Senior Manager, Healthcare Payer Operations

Senior Manager, Member Enrolling & Billing Operations is responsible for leading multiple operational teams supporting member enrollment & billing; as well as leading operations within the Provider Enrollment area as well. This leader will drive operational excellence, client satisfaction, quality, productivity, and continuous process improvement while developing a high-performing team.

Key responsibilities:

• Lead managers and supervisors responsible for member enrollment & billing operations
• Drive achievement of client SLAs, quality metrics, productivity and financial targets
• Partner with clients and internal stakeholders to identify operational improvements
• Coach and develop leaders while fostering a culture of accountability and continuous improvement
• Monitor operational performance through reporting and key performance indicators
• Manage staffing, workforce planning, and capacity forecasting
• Identify opportunities for automation, standardization, and process optimization
• Manage escalations and implement corrective action plans to improve client satisfaction

Preferred Qualifications:

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field
• 7+ years of leadership experience in healthcare operations
• 3+ years leading managers or senior-level leaders
• Experience supporting payer operations
• Strong understanding of the healthcare provider lifecycle and payer operations
• Experience in provider data management, credentialing, member enrollment, claims or related healthcare operations
• Proven ability to manage large operational teams

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.

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

Originally posted on Himalayas