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Optum Philippines
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  • Content Program Manager  

    - Makati

    About the RoleWe are seeking an experienced Content Program Manager to lead the day‑to‑day planning, coordination, and governance of enterprise‑level content operations. This role sits at the center of creative production, content workflows, and campaign execution—ensuring teams stay aligned, projects remain on track, and deliverables meet brand, compliance, and accessibility standards.The ideal candidate is a proactive problem‑solver with deep experience managing cross‑functional marketing programs, especially in structured or regulated environments.
    Key Responsibilities
    Program Leadership & CoordinationServe as the primary program manager coordinating content channel leads, specialists, creative resources, vendors, and campaign partners.Ensure teams deliver against established calendars, scopes, and business requirements.Project Intake, Planning & Workflow ManagementRun intake and prioritization processes; maintain program plans, timelines, trackers, RAID (risk, action, issue, dependency) logs, and workflow documentation.Facilitate daily stand‑ups, production checkpoints, milestone reviews, and approval cycles.Governance, Standards & ComplianceImplement and enforce standards for templates, checklists, accessibility checks, compliance guardrails, version control, and structured documentation.Maintain audit artifacts and support regulatory‑ready program operations.Executive Communications & ReportingProduce status reports and leadership‑level readouts covering milestones, risks, dependencies, KPIs, and performance trends.Prepare materials for quarterly business reviews (QBRs), steering committees, and leadership meetings.Resource, Vendor & Budget SupportCoordinate activities with creative teams, agencies, and vendors; support SOW creation, resourcing plans, and budget tracking.Escalate risks early and lead remediation planning to keep programs on track.Operational Excellence & AI‑Enabled Process ImprovementIdentify and drive opportunities for process improvement across content, creative, and campaign workflows.Promote the responsible use of AI‑enabled tools to streamline production, enhance QA, and strengthen governance.
    Qualifications6–8+ years of project or program management experience in marketing, content operations, or a closely related field; enterprise or regulated industry experience preferred.Working knowledge of content systems (DAM, CMS), compliance/brand processes, and cross‑functional creative production workflows.Familiarity with RACI models, SLAs, Agile ceremonies, stage‑gate methodologies, and dependency/risk management practices.Strong capability in KPI reporting, dashboard creation, and communicating with senior leadership.Experience using AI‑powered tools in content or marketing workflows, with strong attention to accuracy and governance.Bachelor’s degree required; PMP, Scrum Master, or Agile certifications are a plus.

  • Content Management Director  

    - Makati

    Own the vision and strategy for the company's content infrastructure, ensuring scalability, compliance, and efficiency.Lead creation, governance, and maintenance of a centralized content library and repository for all product and portfolio assets.Drive innovation in content development processes, including leveraging AI and automation to improve speed, quality, and personalization.Partner with cross-functional teams (Marketing, Product, Compliance, Technology) to align content strategy with business objectives.Establish content standards, taxonomy, and metadata frameworks to enable easy search and reuse.Oversee content lifecycle management, including audits, updates, and retirement of outdated materials.Provide executive-level reporting on content performance, usage analytics, and optimization opportunities.

    Qualifications:10+ years of experience in content strategy, marketing operations, or digital asset management. Proven leadership in building and managing enterprise-level content systems and governance models.Strong understanding of AI-driven content tools and emerging technologies.Excellent stakeholder management and communication skills; ability to influence at senior levels.Experience with compliance and regulatory requirements in healthcare or highly regulated industries.Bachelor’s degree required; MBA or advanced degree preferred.

