团队经理 | 医疗保健 | 资质认证 | 索赔处理/供应商数据管理
Team Manager | Healthcare | Credentialing | Claims Processing/Provider Data Management
Sutherland 简介:
人工智能。自动化。云工程。高级分析。对商业领袖而言,这些是成功的关键因素。对我们而言,它们是我们核心的专业领域。
我们与全球知名品牌合作。我们通过领先的科技和卓越的业务流程,为他们带来独特的价值主张。
我们在 AI 和其他关键技术领域下,已创造了200多项专利发明。借助我们先进的产品和平台,我们推动数字化转型,优化关键业务运营,重塑体验,开创新解决方案,所有都通过无缝的“服务即产品”模式提供。
对于每家公司,我们为其业务、所合作的人以及服务的客户带来新的钥匙。我们定制经过验证且快速的公式,以适应他们的独特基因。我们将人类专业知识与人工智能结合,开发数字化学反应。这解锁了新的可能性、变革性成果和持久的关系。
Sutherland
释放数字表现。实现可衡量的结果
Sutherland 正在寻找一位有才华的助理经理,以支持我们不断壮大的医疗保健项目!如果你具备领导能力并拥有医疗保健领域的经验,我们期待你的加入!
作为助理经理,你将负责:
· 监督认证团队的日常运营,包括工作量分配、绩效管理和员工发展
· 确保提供者的人口统计信息和认证数据准确地输入并维护在所有系统中
· 通过监控生产率、质量和周转时间标准来推动团队的表现
· 为团队成员提供指导、辅导和绩效反馈
· 管理人员流失、缩减和其他关键指标
· 支持涉及系统改进或流程自动化的项目
· 确保认证活动符合适用的监管要求、认证标准、健康计划政策、合同要求和既定的服务水平协议
· 识别并解决认证问题、差异和例外情况,根据需要升级复杂事项
· 确保适当的原始来源验证和文档按照既定要求完成并保存
我们最成功的候选人将具备:
· 在医疗保健领域内领导团队2年以上经验 - 具有...
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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
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
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
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 EEO 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.