Job Title: Registered Nurse (RN) - Care CoordinatorSkills: 6 Months to 2 Years of direct clinical experience required (acute care, ambulatory, home health, or care management).Experience: Clinically competent with a clear understanding of hospital care coordination processes.Location: Muntinlupa, Philippines
We at Coforge are hiring Registered Nurse (RN) - Remote Care Management & Coordination with the following skillset:
Strong clinical assessment skills with understanding of chronic disease management, preventive care, and health coaching.Ability to interpret clinical data, medical instructions, and test results.Effective verbal and written communication tailored to diverse patient populations.
Responsibilities:Provide telephonic and virtual patient assessments, care coordination, and ongoing monitoring for assigned patient populations.Deliver patient and family education related to conditions, treatment plans, medications, and self-management strategies.Monitor patient progress, escalate clinical concerns appropriately, and support early identification of deterioration or barriers to care.Coordinate services across providers, payers, and community resources to ensure continuity of care and adherence to care plans.Document all interactions accurately and promptly in electronic health records (EHR) and care management platforms.Collaborate with clinical and operational team members to optimize workflows and patient engagement.
Job Title: Lead Internal Auditor (IPCR Lead Auditor)Skills: Certified ISO Lead AuditorExperience: 7+ years of experience in internal auditing for ISO managementsystemsLocation: Alabang, Muntinlupa City
We at Coforge are hiring a Lead Internal Auditor with the following skillset:Evaluate conformance to all applicable ISO clauses, including governance, leadership, planning, operations, performance evaluation, and improvement.Validate scope adequacy for BCMS, ISMS, Cloud, QMS, OHSMS, and AIMS audits.Review and approve audit findings and reports.Lead follow-up audits and confirm effectiveness of remediation actions.Provide audit status reporting and manage escalations.Mentor Senior Auditors and Auditors.
Job Title: Data Engineer
Group Procurement TechnologyAs part of company’s rapidly evolving and expanding businesses, Group Procurement operates in an increasingly complex environment, characterised by rising transaction volumes, supplier complexity, and growing regulatory expectations. We are seeking a skilled data Engineer to join our technology team and play a key role in designing, building, and maintaining scalable data platforms and pipelines that support procurement operations, analytics, and AI‑enabled use cases.
Key ResponsibilitiesDesign, build, and maintain robust, scalable data pipelines to ingest, transform, and serve procurement and market data from multiple internal and external sources. Develop and manage data integration solutions across transactional systems, third‑party platforms, and cloud‑based services. Ensure high data quality, reliability, and performance through effective data modelling, validation, monitoring, and optimisation. Collaborate closely with product managers, analysts, engineers, and business stakeholders to understand data requirements and translate them into technical solutions. Implement and maintain data storage solutions (e.g. data lakes, warehouses) that support analytics, reporting, and AI/ML use cases. Contribute to the definition and enforcement of data engineering standards, patterns, and best practices. Support data governance, security, and compliance requirements, including access controls, lineage, and auditability. Troubleshoot and resolve data pipeline issues and performance bottlenecks. Stay current with emerging data engineering technologies and contribute ideas to improve platforms and introduce innovation.
Key Skills & ExperienceProven experience in data engineering, building and operating production grade data pipelines.Experience working with distributed framework and data processing technologies such as Hadoop, S3, SparkStrong programming experience in Python.Ability to work collaboratively in cross functional teams to design and architect data solutionsExperience working on cloud environment - AWS or equivalentExperience querying with Big Data tools like Hive, Iceberg and StarburstExperience in design and implementing ETL data pipelines using Spark and AirflowExtensive experience working with SQL across a variety of sources along with ability to write complex SQL queries.Experience in working in an agile environment.
QualificationsBachelor’s degree in Computer Science, Engineering, Data Science, or a related field, or equivalent practical experience. 2–4 years’ professional experience in a data engineering or closely related role.
Join Group Procurement Technology team and help drive the evolution of our digital platforms, delivering innovative solutions in a dynamic and supportive environment.
Job Title: Onboarding Specialist (Patient Intake Coordinator / Healthcare Customer Support Specialist)Skills: 1–3 years in medical call center, patient access, or prior authorization roles.Healthcare BPO experience highly preferred.Experience: Skills in conducting patient outreach and welcome calls, completing demographic and insurance verification, and performing program eligibility screening.Location: Muntinlupa, Philippines
We at Coforge are hiring Healthcare Customer Support Specialist with the following skillset:Excellent verbal communication and active listening skills.Ability to engage patients empathetically and clearly.Strong understanding of insurance plans, and medical terminology.Ability to multitask, prioritize, and maintain accuracy in a fast-paced environment.Empathy, patience, and customer-first mindset.