  • The RCM Associate Director is responsible operational management of the back end processes of the RCM business whether it be collections, billing and payment posting.This role is responsible for facilitating daily operations functions, including coordination with other departments internal and external affecting back end processes. The position is responsible for driving client SLAs and outcome resolution. The RCM Associate Director carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of organization and carries out the Vision and Mission of the organization
    Responsibilities
    Oversees Billing or Collection functions, ensuring standardization and compliance with established policies and procedures.Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff.Manage all KPIs and client in collaboration with other onshore and offshore leaders and managers and aspects of change management as it relates to operational processes, driving process metrics, staffing and employee relations.Provides operational direction to assigned site, function or COE.Drive efficiency and meet/exceed the initiative targets, create strategies to build and sustain operational excellence, identify and work on opportunities to bring in additional scope of work.Collaborate in driving and implementing strategies to effectively manage inventory and collect outstanding balances from payers. Manage teams for optimum reduction of AR Days, aging, denials write offs and improve cash collection rate.Identify issues and trends in AR and collaborate with onshore partners to provide insights to clients and hospital CFOs. Coordinate and escalate issues observed to senior leadership or internal partners like Payor Solutions, Denials Management, Facility Liaisons and other processes within RCM.Review adjustment requests and approve those which are valid for write-offClient Relationship ManagementCollaborate with Learning Performance Solutions responsible for process design and development, process monitoring, policy and procedure development and training requirements.Develop and execute strategies for Billing or Collections.Develop policies, procedure and guidelines for operations and review/approve policy and process changes.Responsible for creating an environment to identify and groom talent/future leaders within the team, work with cross-functional and direct reports to develop IDPs.Champions compliance with security standards and regulations.Leads quality improvement processes. Evaluate existing process and recommends process improvements and automation opportunities.Initiates and implements strategies to embed quality practices in culture.
    Qualifications
    Work Experience:5+ years of experience in Hospital Revenue Cycle or must undergo process training and pass ramp certification12+ years of management/leadership experience. Thorough understanding of insurance policies and proceduresIntermediate to advanced computer skills, must understand Excel Excellent written and verbal communication
    EducationBachelor’s degree in business or related fieldTechnical KnowledgeExcellent analytical and quantitative skills; ability to develop appropriate methods for collecting analyzing and trending data.Excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects). High sense of responsibility and accountability; Takes ownership and initiative.Results-oriented with an eye toward the end-goal and business results as the objective of our projects.Ability to think and act; decisiveness, assertiveness, with ability to achieve results quickly.Excellent communication capability; persuasive, inclusive, and encouraging; the ability to listen and understand; Ability to elicit cooperation from a variety of resources.Adaptable and flexible, with the ability to handle ambiguity and sometimes changing priorities.Professional demeanor and positive attitude; customer service orientation.Ability to learn, understand, and apply new technologies, methods, and processes.Ability to recognize necessary changes in priority of tasks and allocation of resources, and bring them to the attention of the Leadership Team, as required. Ability to be a self-starter and work independently to move projects successfully forward.Ability to work with a variety of individuals in managerial and staff level positions. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of the organization and our client organization(s).

  • About the Company
    Optum Rx is dedicated to transforming the healthcare experience through innovative solutions and a commitment to improving patient outcomes. Our mission is to provide high-quality, accessible healthcare services while fostering a culture of collaboration and inclusivity.
    About the Role
    Lead the strategy and execution of the digital and social content strategy for Optum Rx across B2B, B2C, and B2Provider audiences.
    Responsibilities
    Lead planning and development of content for paid and owned social and digital campaigns in partnership with creative teams.Define channel-specific best practices, governance, and performance standards for digital and social content.Drive innovation in content creation, including leveraging AI and automation for efficiency and personalization.Collaborate with marketing, product, and analytics teams to ensure content aligns with brand positioning and campaign objectives.Oversee content calendar management, ensuring timely delivery and optimization across platforms.Monitor performance metrics and provide actionable insights to improve engagement and ROI.
    Qualifications
    8–10+ years of experience in digital marketing, social media strategy, or content leadership roles.Proven track record in managing enterprise-level digital and social campaigns across multiple audiences.Strong understanding of paid and organic social strategies, digital media trends, and emerging technologies.Experience with AI-driven content tools and marketing automation platforms.Excellent leadership, communication, and stakeholder management skills.Bachelor’s degree required; advanced degree preferred.

