The Quality Assurance Clinical Analyst Level l plays a critical role in ensuring the accuracy, compliance, and efficiency of clinical review processes in a healthcare setting. This position is responsible for auditing case reviews and calls, verifying adherence to regulatory standards, and providing actionable feedback to enhance quality and operational effectiveness.

General Profile

• Education: Bachelor’s degree in Nursing, Physical Therapist, Healthcare Administration, or related field (or equivalent clinical certification preferred)
• Licensure: Holds an active and unrestricted Philippine nursing or clinical license (or equivalent clinical certification preferred)
• Experience: Minimum of 2 years in clinical review or quality assurance within a healthcare or BPO setting. Demonstrates mastery of the processes and continue to serve as a subject matter expert.
• Regulatory Knowledge: Familiarity with HIPPA, URAC, and other healthca...