AO Clinical Claims Team Lead - Operations & Quality

Aitomic Jobs; Metro Manila; Hybrid; PHP 900,000 - 1,100,000; Full time

Job summary

Sutherland in the Philippines is seeking a Team Manager for AO Clinical Claims (Pooling). You will lead USRN Clinical Claims Associates/Specialists, driving operational excellence to meet client metrics, quality standards, service levels, and productivity targets while ensuring regulatory compliance and strong employee engagement.

Responsibilities include coaching, performance management, clinical guidance, and day-to-day leadership to guarantee accurate claims processing and exceptional

Qualifications

• Active USRN license and unrestricted practice.
• BSN or equivalent nursing qualification.
• 3–5 years clinical nursing experience in relevant settings.
• 2+ years people management experience in healthcare/claims ops.
• Strong communication and stakeholder management skills.
• Knowledge of HIPAA and clinical documentation standards.

Responsibilities

• Lead a team of USRN Clinical Claims Associates/Specialists.
• Drive operational excellence to meet client metrics and service levels.
• Provide coaching, performance management, and day-to-day leadership.
• Ensure compliance with HIPAA and regulatory standards.

Skills

USRN license

BSN or equivalent

Team leadership

English communication

Coaching & performance management

Healthcare operations knowledge

Education

Bachelor's degree in Nursing (BSN) or equivalent

Job description

Sutherland in the Philippines is seeking a Team Manager for AO Clinical Claims (Pooling). You will lead USRN Clinical Claims Associates/Specialists, driving operational excellence to meet client metrics, quality standards, service levels, and productivity targets while ensuring regulatory compliance and strong employee engagement.

Responsibilities include coaching, performance management, clinical guidance, and day-to-day leadership to guarantee accurate claims processing and exceptional