DUTIES AND RESPONSIBILITIES
Does ocular inspection of clinics and/or primary hospitals (for the provinces only) applying for Accreditation with PhilCare and recommends which among prospective clinics/hospitals meet the requirements of PhilCare and which will be beneficial for PhilCare members in terms of strategic geographic locations within NCR and CALABARZON and Bataan, Tarlac and Pampanga. Submits a report of the ocular inspection to the Manager-Provider Accreditation and Relations Dept. within 48 hours from date of inspection.Generates quarterly utilization reports from the system co
ncerning accredited providers (hospitals/clinics) to be submitted and utilized by the Provider Accreditation and Relations Dept. for renewal of rates e
valuation of hospitals/clinics.May attend interdepartmental meetings within PhilCare if the Manager-Provider Accreditation and Relations Dept. is out on field (during orientation of providers or requested meetings by providers) or in the absence of the Manager-Provider Accreditation and Relations Dept.. Assists the Head/OIC/Senior Manager of PARD in doing provider relation visits to accredited hospitals, clinics or doctors as needed. Respo
nsible for visiting designated Quality of Care Program (QCP) medical coordinators and discussing whether the metrics have been met on a quarterly basis Performs other tasks as may be assigned from time to time
QUALIFICATIONS
Minimum Education: Licensed Doctor of Medicine
Experience Required: At least one year of related work experience in an HMO industry
Competencies
Customer ServiceKnowledge of MS Office applicatio
nsOral & written communication skillsGood people, time management and analytic skills
Working Environment: Office-based; Travels to the provinces as needed
Maestro Holdings Inc. is a part of the expanding Tanco Group of companies. Previously known as STI Investments, Inc., Maestro operates as the umbrella company that encompasses PhilCare, PhilLife, PhilPlans, and its sister company, PhilsFirst, to bring with them glorious history of providing unsurpassed financial services to Filipinos. Under the tested hands of the Maestro, the individual forte of these companies now work in synchrony. The four companies combined are set to create bold and trailblazing line of products designed to help Filipinos live their lives with ease.PhilhealthCare, Inc. (PhilCare) is a pioneer among health maintenance organizations (HMO) in the Philippines. PhilCare continues to lead the industry by advancing the concept of holistic health and wellness among Filipinos through PhilCare360 and technology-enabled customer experience. With PhilCare’s excellent care and wellness offerings, we are the preferred health partner of more than 300,000 members and more than 1,300 corporate clients.PhilPlans First, Inc. (PhilPlans) is one of the leading financial solutions companies in the Philippines providing innovative pension, education, and memorial programs that build financial preparedness for the future. Registered with the Securities and Exchange Commission (SEC) on April 19, 1989, PhilPlans was launched on October 12, 1989. With this new leadership, PhilPlans has renewed its commitment to help hard-working Filipinos prepare for their future financial needs. It continues to be a formidable player in the industry with its comprehensive product suite, management expertise and sound financial practices.PhilLife Financial’s expansion continues to grow far and wide as it now belongs to the respected Tanco Group of companies, whose companies continue to shape the lives of millions of Filipinos. Its new vision takes full stock of the brand of confidence its clients bestowed upon the company: to be the premier and trusted partner of Filipinos for their financial needs.