Medical Specialist – Corporate Utilization Management (Rolling Intake)

About Maxicare 

Maxicare Healthcare Corporation, one of the pioneers in the health maintenance organization (HMO) industry, was established in 1987 by an esteemed group of doctors and businessmen with the vision to deliver a better healthcare system. More than three decades later, Maxicare has progressed into becoming the consistent No. 1 HMO* in the country, continuously providing comprehensive healthcare programs via its wide network of medical providers and strengthened customer support.

Your role

• Analyses the periodic utilization data of prioritized corporate accounts, such as large, jumbo and super-jumbo corporate accounts, and determines the drivers of utilization costs, top availers, type of availments, top diseases and top providers.
• Formulates strategies and recommendations to control and decrease healthcare utilization costs of the corporate accounts.
• Consolidates both off-site and on-site utilization review reports from the annual check-Up (ACU), Health & Wellness Unit and Corporate Clinics Unit.

Compensation & benefits

• Competitive Salary
• Comprehensive Healthcare Coverage Benefit with access to the top tertiary hospitals in the country
• Up to 15th Month Bonus
• Optical and Medical Reimbursement
• Retirement/Pension Plan
• Vacation and Sick Leave (Convertible to Cash)
• Clothing Allowance (for officer level)
• Quarterly Rice Subsidy
• Travel Incentive*
• Loyalty Incentive

Work-life balance

Graduates looking for an entry-point to the healthcare industry will develop valuable skills in Maxicare, as the company puts a premium on training and experience. Though insiders complain about long hours and challenging workloads, this is often offset by the company's wide array of fringe benefits and supportive management.

Company culture

Maxicare provides superior and quality healthcare maintenance services. They ensure customer satisfaction and comply with customer and applicable legal requirements. And they continually improve the effectiveness of their Quality Management System. Driven by its vision to serve and provide value to its customers, Maxicare shall remain passionate and dedicated to its mission of helping people achieve peace of mind and live their best lives.

About you

• Must be a graduate of Medicine
• Preferably a General Practitioner
• Must be willing to work full time
• Must be knowledgeable in Microsoft Powerpoint, Excel, and Word
• Must be willing to work on extended hours

How to apply

To apply for this position, simply click the “Apply” button on this page.

Source/s

• maxicare.com.ph