USRN QA Specialist – Utilization Management
Job Description
Philippines | Hybrid/Temporary WFH | Shifting | ASAP
Turn Your Clinical & UM Expertise Into Quality Impact
We’re looking for an USRN QA Specialist with hands-on clinical, Utilization Review/Management, and quality experience to help strengthen accuracy, compliance, and performance across healthcare operations.
Eligibility
* Active USRN license
* 1+ year of bedside experience
* 1–2 years of BPO/CPO Utilization Review or Utilization Management
* 1+ year of QA experience
* Strong attention to detail, analytical, and communication skills
* Willing to work shifting schedules
What You’ll Do
* Review healthcare processes and transactions for quality and accuracy
* Apply clinical and UM/UR knowledge to quality evaluations
* Identify gaps, errors, and compliance risks
* Provide actionable feedback to improve performance
* Support quality and process improvement initiatives
Why This Role?
* ₱60,000 fixed package
* Hybrid/Temporary WFH setup
* Site options across BGC Taguig, Cebu, Davao, and Clark, Pampanga
* Combine your USRN, clinical, UM/UR, and QA expertise
* Immediate opening
Ready to Make an Impact?
Submit your latest updated resume for consideration.
Ensure your CV clearly reflects your active USRN license, bedside experience, UM/UR background, and QA experience.
Key Skills
4 SkillsRole Specifications
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