    Required Skills
    Digital marketing expertiseSocial media strategyContent leadershipAI-driven content toolsMarketing automation platforms
    Preferred Skills
    Advanced degreeExperience with enterprise-level campaigns

  • Digital and Social Channel Lead  

    - Makati

    Lead the strategy and execution of the digital and social content strategy for the company across B2B, B2C, and B2Provider audiences.Lead planning and development of content for paid and owned social and digital campaigns in partnership with creative teams.Define channel-specific best practices, governance, and performance standards for digital and social content.Drive innovation in content creation, including leveraging AI and automation for efficiency and personalization.Collaborate with marketing, product, and analytics teams to ensure content aligns with brand positioning and campaign objectives.Oversee content calendar management, ensuring timely delivery and optimization across platforms.Monitor performance metrics and provide actionable insights to improve engagement and ROI.
    Qualifications:8–10+ years of experience in digital marketing, social media strategy, or content leadership roles.Proven track record in managing enterprise-level digital and social campaigns across multiple audiences.Strong understanding of paid and organic social strategies, digital media trends, and emerging technologies.Experience with AI-driven content tools and marketing automation platforms.Excellent leadership, communication, and stakeholder management skills.Bachelor’s degree required; advanced degree preferred.

  • About the RoleWe are seeking a Senior / Manager, Compensation Consultant to join the Total Rewards / Compensation Center of Excellence (CoE). This role provides hands‑on compensation consulting and analytics support to HR Business Partners and business leaders, while also owning select projects, providing quality oversight, and acting as a lead consultant for assigned business groups.This role is designed for experienced compensation professionals who enjoy a strong individual‑contributor focus with player‑coach responsibilities, rather than traditional people‑management roles.
    Key ResponsibilitiesServe as a primary compensation consultant to HR Business Partners and business leaders on salary actions, promotions, job leveling, incentives, and market positioning.Conduct job evaluations and market pricing using approved survey sources and tools.Support and lead annual and cyclical compensation processes, including merit, promotions, off‑cycle adjustments, and pay equity reviews.Analyze internal equity and market competitiveness; prepare recommendations aligned with the company's compensation governance.Review and guide complex compensation recommendations to ensure consistency and policy alignment.Lead components of compensation programs and initiatives, including incentive plan updates, market reviews, and process improvements.Provide Tier II compensation support for complex cases escalated from HR shared services (Employee Center).Act as an escalation point for stakeholder questions and complex policy interpretations.Support and mentor junior consultants as needed (formal people management may be limited or situational).
    QualificationsTypically 7–12 years of progressive experience in compensation or total rewards, with strong compensation focus.Demonstrated experience with market pricing, job evaluation, and compensation cycle execution.Experience leading compensation projects or workstreams is strongly preferred.Strong analytical skills with the ability to translate data into clear, practical recommendations.Strong consulting and stakeholder management skills.Comfortable working in a shared services / CoE environment with tight timelines.

