PHIL- UM USRN- Associate III BPM

Overview USRN - Utilization Management Taguig, National Capital Region, Philippines BE THE FIRST TO APPLY JOB DESCRIPTION HealthEdge ® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. By combining an integrated technology platform across claims administration, payment integrity, care management, and more with our Enduring Edge BPaaS delivery model, we harness AI to drive measurable financial outcomes that compound over time, enabling payers to reduce costs and execute better across every critical operation. HealthEdge is experiencing significant momentum, with a growing customer base of health plans choosing our platform to modernize their operations and compete more effectively. As we expand our market presence, we're investing in the people who power that growth. This is a pivotal moment to join HealthEdge and build a career where your work directly shapes the future of healthcare technology. Learn more at HealthEdge .com. USRN Utilization Management will: Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services …