Utilization Review Nurse Manager (USRN)

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Utilization Review Nurse Manager (USRN) to join our team in Manila, National Capital Region (PH-00), Philippines (PH).

Roles and Responsibilities

• Provides front-line supervision to an operational team of 35 or more employees
• Supervised team typically responsible for manging US healthcare Payer claims adjudication process
• Assigns work to direct reports.
• Recommends and takes actions hiring, firing, promotion, and disciplinary recommendations.
• Supervises team ensuring the highest quality of service is provided to clients.
• Monitors performance of the team and reports results and issues to higher-level leadership.
• Assists team with escalated client or account issues.
• Manages hiring, staffing and maintaining a diverse and effective workforce.
• Interacts with clients and internal departments to resolve issues.
• Works with the team to complete assignments using established guidelines, policies and procedures.
• Demonstrates professional courtesy and represents the company in a positive manner in all areas of internal and external communications.
• Ensures appropriate record keeping, reports, and related administrative functions are accurate and up-to-date.
• Responsible for career development / planning, performance and pay discussions of team members.
• Upon request, compiles and analyses data to identify trends for root cause analysis.

Requirements

• Typically requires 5- 9 years relevant experience
• Should be open to work in night shifts
• Undergraduate degree or equivalent combination of education and work experience.
• Solid communication skills.
• Demonstrated client service skills and leadership capabilities.
• Good knowledge, understanding and application of project management principles and methodologies.
• Models excellent analytical / problem solving skills.
• Good client service skills and leadership capabilities
• Solid analytical / problem solving skills.

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.

NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.