MedGrocer's digitally-enabled "medicine-as-a-service" platforms are used by hundreds of employers and pharma companies. Our end-to-end medicine/vaccine programs, telehealth services, and onsite medical staff serve a million Filipinos every year. MedGrocer is one of the more established Filipino Health Tech startups.

The Internal Medicine Specialist addresses medical case escalations. They coordinate with stakeholders to verify and resolve HMO claims.

Key Responsibilities

Assess medical cases to evaluate coverage of HMO benefits and segregation of Maximum Benefit Limits (MBL) Coordinate with health providers and fellow medical resource specialists to resolve HMO claims escalations Audit voice and video consults for quality checks and appropriateness of care Provide recommendations to improve training materials, simplify system processes for escalation, and streamline intake forms and outputs Provide monthly and quarterly reports on volume, types, channels, and sources of escalations Attend telehealth calls for patients as needed

Perks and Benefits

Hybrid work set-up Flexible schedule

Why MedGrocer?

Progress: To work on engaging and stimulating projects that enhance our clients' health and well-being. You will be able to hone your skills in providing healthcare services and communication as you interact with a diverse and agile team Purpose: To design and implement an impact in the digitally enabled platform to provide end to end care in the form of integrating onsite medical services and 24/7 teleconsultations in order to enhance the lives of millions of Filipinos People: To both work and have fun with a group of dynamic and passionate individuals from diverse backgrounds, from whom you will learn from and create bonds with