Responsibilities:Conduct timely outbound calls to new patients to welcome them to the program or service line. - Provide clear information about the onboarding process, next steps, required documentation, and appointment details.Confirm and update patient demographic details such as name, address, contact information, date of birth, etc.Ensure all data is accurately entered into the EHR/EMR or CRM platform.Verify insurance eligibility, benefits, and coverage for scheduled services.Identify insurance discrepancies and coordinate with patients to obtain correct information. - Conduct screening assessments based on program-specific guidelines (clinical, financial, or geographic).Confirm that patients meet necessary qualification criteria prior to enrollment.Escalate complex eligibility issues to supervisors or program coordinators.Maintain strict adherence to compliance, HIPAA, and payer requirements.
Job Title: Lead Internal AuditorSkills: Certified ISO Lead AuditorExperience: 7+ years of experience in internal auditing for ISO managementsystemsLocation: Alabang, Muntinlupa City
We at Coforge are hiring a Lead Internal Auditor with the following skillset:Evaluate conformance to all applicable ISO clauses, including governance, leadership, planning, operations, performance evaluation, and improvement.Validate scope adequacy for BCMS, ISMS, Cloud, QMS, OHSMS, and AIMS audits.Review and approve audit findings and reports.Lead follow-up audits and confirm effectiveness of remediation actions.Provide audit status reporting and manage escalations.Mentor Senior Auditors and Auditors.
Job Title: RCM - Blended (Healthcare Revenue Cycle Specialist) Skills: 2–4 years in RCM (physician groups, hospital billing, or healthcare BPO) processing claims & verify insurance coverage.Experience: Exposure to CPT, EMR, A/R Follow-up, resolve denials.Location: Muntinlupa, Philippines
We at Coforge are hiring Healthcare Revenue Cycle Specialist with the following skillset: Knowledge of CPT, ICD-10, and POS unites.Ability to review and validate charges, units, documentation, and batch charges.Skills in denial management, corrected claims, appeals, and reconsiderations.Experience updating EMR/PM/HIS systemsMaintaining clean documentation for QA/auditsAbility to maintain detailed notes and logs for audits Responsibilities:Charge Capture for Physician & HospitalReview documentation, charge tickets, and hospital batch charges for accuracy (CPT, POS, units). - Coordinate with providers, coders, and clinical staff to resolve documentation issues.A/R Follow-UpConduct payer follow-ups via portals, calls, and clearinghouse tools.Resolve denials, submit corrected claims, appeals, and reconsiderations.Eligibility & Benefits Verification - Verify insurance coverage for diverse service types.Confirm co-pays, deductibles, coinsurance, OOP limits, and exclusions.Identify pre-auth, referral, and pre-cert requirements.Ensure accurate data entry in EMR/PM/HIS systems.Cross-Functional CoordinationCollaborate with physicians, practice managers, coders,HIM, patient access, utilization review, and case management.Compliance & DocumentationFollow HIPAA, CMS, and payer guidelines.Maintain accurate notes, logs, and claim documentation.Participate in audits, QA reviews, and ongoing RCM training (CPT/Medicare updates)
Job Title: IT Knowledge ManagerLocation: Manila, PhilippinesRole Type: Full‑time
Job DescriptionThe IT Knowledge Manager is responsible for developing, maintaining, and governing the organization's knowledge management framework to ensure accurate, accessible, and up‑to‑date technical and operational documentation. The role involves managing the knowledge repository, standardizing documentation processes, enabling continuous knowledge sharing, and collaborating with cross‑functional teams to support service delivery, transition, and operational excellence.
Key Responsibilities1. Knowledge Creation & MaintenanceCreate new knowledge articles and update existing content to ensure accuracy and relevance.Manage ongoing curation and enhancement of knowledge assets within ServiceNow.Track, review, and ensure timely closure of comments or updates on existing KB articles.Running monthly Campaigns2. Multimedia & Digital LearningDevelop multimedia content such as videos, quick‑guides, and visual learning assets.Deliver WalkMe tutorials in collaboration with the WalkMe developer to support user adoption and self‑help.3. Governance & ReportingDrive weekly and monthly KM governance meetings and publish structured reports and Dashboards.Support internal and external Knowledge Management assessments with required data, evidence, and process updates.4. Awareness, Training & EnablementConduct KM awareness sessions, monthly campaigns, and knowledge‑sharing activities.Coordinate SME availability, follow‑ups, and validation for knowledge content.Implement and manage gamification initiatives to increase user engagement and knowledge contribution.5. Continuous ImprovementIdentify gaps in documentation, training, or process adherence and drive corrective actions.Work closely with stakeholders to enhance knowledge quality, accessibility, and adoption across IT teams.
