Urgent Hiring | USRN - Trainer
The Clinical Subject Matter Expert (SME) is the clinical anchor and primary
knowledge resource for our Medication Therapy Management (MTM) program.
Working closely with the Operations Manager and Team Supervisors, the SME ensures the
highest standard of clinical accuracy and patient safety. You will serve as the ultimate escalation
point for complex pharmacological queries, conduct quality audits, and drive continuous
education. By facilitating peer-to-peer knowledge sharing and updating clinical resources, you
will empower our Clinical Nurses to confidently manage complex medication regimens for US-based M&R patients.
Note: This role requires working night shifts in Manila to align with US Central Standard Time
(rotating shifts between 8:00 AM and 8:00 PM CST, Monday through Friday).
Key Responsibilities- Clinical Escalations: Act as the primary resource for Clinical Nurses encountering complex medication profiles, drug interactions, or difficult disease state management scenarios.
- Quality Assurance & Auditing: Conduct regular clinical audits of patient documentation and recorded calls to ensure strict adherence to the 5 Core Elements of MTM Services and internal quality standards.
- Training & Nesting Support: Partner with the training team to support new hireonboarding (nesting phase), ensuring clinical concepts are accurately translated intopractical, telephonic workflows.
- Knowledge Management: Develop, update, and maintain clinical job aids, processflows, and FAQs.
- Continuous Education: Design and facilitate ongoing clinical upskilling sessions, fostering a culture of employee-generated learning where nurses share unique case studies and best practices.
- Cross-Functional Collaboration: Work alongside US counterparts and clinical
pharmacists to clarify guidelines and implement new clinical directives from the client.
Required Qualifications- Active, unrestricted USRN and PHRN Licenses
- 3+ years of robust clinical nursing experience, with a strong foundation in pharmacology, geriatrics, or chronic disease management.
- 1–2 years of experience in a clinical BPO setting, preferably in a QA, training, or senior clinical role.
- Deep, demonstrable understanding of Medication Therapy Management (MTM) protocols, Pharmacy Benefit Management (PBM), or Retrospective Drug Utilization Review.
- Advanced ability to navigate complex EHR/EMR platforms and interpret prescription claims data.
- Market Competitive Pay Levels
- Retirement Plan
- Medical Plan (HMO) from Day 1 of employment
- Dental, Medical, and Optical Reimbursements
- Life and Disability Insurance
- Paid Time-Off Benefits
- Sick Leave Conversion
- Tuition Fee Reimbursement
- Employee Assistance Program (EAP)
- Annual Performance Based Merit Increases
- Employee Recognition
- Training and Staff Development
- Employee Referral Program
- Employee Volunteerism Opportunity
- All Mandatory Statutory Benefits
- Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
- UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
- We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
- As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
- We’re a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
- Elevate your career with a leading health care company while improving lives.
Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together