Team Manager | Healthcare | Credentialing | Claims Processing/Provider Data Management
Sutherland Global Services
About Sutherland: Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise. We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence. We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.
Sutherland Unlocking digital performance. Delivering measurable results Sutherland is looking for a talented Associate Manager to support one of our growing Healthcare programs! If you have the leadership skills along with healthcare domain experience, we want to hear from you! As an Associate Manager you will get to: - Supervise the daily operations of the Credentialing team, including workload distribution, performance management, and staff development - Ensure provider demographic and credentialing data is accurately entered and maintained in all systems - Drive the performance of the team, by monitoring productivity, quality, and turnaround time standards - Provide coaching, mentoring, and performance feedback to team members - Manage attrition, shrinkage, and other critical metrics of the team. - Support projects involving system enhancements or process automation - Ensure credentialing activities are completed in accordance with applicable regulatory requirements, accreditation standards, health plan policies, contractual requirements, and established service-level agreements - Identify and resolve credentialing issues, discrepancies, and exceptions, escalating complex matters as appropriate - Ensure appropriate primary-source verification and documentation are completed and maintained in accordance with established requirements Our most successful candidates will have: - 2+ years’ experience leading a team within the healthcare domain - experience with Credentialing. (Knowledge of Claims processing or Provider data Management can be an advantage! ). - Must be Team Manager University certified - Open availability - Ability to work in MS Office and other program-specific platforms - Ability to work in a fast-paced environment - The ability to be pro-active in developing trust and professional rapport with employees and team members; work as a team-player - Strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements - Strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner All your information will be kept confidential according to EEO guidelines. EEOC and Veteran Documentation During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional.
$152k - $190k
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Career Opportunities: Provider Recoupments & Holds Team Lead (20857)... ...Services Comm - Provider Claims Svcs (75/25) - Healthcare Support - Eligible... ...to the PRH Manager and performs advanced... ...and analyze data; update and maintain... ...and Analysis (30%). Processes complex cases including...DataClaimsFull timeTemporary workPart timeWork experience placementWork at officeRemote workShift work$35.9k - $51.3k
...Center Agent - Provider Lead EDI - Remote... ...need great teams to propel their... ...recognized electronic data interchange... ...support to healthcare providers, billing... ...issues involving claim submissions,... ...customer relationship management (CRM) ticketing... ...claims processing and provider operations...DataClaimsRemote jobFull timeWork at officeFlexible hours$126.42k - $189.63k
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$1,000 - $2,000 per month
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- DescriptionThe Provider Enrollment... ...and payer credentialing efforts for... ...individual manages all open provider... ...performs data analysis and... ...enrollment and process enrollment... ...follow-up on claims until... ...minimum of healthcare experience including... ...all team members to actively...DataClaimsHourly payTraineeshipLocal area
$122.21k - $160.4k
...hiring a Senior Manager, Revenue... ...to join our Provider Operations team.Oscar is the... ...strategies and processes that support... ...compliance, credentialing, product, to... ...while using data and root-cause... ...revenue capture, claims performance,... ...experience in healthcare revenue cycle...DataClaimsFull timeWork at officeRemote work$144.06k - $205.8k
...for patients. We provide transformative therapies... ...pioneering new healthcare solutions for... ...field feedback, claims data, and customer engagement... ...system, managed markets, reimbursement... ...review processes, and multiple workstreams... ...results through teams and partnersMust...DataClaimsWork at officeRemote workWork from homeWorldwide$222.8k - $278.5k
...Engineering Manager (Provider) Headway's mission... ...of mental healthcare by building a new... ...The admin work - credentialing, claims, payment reconciliation... ...in the process. Supporting providers... ...what and how these teams build, setting... ...product-minded, data-informed, and...DataClaimsImmediate startWork from homeFlexible hours- ...seeks a Program Specialist V for the Provider Recoupments and Holds unit. Some... ...site work required. This role conducts data analysis on LTC authorizations, claim payments, holds, and recoupments. The position reports to the PRH Manager and requires strong Excel skills, policy...DataClaimsRemote work
$121.6k - $190k
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...condition, but most providers don't accept... ...a new mental healthcare system... ...admin work - credentialing, claims, payment reconciliation... ...Staff Product Manager to reinvent... ...feeds, audiences, data enrichment,... ...or sales-process efficiency, with... ...You can unify teams with different...DataClaimsFull time$130k - $150k
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$158.08k - $260.83k
...Advanced Practice Provider - Critical... ...practice provider processes, supervision... ...patient care management. This position... ...-professional teams by... ...directly with other healthcare professionals,... ...participates in data collection and... ...licenses and credentials as required by...DataFull timeWork experience placementWork at officeLocal area$220k - $270k
...affordable healthcare. Serving nearly... ...Plan to provide access to care... ...enrollment and credentialing. To be... ...modernization includes process scrutiny,... ..., provider data integrity).... ...in claims administrative... ...performing team of professionalsCommitted... ...levels of management and work...DataClaimsFull timeContract workWork at officeLocal areaImmediate startWork from home- ...Division is hiring a Provider Relations... ...(CCEs), healthcare delivery organizations... ...Provider Data, Credentialing, Contracting/Recruitment, Claims, and other operational teams. WHAT YOU... ...and recruitment process. ~... ...operations, network management, or a related...DataClaimsWork at office
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$53.1k - $72.5k
...Operations Coordinator 4 manages provider data for health plans... ...and relations, credentialing, and contract management... ...management systems. Executes processes for intake and... ...working in a healthcare setting with providers... ...Previous experience in claims Prior contract...DataClaimsFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$132k - $165k
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$191.15k - $305.85k
...physicians, providers, employer and... ...and management Core Skills... ...appeals) Healthcare programs (disease... ...support (Credentialing) Quality model... ...Data gathering, management... ...internet sites claiming to represent... ...Our hiring process does not... ...award-winning team. Discover tremendous...DataClaimsFull timeLocal areaRemote workFlexible hours$212k - $265k
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