Team Manager

GSS-PH Consulting Solution Inc.; Taguig; On-site; PHP 100,000 - 160,000; Full time

Job summary

GSS-PH Consulting Solution Inc. is seeking an experienced Team Manager with a strong background in U.S. Healthcare or Health Insurance Operations to lead high-performing teams supporting healthcare processes.

The ideal candidate has proven people management experience, drives operational excellence, and delivers results across quality, productivity, SLA, and CSAT metrics. Responsibilities include managing day-to-day operations for 15-25+ staff, coaching, performance reviews, KPI tracking, and

Qualifications

• Bachelor's degree preferred.
• 2-3 years of experience as Team Manager/Supervisor/Team Leader in BPO or Shared Services.
• Minimum 5 years of U.S. Healthcare or Health Insurance Operations experience.
• Experience managing a team of 15+ employees.
• Experience in medical claims processing, prior authorization, provider/member services, revenue cycle, or medical billing.
• Strong stakeholder management and communication skills.
• Lean Six Sigma certification is an advantage.

Responsibilities

• Manage day-to-day operations of a healthcare/health insurance team.
• Lead, coach, mentor, and develop a team of 15-25+ employees.
• Conduct coaching sessions, performance reviews, and career development discussions.
• Monitor KPIs: productivity, SLA, quality, CSAT, AHT.
• Handle escalations from members, providers, and internal stakeholders.
• Analyze operational metrics and identify process improvements.
• Collaborate with QA, Training, WFM, and Ops leadership to drive performance.
• Ensure HIPAA compliance and client requirements.
• Prepare operational reports and present updates to leadership.
• Drive employee engagement and succession planning.

Skills

Team management

US healthcare experience

Stakeholder communication

Excel

Performance coaching

Education

Bachelor's degree

Tools

Power BI

SQL

Job description

Hybrid - Taguig 3-5 Yrs Exp Bachelor Full-time

Job Description

Government Mandated Benefits

Team Manager - Healthcare / Insurance Operations

Location: Philippines

Shift: Night Shift (US Hours)

Work Setup: [Onsite / Hybrid / Remote - as applicable]

Job Summary

We are looking for an experienced Team Manager with a strong background in U.S. Healthcare or Health Insurance Operations to lead high-performing teams supporting healthcare processes. The ideal candidate has proven people management experience, drives operational excellence, and consistently delivers results across quality, productivity, SLA, and customer satisfaction metrics.

Job Requirements

Current or previous Team Manager, Supervisor, or Team Leader experience.

Healthcare or Health Insurance operations background.

Experience managing 15+ FTEs.

Hands-on exposure to healthcare processes (Claims, Prior Authorization, Benefits, Eligibility, Provider/Member Services, Medical Billing, or Revenue Cycle).

Responsibilities

Manage the day-to-day operations of a healthcare or health insurance team.

Lead, coach, mentor, and develop a team of 15-25+ employees.

Conduct regular coaching sessions, performance reviews, and career development discussions.

Monitor and improve KPIs including:

• Productivity
• SLA
• Quality
• CSAT
• AHT

Handle escalations from members, providers, and internal stakeholders.

Analyze operational metrics and identify process improvement opportunities.

Partner with QA, Training, Workforce Management, and Operations leadership to drive performance.

Ensure compliance with HIPAA, company policies, and client requirements.

Prepare operational reports and present business updates to senior leadership.

Drive employee engagement, retention, and succession planning.

REQUIRED QUALIFICATIONS:

• Bachelor's degree preferred.
• At least 2-3 years of experience as a Team Manager, Supervisor, or Team Leader in a BPO or Shared Services environment.
• Minimum 5 years of U.S. Healthcare or Health Insurance Operations experience.
• Proven experience managing a team of 15 or more employees.
• Strong experience in one or more of the following:
• Medical Claims Processing
• Prior Authorization
• Provider Services
• Member Services
• Revenue Cycle Management
• Medical Billing
• Denials and Appeals
• Experience handling performance management, coaching, disciplinary actions, and employee development.
• Strong stakeholder management and communication skills.
• Excellent analytical and problem-solving abilities.
• Proficient in Microsoft Office applications, particularly Excel.
• Preferred Qualifications
• Experience supporting accounts such as:
• Optum
• Carelon
• Humana
• Aetna
• Cigna
• Elevance Health
• Blue Cross Blue Shield
• CVS/Aetna
• Knowledge of healthcare regulations and HIPAA.
• Lean Six Sigma certification is an advantage.
• Experience in process improvement or transformation initiatives.

Team Management Problem Solving Compliance with HIPAA Healthcare Insurance Health Insurance Policy Medical Claims Processing Power BI SQL

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