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Senior Manager, Healthcare Payer Operations
SutherlandSenior Manager overseeing healthcare payer operations at Sutherland, leading multiple operational teams for member enrollment and billing. Driving operational excellence, client satisfaction, and productivity within healthcare operations.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive leadership in healthcare operations, focusing on member enrollment, billing, and payer operations. Proven track record in managing large teams, driving operational improvements, and achieving client SLAs and quality metrics.
Highest-signal resume keywords
Leadership ExperienceHealthcare Operations ManagementPayer Operations SupportOperational Performance MonitoringProcess Optimization
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Member EnrollmentBilling OperationsProvider Data ManagementCredentialingClaims ManagementCapacity ForecastingWorkforce PlanningKey Performance IndicatorsOperational ReportingCorrective Action Plans
Soft Skills
CoachingTeam DevelopmentAccountabilityContinuous ImprovementClient Satisfaction Management
Certifications & Qualifications
Bachelor's Degree in Healthcare AdministrationBachelor's Degree in Business Administration
Industry Keywords
Healthcare Provider LifecycleOperational ImprovementsAutomationStandardizationEscalation Management
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
Benefits
Comp & perks- 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.