Company Description:
At Sutherland we are committed in creating a dynamic work environment that is professionally challenging and personally rewarding. Our team is composed of goal-oriented and strategic-thinking individuals and we are looking to add a Team Manager who will lead, develop and motivate a high-performance team of support professionals. If you believe you have what it takes and you are ready to take the next step in your career, come work with us!
Job Description:
As a Team Manager, you will set the path to success by managing performance and service quality to guarantee customer satisfaction. You are also expected to:
- Establish and maintain communication with clients and/or team members; understand their needs, resolve issues, and meet expectations
- Produce solid and effective strategies based on accurate and meaningful data reports and analysis and/or keen observations that would impact the bottom line
- Identify the training needs that will equip the staff with fundamental skills and knowledge
- Have a thorough understanding of the various system tools and operational procedures utilized within the program
- Collaborate with stakeholders on a regular basis for changes on promotions and updates
- Conduct all defined and required process compliance and adherence to all team members, partners and third-party providers
Qualifications:
Our most successful candidates will have:
- Active USRN License
- a 2-year significant clinical experience (to align with URAC and NCQA standards)
- URAC (Utilization Review Accreditation Commission) and NCQA (National Committee for Quality Assurance)
- 1 year of leadership experience in Utilization Management
- Preferably has experience in doing Medical Claims Review or Appeals & Grievance line
- Demonstration of language proficiency (a profile with IELTS is ideal)
- Be able to efficiently manage time and keep track of multiple schedules, meetings, and initiatives
- Have strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner (a profile with IELTS is ideal)
- Computer Literate with average typing speed
Additional Information:
All your information will be kept confidential according to EEO guidelines.