  • Med Clinical Operations Manager  

    - Makati

    Position SummaryThe Senior Operations Manager is responsible for leading a multi‑layered operational structure, overseeing a team of frontline leaders and their respective staff across a high‑volume, metrics‑driven environment. This role ensures operational excellence, consistent service delivery, regulatory compliance, employee engagement, and achievement of critical turnaround time (TAT) requirements. The Senior Operations Manager drives strategy, develops leaders, manages performance end‑to‑end, and ensures a proactive, high‑accountability culture across hybrid and in‑office work models.
    Key ResponsibilitiesLeadership & People ManagementProvide strategic leadership to a group of supervisors/managers, ensuring alignment with organizational goals and operational priorities.Lead a large span of control with accountability for building strong leadership capability, coaching leaders, and fostering a culture of engagement, ownership, and continuous improvement.Ensure clear communication of priorities, performance standards, and expectations throughout all levels of staff.Activate Return‑to‑Office (RTO) requirements for performance remediation, development needs, or non‑compliance with productivity expectations.Operational Excellence & Performance AccountabilityOversee operational delivery across multiple teams, ensuring consistency, accuracy, and compliance with organizational policies.Drive achievement of strict turnaround time (TAT) requirements — hourly, daily, and weekly — using proactive monitoring, resource planning, and rapid issue escalation/remediation.Develop and manage operational dashboards, reporting mechanisms, and performance scorecards for leadership visibility.Identify performance gaps and implement timely interventions, coaching plans, and corrective actions for both leaders and teams.Strategic Planning & Process ImprovementLead operational strategy, contributing to both near‑term and long‑term planning initiatives that drive efficiency and scalability.Evaluate processes end‑to‑end and sponsor improvement initiatives that streamline workflow, reduce errors, enhance throughput, and elevate service quality.Partner with cross‑functional leaders to align on goals, share best practices, and support enterprise‑wide operational integration.Hybrid Work & Workforce ManagementManage workforce planning across hybrid schedules, ensuring appropriate staffing, coverage, productivity, and balanced workloads.Maintain accountability for on‑site participation, hybrid expectations, and work‑from‑office needs based on performance or operational demands.Ensure leaders are equipped to manage virtual teams effectively through structured communication, monitoring, and engagement tactics.Regulatory Compliance & Quality AssuranceServe as senior point of oversight for regulatory audits, accreditation activities, and compliance monitoring.Ensure all teams consistently apply standard operating procedures, quality requirements, and regulatory standards.Partner with quality teams to implement corrective action plans and conduct ongoing quality improvement initiatives.Stakeholder Collaboration & Escalation LeadershipAct as senior escalation point for complex issues requiring immediate attention, root‑cause analysis, or cross‑functional intervention.Collaborate closely with Account Management, Clinical teams, and other operational units to support customer satisfaction and seamless service delivery.Communicate performance trends, risks, escalations, and resolution plans with clarity and urgency to senior leadership.Reporting & AnalyticsDeliver timely and accurate reports on performance metrics, TAT compliance, staffing needs, quality outcomes, and operational insights.Use data and analytics to drive decision‑making, forecast risks, and proactively adjust resources or processes.
    The position requires at least 2 years of managerial experience and 8 years of people leadership experience in any BPO operations.

  • Clinical Consultant (USRN)  

