Clinical Operations Assistant Manager (Manager)

We're Hiring: Clinical Operations Assistant Manager (Manager)

Program: Healthcare – Hybrid Voice and Back-Office Operations
Work Location: Vertis North, Quezon City, Philippines
Work Setup: 100% Onsite
Shift Schedule: US Day Shift
Salary: Negotiable, based on experience, qualifications, and current/previous compensation
Target Start Date: On or before December 15, 2026
Headcount: 1

Job Overview

We are looking for an experienced Clinical Operations Assistant Manager to lead a high-performing clinical operations team supporting a major US managed care program.

The successful candidate will drive service excellence, clinical quality, operational efficiency, regulatory compliance, and team development in a fast-paced, metrics-driven healthcare environment.

Key Responsibilities

• Manage daily service-level agreements (SLAs) and key performance indicators (KPIs), including turnaround time, quality, productivity, and documentation accuracy.

• Conduct team huddles, interval monitoring, root cause analysis (RCA), and performance recovery planning.

• Ensure strict compliance with HIPAA, Protected Health Information (PHI) requirements, and applicable clinical protocols.

• Lead clinical quality assurance through audits, calibrations, coaching, and documentation reviews.

• Develop, mentor, and manage registered nurses (RNs), clinical associates, and team leaders.

• Oversee competency programs, preceptorship, continuing education (CE) tracking, and professional license validity.

• Collaborate with Workforce Management (WFM), Talent Acquisition (TA), Quality Assurance (QA), and client stakeholders to achieve operational goals.

• Translate clinical protocol updates into practical workflows, operating procedures, and training materials.

• Monitor operational trends, identify performance gaps, and implement continuous improvement initiatives.

Qualifications

• Bachelor of Science in Nursing (BSN) graduate.

• Active Philippine Registered Nurse (PHRN) license.

• Active, unrestricted US Registered Nurse (USRN) license with NCLEX successfully passed.

• At least 5 years of clinical and healthcare operations experience.

• At least 3 years of team leadership experience in healthcare BPO or shared services.

• Strong knowledge of US managed care, Utilization Management (UM), Case Management (CM), CMS requirements, and HIPAA compliance.

• Proven experience managing SLAs, KPIs, clinical quality, productivity, and operational performance.

• Background in Utilization Review (UR) and Utilization Management (UM), with current experience managing UR operations.

• Experience in UM, CM, Health Risk Assessment (HRA), triage, or healthcare payer operations is preferred.

• Familiarity with URAC/NCQA standards is an advantage.

• Clinical training or education experience is preferred.

• Willing to work onsite at Vertis North, Quezon City, on a US day shift.

Important License Requirement

Both Philippine RN and USRN licenses must be active. Candidates whose licenses are nearing expiration must be willing to renew them and maintain the required license status.

Required Interview Assessment

Candidates must complete an on-the-spot clinical review writing assessment during the interview.

Important: Candidates must bring their own laptop or desktop computer to complete the assessment. Please communicate this requirement before scheduling the interview.

Recruitment Process

1. Profile Validation

2. Profile Review

3. Talent Acquisition (TA) Interview

4. Hiring Manager (HM) Interview

5. Client Interview

Important Hiring Restrictions

Candidates with previous employment at any of the following companies are not eligible for this opportunity, whether employed directly or through a third party:

• Teleperformance (TP)

• PSG Global

• Majorel

• Aegis

These restrictions are based on the client's hiring policy.

Compensation

Salary is open for discussion and will depend on the candidate's qualifications, relevant experience, current or previous compensation, and alignment with the client's budget. Reasonable salary expectations are encouraged.

How to Apply

Interested and qualified candidates are invited to complete the prescreening questionnaire below.

Candidate Prescreening Questionnaire: https://myglit.com/lateral/cref/9bf3abf604

Please provide accurate information regarding your clinical operations experience, leadership background, licenses, and compensation expectations. Shortlisted candidates will be contacted regarding the next steps.