Team Manager – Healthcare, Credentialing, Claims Processing, Provider Data Management

🔥 9 minutes ago

🌐 Egypt, United States – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of Sutherland

Sutherland

10,000+ employees

Founded 1986

🏥 Healthcare

🛡️ Insurance

✈️ Travel

💰 $300M Secondary Market on 2014-10

Healthcare • Insurance • Travel

Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.

📋 Description

• 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 • Monitor team productivity, quality, and turnaround-time standards • Provide coaching, mentoring, and performance feedback to team members • Manage attrition, shrinkage, and other critical team metrics • Support projects involving system enhancements or process automation • Ensure credentialing activities comply with regulatory requirements, accreditation standards, health plan policies, contractual requirements, and service-level agreements • Identify and resolve credentialing issues, discrepancies, and exceptions, escalating complex matters as appropriate • Ensure primary-source verification and documentation are completed and maintained according to established requirements

🎯 Requirements

• 2+ years’ experience leading a team within the healthcare domain • Experience with Credentialing • Knowledge of Claims processing or Provider data Management is 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 • Ability to proactively develop trust and professional rapport with employees and team members • Ability to work as a team player • Strong analytical skills, including interpreting data, identifying trends, and suggesting improvements • Strong verbal and written communication skills • Ability to communicate clearly, constructively, and professionally

🏖️ Benefits

• Remote work available • Confidential handling of employee information according to EEO guidelines • Employment without regard to protected characteristics • Voluntary Administrative EEO record disclosure; inclusion or exclusion does not affect employment decisions

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