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Utilization Reviewer – Doctor (Office-Based)

eData Services US, L.L.C. · Taguig

🇬🇧 English

Job description

About the role

The Utilization Reviewer – Doctor works on‑site in Taguig to evaluate medical services and ensure that patient care meets clinical, necessity, and quality standards. You will review documentation, compare care delivered against approved guidelines, and abstract key information from medical records.

Key responsibilities

  • Assess medical service delivery for appropriateness, medical necessity, and quality.
  • Examine patient documents to verify care aligns with individual needs.
  • Enter and maintain approved guidelines and reference data.
  • Abstract, analyze, and document medical records using client‑specific templates.

Required profile

  • Graduate or undergraduate degree in Medicine (licensed or non‑licensed).
  • Strong oral and written communication abilities.
  • Willingness to work onsite at the McKinley office in Taguig.

Required skills

    What we offer

    • Full‑time employment with health and life insurance.
    • Paid training and opportunity for promotion to permanent employee.
    • Transportation service provided.

    Questions fréquentes

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    Published 2 months ago

    36 views · 0 interested

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    eData Services US, L.L.C.

    Taguig