Location
quezon city, metro manila, Philippines
Posted
June 05, 2026
Job Description
Description
The Training Quality Manager is responsible for overseeing the quality of training programs and ensuring compliance with healthcare standards.
- Manage utilization management and medical necessity approval and denials.
- Handle a team of leaders, TLs, and Supervisors.
- Conduct training and quality management activities.
- Analyze complex medical information and identify relevant clinical issues.
- Prepare appeal arguments and communicate with stakeholders.
- Ensure familiarity with Medicare rules & regulations and guidelines.
- Work on-site with flexible schedules, including US hours and holidays.
Requirements
- Bachelor's Degree in Nursing with an active and valid license (PHRN/USRN).
- At least 2 years of experience in Utilization Management.
- Minimum 2 years in a managerial position.
- Experience in training and quality management.