Required Skills & QualificationsStrong understanding of Knowledge Management processes (ITIL aligned).Experience with ServiceNow Knowledge Base or similar KM tools.Proficiency in documentation, instructional design, and multimedia content creation.Ability to collaborate with SMEs and cross‑functional technical teams.Excellent communication, organization, and governance reporting skills.Experience with digital adoption platforms (e.g., WalkMe) is an advantage.
Job Title: RCM - Voice (Healthcare Revenue Cycle Specialist)Skills: 2–4 years in RCM (physician groups, hospital billing, or healthcare BPO) processing claims & verify insurance coverage.Experience: Exposure to CPT, EMR, A/R Follow-up, resolve denials.Location: Muntinlupa, Philippines
We at Coforge are hiring Healthcare Revenue Cycle Specialist with the following skillset:Knowledge of CPT, ICD-10, and POS unites.Ability to review and validate charges, units, documentation, and batch charges.Skills in denial management, corrected claims, appeals, and reconsiderations.Experience updating EMR/PM/HIS systemsMaintaining clean documentation for QA/auditsAbility to maintain detailed notes and logs for audits Responsibilities:Charge Capture for Physician & HospitalReview documentation, charge tickets, and hospital batch charges for accuracy (CPT, POS, units). - Coordinate with providers, coders, and clinical staff to resolve documentation issues.A/R Follow-UpConduct payer follow-ups via portals, calls, and clearinghouse tools.Resolve denials, submit corrected claims, appeals, and reconsiderations.Eligibility & Benefits Verification - Verify insurance coverage for diverse service types.Confirm co-pays, deductibles, coinsurance, OOP limits, and exclusions.Identify pre-auth, referral, and pre-cert requirements.Ensure accurate data entry in EMR/PM/HIS systems.Cross-Functional CoordinationCollaborate with physicians, practice managers, coders,HIM, patient access, utilization review, and case management.Compliance & DocumentationFollow HIPAA, CMS, and payer guidelines.Maintain accurate notes, logs, and claim documentation.Participate in audits, QA reviews, and ongoing RCM training (CPT/Medicare updates)
Financial AnalystFinancial Management Team, Business EnablementCommercial FinanceFull-time
Job DescriptionThe role will bring you unparalleled exposure to the breadth of service offerings provided by the Firm. With the support of a high performing team you will be instrumental in:Supporting the Divisional and Business Services Managers in the timely compilation of the monthly financial results and assisting with budgets/forecasts production.Delivering and completing financial reporting activities and tasks which includes weekly flash, bonus / general accruals, prepayment, reimbursements, journal posting, balance sheet reconciliations and administration tasks.Assisting with reviewing monthly reports, actual, budgets, forecasts and help provide commentary on key variances, business drivers and any actions requiredExecution of simplification projects and implementation of best practice within the Finance functionContributing to Ad hoc/Special projects as and when required. This includes calculation of quarterly P&I Learning recharges, Ask Cody catering recharges, annual charge rate maintenance, and adhoc divisional analysis
QualificationsIn order to be considered for this opportunity you will have:Finance / Business Degree or professional accountancy qualification and/or intending to study or studying towards a professional accountancy qualification (CA, CPA, CIMA)Accounting experience working in cross functional teams and Commercial environment will be highly advantageous.Excellent organisational skills and high attention to detail.Ability to recommend solutions, challenge performance and influence improvements required to achieve best practice.Excellent computing skills including Excel, Word, PowerPoint, and knowledge of SAP will be highly advantageous.Strong verbal and written communication skills are essential.
Job Title: Licensed Practical Nurse (LPN) - Care CoordinatorSkills: 6 Months to 2 Years of direct clinical experience required (acute care, ambulatory, home health, or care management).Experience: Clinically competent with a clear understanding of hospital care coordination processes.Location: Muntinlupa, Philippines
We at Coforge are hiring Licensed Practical Nurse (LPN) - Care Coordinator with the following skillset:
Strong clinical assessment skills with understanding of chronic disease management, preventive care, and health coaching.Ability to interpret clinical data, medical instructions, and test results.Effective verbal and written communication tailored to diverse patient populations.
Responsibilities:Provide telephonic and virtual patient assessments, care coordination, and ongoing monitoring for assigned patient populations.Deliver patient and family education related to conditions, treatment plans, medications, and self-management strategies.Monitor patient progress, escalate clinical concerns appropriately, and support early identification of deterioration or barriers to care.Coordinate services across providers, payers, and community resources to ensure continuity of care and adherence to care plans.Document all interactions accurately and promptly in electronic health records (EHR) and care management platforms.Collaborate with clinical and operational team members to optimize workflows and patient engagement.