    - Makati

    The Clinical Consultant provides clinical and operational support as a U.S. Healthcare Subject Matter Expert, providing various clinical support services and operational guidance for business processes, to include Case Management, Utilization Management, Clinical Coverage Preservice, Claims and Appeals review, Clinical Support and Notification, Inpatient Care Management, and Pharmaceuticals. This position will serve as Clinical Consultant to all Clinical Operations businesses, anticipating clinical needs and developing solutions that enhance clinical knowledge and clinical decision-making skills among frontline nurses. Solves complex problems while developing innovative solutions that meet business needs and supports implementation of those solutions among clinicians throughout the business operation. Assesses business education needs and develops clinical training programs to support a wide variety of clinical projects and educates employees on clinical foundation topics via in person and online training platforms. Utilizes appropriate clinical resources and guidelines, which include, but are not limited to U.S. (United States) state and federal mandates, national and local coverage determination, applicable internal UnitedHealthcare medical policies, formularies and updates, as well as, coverage determination guidelines, such as Milliman and InterQual. Responsibilities and AccountabilitiesOperational Management Functions:Collaborates with Solutioning and Transitions on new business needs: demo, staff profile, training content, timelinesAssesses learning needs of individuals and teams within clinical business processesDevelops learning goals, objectives, curriculum, and measurements that promote desired performance outcomesCreates and delivers complex clinical foundation content using adult learning principles and strategies with business considerationLeverages learning technologies and tools for presentation, collaboration, and engagementFacilitates and manages learning in web-based and/or face-to-face environmentsReviews evaluative data to make improvements and/or establish new initiatives and business improvement solutions.Maintains updates to curriculum and assessments based on changes and relevant feedbackEstablishes positive working relationships with all levels of staff and managementProvides coaching, guidance, and feedback to learnersMonitors new LOB until reaches steady state and conducts LOB Transition Support Provides Clinical Refresher and Upskilling Training for all LOBs as needed Conducts clinical acumen assessments during hiring and Attrition Review Support as needed (for non-RN led teams)Anticipates customer needs and proactively develops solutions to meet them.Serves as a key resource on complex and/or critical issues.Performs complex conceptual analyses to solves complex problems while developing innovative solutionsReviews work performed by others and provides recommendations for improvementAssesses and interprets clinical education needs and requirements for all businessesWorks with minimal guidance; seeks guidance on only the most complex tasksCoordinates with others to develop program or process implementation plansWorks in a virtual team environmentPerformance Management Functions:Communicates and collaborates with operations managers and business partners to improve production quality and efficiency, develop best practices, and identify clinical process issuesProvides explanations and information to others on difficult issuesIdentifies skill, knowledge, and certification requirements for program/process implementation, based on requirementsInitiates a quality driven approach to identify root cause and process improvement opportunities Communicates and collaborates with key stakeholders, regarding findings and recommendations Develops an understanding of clinical and clinical support business needs (e.g., through process walk-throughs, audit findings, survey results, case reviews or additional research, etc.) Performs, assists with, or oversees clinical quality auditsStaff Development Functions:Coaches, provides feedback, and guides othersProvides subject matter expertise to train others on clinical foundation topicsSupports implementation of business strategies Develops talent in all levels to establish strong talent pipeline through education, training, and coachingCollaboratively works with Business Operations Manager to coordinate for training new hires, ensuring clinical foundation training timelines are met within agreed expectations Reporting:Develops program/process tools and resources, based on communication and education requirementsIdentifies technology needs to support programs/processes (e.g., systems for use of the program)Obtains input and feedback from stakeholders during communication developmentCommunicates educational progress and status of training programs with stakeholdersEducational and Licensure Requirements· Active unrestricted US Registered Nurse license in at least one US state or jurisdiction· Bachelor of Science in Nursing· Active Philippine Registered Nurse licenseWork Experience Requirements· Minimum of 3 years’ clinical nurse experience in U.S. healthcare system· Strong knowledge of medical terminologies and U.S. healthcare processes· Proficient in creating power point presentations and excel documents· Demonstrates effective verbal and written communication skills· 1-2 years’ clinical BPO process experience in Inpatient Clinical support, Case Management or Utilization Management (preferred)· 1-2 years’ experience training and/or educating Registered Nurses (preferred) · Knowledgeable in Microsoft Office Additional Preferred QualificationsMCG or IQ trained/certifiedCertification in Case Management or Managed CareSkills Attributes DesiredStrong clinical acumen and awareness of the US healthcare systemServant Leadership style that collaborates well and is team-focusedWorks independently, taking the initiative to act with strong self-management skillsDisplays calm under pressure with good control over emotional responses and self-control during times of adversity, conflict, and changeSuperior interpersonal/communication skills and able to communicate with large teamsStrong listening, verbal, and written communication skillsStrong training delivery techniques both for instructor led face to face or virtual trainingAble to prioritize multiple tasks and ensure all are monitored and tracked to completion Strong organizational skills and multitasking abilitiesTechnical aptitude and proficiency with good analytical and decision-making skillsStrong capability on digital content creation, curriculum design and use of MS Office 365 apps and toolsValue integrity and comply with company’s regulations and policies Able to provide clear directions and set specific expectations

