Medical Utilization Reviewer – Office Based

About the role

The Utilization Reviewer – Doctor works on‑site in Taguig to evaluate medical services and ensure that care delivered is appropriate, medically necessary, and of high quality. You will review patient records, abstract data, and apply client‑specific guidelines to support accurate utilization decisions.

Key responsibilities

• Examine medical records and documentation to verify compliance with clinical guidelines.
• Abstract relevant information and perform analysis according to client‑specific templates.
• Document findings clearly and concisely for internal and external stakeholders.
• Input approved guidelines and reference materials into the review system.
• Collaborate with the review team to maintain consistency and quality across assessments.

Required profile

• Graduate or undergraduate degree in Medicine (licensed or non‑licensed).
• Excellent oral and written communication skills.
• Willingness to work on‑site at the McKinley location in Taguig.

Required skills

• Strong attention to detail when reviewing clinical documentation.
• Ability to interpret and apply medical utilization guidelines.

What we offer

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