Location
taguig
Job Type
Full-time
Posted
June 03, 2026
Job Description
About the job PHRN - Prior Authorization
Quality Auditor hiring Clinical Authorization Process.
Onsite, Night Shift, Mon-Friday
Qualifications
- Must hold an active PHRN license (not a USRN license holder)
- Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization Review is preferred
- Strong familiarity with EPIC , MCG , or InterQual guidelines required
- Demonstrated job stability , with a consistent employment history and minimal transitions
Job Description
I. Audit
- Completing QA audits for their processes by ...