  • Recruitment Manager for RCM  

    - Makati

    Role Summary
    The Recruitment Manager for RCM leads the strategic sourcing and recruitment alignment and execution to meet the hiring needs of the enterprise. The role is accountable for hiring outcomes at scale, quality of hires, candidate experience, recruiter performance, stakeholder partnership, and operational excellence in a highly dynamic and fast-paced recruiting environment. This role manages a team of recruiters and partners closely with local and global TA leadership to execute hiring strategies aligned with the RCM business unit.
    Key Responsibilities
    Recruitment Delivery & StrategyOwn and deliver hiring outcomes for the assigned business units, programs, and/or geographiesTranslate workforce plans and demand forecasts into executable hiring strategiesEnsure adherence to hiring standards, compliance, and governanceEnsure best-in-class experience at various stages of the candidate journey
    People LeadershipLead, coach, and performance‑manage RecruitersBuild team capability through structured coaching, calibration, and skills developmentDrive engagement, productivity, and retention within the recruitment team
    Stakeholder ManagementAct as a trusted hiring advisor to business/ RCM leaders and HR partnersManage expectations, provide market insights, and influence hiring decisionsEscalate risks and propose mitigation plans for hiring challenges
    Innovation & Operational ExcellenceTrack and manage recruitment KPIs (on-time delivery, time‑to‑fill, quality of hires, candidate experience, hiring manager experience, cost per hire)Drive innovation and continuous improvement initiatives using technology and AI across sourcing, screening, and hiring processesPartner with various Talent Acquisition support teams, People Teams, and other Enabling Functions to optimize delivery
    Financial & Resource ManagementManage recruiter capacity and workload distributionSupport cost‑effective hiring strategies aligned with budget and demandContribute to workforce planning, ramp plans, and hiring cadence optimization
    Qualifications & Experience10+ years of progressive recruitment or talent acquisition experience in global capability centers or hiring for Healthcare RCM profilesAt least 5 years of people‑management experienceStrong understanding of RCM roles and Industry trendsBachelor’s degree required; advanced degree preferredExperience in healthcare RCM is preferredProven experience managing large‑scale or multi‑program hiringStrong stakeholder management and data‑driven decision‑making skills
    Key CompetenciesTalent Acquisition LeadershipPeople Management & CoachingWorkforce Planning & AnalyticsStakeholder InfluenceOperational ExcellenceChange & Scale Management
    Location: Makati CityWork Arrangement: Flexible-HybridWorking Hours: Flexible work hours but primarily between 1pm to 10pm Philippine time.

  • RCM Manager  

    - Cebu

    This function is responsible for Managing collection team(s) for optimum reduction AR Days, aging and working with payers to improve or maintain cash goals set. Positions in this function interact with customers (internal and external) gathering support data to ensure accurate billing and collection processes are followed. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection. Educate customers regarding issues or concerns in achieving the goals set. Monitor outstanding balances and take appropriate actions to ensure responsible parties (payers, IPA or other) pay as billed. Manage the preparation reporting to upper leadership and complete reconciliation of billing or collection with leadership, teams and or client. Manages and is accountable for professional employees and/or supervisorsImpact of workload and assignment to ensure accounts are worked accurately and to resolution Primary Responsibilities:• Sets team direction, resolves problems and provides guidance to members of own team• May oversee work activities of direct report or their teams• Adapts departmental plans and priorities to address business and operational challenges• Influences or provides input to forecasting and planning activities You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
    Required Qualifications:5+ years of experience in Revenue Cycle2+ years of management/leadership experienceUnderstanding the fundamentals of balancing from an EOB perspectiveSolid proficiency with Excel (formulas and Pivot Tables)Understanding and follow through of time management and assignments to others Bachelor’s DegreeBasic understanding of payer behaviors, using to trend and identify opportunities and inefficienciesExperience with practice management systems (i.e. MS4, Invision, EPIC, STAR, eFR)

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