcare and Legal Outsourcing

About the Job:

We are looking for a Utilization Review Doctor to join our client's healthcare operations team and support the review of medical services and patient care documentation. In this role, you will evaluate medical records to determine whether treatments and services provided are appropriate, medically necessary, and aligned with established clinical guidelines. You will be responsible for reviewing, analyzing, and documenting case information while ensuring compliance with client-specific requirements and quality standards.

Key Responsibilities:

• Review medical records and...