The TB Benefit and Membership Integration Advisor PhilHealth will support the Philippine Health Insurance Corporation (PhilHealth) in strengthening the end-to-end membership journey, with a focus on translating membership into effective access, navigation, and utilization of health services particularly for TB clients who are eligible to avail of the PhilHealth TB DOTS package.
While PhilHealth has made significant progress in expanding coverage, key gaps remain in ensuring that members are able to seamlessly access and utilize benefits across the continuum of care. These challenges include fragmented service delivery pathways, limited visibility of patient movement across systems, and inefficiencies in provider workflows and claims processes.
Anchored within the Member Management Group (MMG), the Advisor will focus on bridging membership platforms with service delivery, provider engagement, and benefit utilization, ensuring that membership results in actual service use and improved health outcomes. The Advisor will support the Department of Health in carrying out life-saving humanitarian assistance (LHA) service delivery in full alignment with the new Presidential Executive Order (EO) directives.
The engagement will use the TB DOTS benefit package as a tracer program to:
Embedded within PhilHealth and working closely with MMG, Operations, IMS, and other relevant units, the Advisor will support a delivery-oriented, iterative process to strengthen systems, policies, and digital tools that enable effective member access and utilization.
Work Location: Philippines
Sr. TB Benefit and Membership Integration Advisor PhilHealth, DOS LEAP Global Philippines • Washington, DC, United States
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