US Healthcare Operations Team Leader | WFO

Cloudstaff; Mabalacat; On-site; PHP 1,200,000 - 1,800,000; Full time

Job summary

Cloudstaff is seeking a US Healthcare Operations Team Leader to oversee a group supporting healthcare processes, ensuring productivity, quality, and compliance while aligning with client goals.

You will mentor, monitor SLA adherence, manage staffing, review reports, handle escalations, and partner with stakeholders to drive continuous improvement and HIPAA compliance.

Qualifications

• Bachelor's degree preferred.
• 4–6 years of experience in US healthcare operations.
• 1–2 years of team leadership, supervisory, SME, or people management experience.
• Strong understanding of US healthcare processes (claims processing, prior authorization, eligibility and benefits verification, medical billing, revenue cycle management, provider services, care coordination or healthcare administration).
• Advanced problem-solving and stakeholder management skills.
• Proficiency in Microsoft Excel and reporting tools.
• Excellent communication and leadership abilities.

Responsibilities

• Lead, mentor, and manage a team of healthcare operations associates.
• Monitor daily operations to ensure SLA, productivity, and quality targets are achieved.
• Provide coaching, performance feedback, and professional development support to team members.
• Manage workload distribution and staffing to meet business requirements.
• Review operational reports, identify trends, and implement process improvements.
• Handle escalations and resolve complex operational issues.
• Ensure adherence to HIPAA, client requirements, and company policies.
• Partner with stakeholders, clients, and cross-functional teams to support operational goals.
• Conduct quality audits and monitor compliance standards.
• Support hiring, onboarding, training, and performance management activities.

Skills

Team leadership

Stakeholder management

Communication

Problem-solving

Education

Bachelor's degree

Tools

Excel

Reporting tools

Job description

Position Overview

The US Healthcare Operations Team Leader is responsible for overseeing a team supporting healthcare operations processes, ensuring productivity, quality, compliance, and operational excellence. This role serves as a key point of contact between management and team members, driving performance while supporting client and business objectives.

Key Responsibilities

• Lead, mentor, and manage a team of healthcare operations associates.
• Monitor daily operations to ensure SLA, productivity, and quality targets are achieved.
• Provide coaching, performance feedback, and professional development support to team members.
• Manage workload distribution and staffing to meet business requirements.
• Review operational reports, identify trends, and implement process improvements.
• Handle escalations and resolve complex operational issues.
• Ensure adherence to HIPAA, client requirements, and company policies.
• Partner with stakeholders, clients, and cross-functional teams to support operational goals.
• Conduct quality audits and monitor compliance standards.
• Support hiring, onboarding, training, and performance management activities.

Qualifications

• Bachelor's degree preferred.
• 4–6 years of experience in US healthcare operations.
• At least 1–2 years of team leadership, supervisory, SME, or people management experience.
• Strong understanding of US healthcare processes, which may include: Claims processing, Prior authorization, Eligibility and benefits verification, Medical billing, Revenue cycle management, Provider services, Care coordination or healthcare administration, Experience managing KPIs, SLAs, productivity, and quality metrics.
• Advanced problem-solving and stakeholder management skills.
• Proficiency in Microsoft Excel and reporting tools.
• Excellent communication and leadership abilities.

Preferred Qualifications

• Experience leading teams supporting US healthcare clients.
• Knowledge of HIPAA and healthcare compliance requirements.
• Experience in workforce management, quality assurance, or operational excellence initiatives.
• Exposure to process improvement methodologies and performance reporting.