Job Title

Role: Clinical Analyst / Medical Reviewer / CDA Location: Guadalajara (Mexico) || Av Tizoc 97, Cd del Sol, 45050 Zapopan, Jal., Mexico Job Details: We are hiring for Clinical Analyst roles in areas such as Virtual Operational Review (VOR) and Clinical Denial Analysis (CDA). This opportunity is ideal for fresh graduates in Medicine or Life Sciences as well as experienced physicians, especially those with exposure to RCM or healthcare BPO operations. You will play a critical role in reviewing clinical documentation and identifying inconsistencies or areas of improvement that impact claims or patient care records. Clinical Service – VOR (Virtual Operational Review): Review clinical documents and submissions made by healthcare professionals Ensure completeness, clarity, and compliance with medical documentation standards Clinical Denial Analyst (CDA): Analyze medical charts and documentation to identify errors, gaps, or inconsistencies Flag documentation issues that may lead to insurance claim denials Collaborate with physicians or other stakeholders to resolve discrepancies Skills Required Strong English communication skills – verbal and written Basic understanding of clinical terms, medical charts, and documentation standards Analytical thinking and attention to detail Willingness to work in a process-driven, fast-paced environment Expectations Freshers with Bachelor's in Science or Medicine Experienced physicians Professionals with experience in Revenue Cycle Management (RCM) Candidates with prior Healthcare BPO experience (e.g., Teleperformance, Omega, Cognizant, etc.)