Team Manager | Healthcare | Credentialing | Claims Processing/Provider Data Management

Sutherland; Houston (TX); On-site; USD 75,000 - 105,000; Full time

Job summary

Sutherland is seeking an Associate Manager to support our Healthcare Credentialing program in a fast-paced environment. You will supervise a Credentialing team, ensure data accuracy across systems, and drive performance through coaching and process improvements.

Ideal candidates bring 2+ years leading healthcare credentialing teams, possess Team Manager University certification, and are comfortable with MS Office and fast-paced operations.

Qualifications

• 2+ years’ experience leading a team within the healthcare domain - experience with Credentialing. (Knowledge of Claims processing or Provider data Management can be 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
• The ability to be pro-active in developing trust and professional rapport with employees and team members; work as a team-player
• Strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements
• Strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner

Responsibilities

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

Skills

Team leadership

Credentialing

Healthcare domain

Communication skills

Analytical skills

Education

Team Manager University certification

Tools

MS Office

Job description

About Sutherland: Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise.

About Sutherland: Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise. We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence. We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships. Sutherland Unlocking digital performance. Delivering measurable results

Job Description

Sutherland is looking for a talented Associate Manager to support one of our growing Healthcare programs! If you have the leadership skills along with healthcare domain experience, we want to hear from you!

As an Associate Manager you will get to:

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

Qualifications

Our most successful candidates will have:

• 2+ years’ experience leading a team within the healthcare domain - experience with Credentialing. (Knowledge of Claims processing or Provider data Management can be 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
• The ability to be pro-active in developing trust and professional rapport with employees and team members; work as a team-player
• Strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements
• Strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner

Additional Information

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.

At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EOO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.