Senior Manager, Healthcare Payer Operations

🔥 0 minutes ago

🤠 Texas – Remote

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⏰ Full Time

🟠 Senior

⚙️ Operations

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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

• Lead managers and supervisors responsible for member enrollment & billing operations • Drive achievement of client SLAs, quality metrics, productivity and financial targets • Partner with clients and internal stakeholders to identify operational improvements • Coach and develop leaders while fostering a culture of accountability and continuous improvement • Monitor operational performance through reporting and key performance indicators • Manage staffing, workforce planning, and capacity forecasting • Identify opportunities for automation, standardization, and process optimization • Manage escalations and implement corrective action plans to improve client satisfaction

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field • 7+ years of leadership experience in healthcare operations • 3+ years leading managers or senior-level leaders • Experience supporting payer operations • Strong understanding of the healthcare provider lifecycle and payer operations • Experience in provider data management, credentialing, member enrollment, claims or related healthcare operations • Proven ability to manage large operational teams

🏖️ Benefits

• 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.

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