Job Description
We are seeking a highly skilled Physician – Internal Medicine Diplomate to join our dynamic healthcare team. This role involves providing expert clinical oversight, driving operational excellence, and supporting innovative care delivery that enhances the health outcomes of our members.
Role Overview:
This position is responsible for leading and managing multiple Medical & Clinical Operations functions, ensuring seamless execution of healthcare services with a strong focus on quality, efficiency, and patient-centered care. You will oversee professional teams, influence operational strategies, and resolve clinical and organizational challenges that impact overall performance.
Key Responsibilities:
Oversee clinical operations and manage cross-functional medical teams to achieve targeted outcomes.
Develop and implement operational strategies and process improvements aligned with organizational goals.
Conduct comprehensive member assessments, including biopsychosocial, functional, and behavioral health evaluations.
Engage members through telephonic consultations to review health history, current care plans, and clinical documentation.
Utilize strong clinical judgment and active listening to gather and interpret member information accurately.
Ensure compliance with clinical protocols, data standards, and regulatory guidelines.
Support innovation in service delivery to improve the overall healthcare experience of members.
Qualifications:
Must be a Diplomate in Internal Medicine with an active medical license.
Willing to work onsite in Makati City or Muntinlupa City (hybrid setup).
Comfortable working night shifts as required by operations.
Strong leadership skills with the ability to manage clinical teams and drive operational performance.
Excellent communication abilities and proficiency in clinical assessment techniques.
What We Offer:
Market-competitive compensation package
Retirement Plan
HMO coverage from Day 1
Dental, Medical & Optical reimbursements
Life & Disability Insurance
Paid Time-Off Benefits with Sick Leave Conversion
Tuition Fee Reimbursement
Employee Assistance Program (EAP)
Annual performance-based merit increases
Recognition and incentive programs
Training & career development opportunities
Referral bonus programs
Volunteerism and engagement activities
Full statutory benefits
About Optum:
Optum is the technology-driven healthcare services arm of UnitedHealth Group, a Fortune 4 global enterprise. With a mission to help people live healthier lives and make the health system work better for everyone, Optum delivers integrated care solutions to more than 125 million individuals worldwide. Our Philippines operations include over 25,000 talented professionals dedicated to transforming healthcare and improving lives every day.