Summary role description:
Hiring for the role Clinical Operations Manager for a leading enterprise services and digital operations.
Company description:
Our client is a globally distributed services provider supporting enterprises with operational and technology-enabled solutions. It works across multiple industries, offering scalable delivery models that combine people, process, and digital capabilities. The focus is on helping clients run complex operations more efficiently while adapting to evolving business and technological needs.
Role details:
· Title / Designation: Clinical Operations Manager
· Location: Metro Manila, Philippines
· Work mode: Onsite
· Shift : General Shift / US day shift
Role & responsibilities:
· Own daily SLA/KPI performance: turnaround time, quality, productivity, documentation.
· Run disciplined operations: huddles, interval monitoring, RCA, recovery plans.
· Enforce HIPAA/PHI compliance with zero tolerance for deviations.
· Lead clinical QA: audits, calibrations, coaching, documentation integrity.
· Develop and mentor RNs, clinical associates, and team leads.
· Manage competency programs, preceptorship, CE tracking, license currency.
· Partner with WFM, TA, QA, and client stakeholders on delivery and governance.
· Translate protocol updates into floor‑ready workflows and training.
Candidate requirements:
· BSN degree with an active Philippine RN licence.
· Active, unrestricted USRN licence.
· 5+ years of clinical and healthcare operations experience.
· 3+ years of team leadership in healthcare BPO/shared services.
· Strong knowledge of US managed care, UM/CM, CMS, and HIPAA.
· Proven SLA/KPI management in a metrics-driven environment.
· Willing to work US shifts onsite or in a hybrid setup.
Preferred
· Experience in UM, CM, HRA, triage, or payer operations.
· Familiarity with URAC/NCQA environments.
Selection Process:
- On spot Clinical review
- Two Technical Interview
- HR Discussion
Recruiter Details:
· Sowmiya Ramachandran – [email protected]