RCI: Legal Associate
RelianceUnited
HDSI: Provider Relations Manager
RelianceUnited· Flexicare
About this role
Job Objective / Purpose
To provide end-to-end medical, operational, and strategic oversight across claims adjudication, provider management, accreditation, and internal medical support—serving as a critical bridge between Clinical, Customer Service, Finance, and Provider Networks.
Duties and Responsibilities
- Lead provider engagement initiatives (planning, organizing, and execution)
- Approve/deny reconciliation of accounts impacting provider payments
- Perform in-patient adjudication, including proper segregation of illnesses
- Review and approve facility accreditation and any changes
- Handle and resolve Customer Service (CS) medical concerns and escalations
- Review and evaluate contracts (providers)
- Screen, accredit, and onboard CCM and clinic management doctors
- Monitor PROs’ KRAs and overall performance
- Initiate and support NetSuite PRT module upgrades (medical validation and process alignment)
- Attend to medical needs of Flexicare employees
- Provide real-time medical guidance to CSRs
- Analyze utilization data and provide strategic recommendations to management
- Diagnose and adjudicate claims to ensure accuracy and cost control
- Ensure coordination across departments and business units for seamless operations
Frequently Asked Questions
Is the salary disclosed for the HDSI: Provider Relations Manager position at RelianceUnited?
The salary for this HDSI: Provider Relations Manager role at RelianceUnited is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the HDSI: Provider Relations Manager position at RelianceUnited located?
This HDSI: Provider Relations Manager role at RelianceUnited is based in Mandaluyong, Metro Manila, Philippines. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the HDSI: Provider Relations Manager role at RelianceUnited full-time or part-time?
This is listed as a FULL TIME position. It is posted as a HDSI: Provider Relations Manager role in the Flexicare department at RelianceUnited.
Which team or department does the HDSI: Provider Relations Manager at RelianceUnited belong to?
This HDSI: Provider Relations Manager position is part of the Flexicare department at RelianceUnited. See the full job description for more information about the team structure and responsibilities.
How do I apply for the HDSI: Provider Relations Manager position at RelianceUnited?
Click the "Apply Now" button on this page. You will be redirected to RelianceUnited's official application portal hosted on freshteam where you can submit your application directly.
When was the HDSI: Provider Relations Manager job at RelianceUnited posted?
This HDSI: Provider Relations Manager position at RelianceUnited was posted on Jul 5, 2026. Apply as soon as possible — early applications are often reviewed first.
HDSI: Provider Relations Manager
RelianceUnited
You'll be redirected to RelianceUnited's official application page on freshteam.