7 дней назад
Team Manager (Clinical Claims)
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Team Manager (Clinical Claims): Leading USRN clinical claims teams supporting Accident & Occupational operations with an accent on operational performance, quality, compliance, and people development. Focus on coaching healthcare claims specialists, analyzing performance gaps, maintaining HIPAA and client standards, and driving process improvement.
Location: Taguig, Philippines
Company
Provides AI, automation, cloud engineering, advanced analytics, and business process services for global brands.
What you will do
- Manage daily operations for teams supporting Accident & Occupational clinical claims.
- Monitor productivity, quality, accuracy, compliance, service levels, and turnaround-time targets.
- Lead coaching, performance reviews, career development, attendance, engagement, and retention initiatives.
- Provide clinical guidance and ensure accurate claims processing and documentation.
- Support client reviews, performance reporting, calibration sessions, and stakeholder discussions.
- Lead workflow improvements, corrective action plans, change management, and knowledge-sharing initiatives.
Requirements
- Active and unrestricted US Registered Nurse (USRN) license.
- Bachelor’s Degree in Nursing or an equivalent nursing qualification.
- 3–5 years of clinical nursing experience in a hospital, healthcare, insurance, disability claims, utilization review, case management, or related setting.
- At least 2 years of people management experience in healthcare operations, clinical teams, BPO healthcare accounts, or claims operations.
- Strong knowledge of medical terminology, clinical documentation, healthcare processes, HIPAA, and compliance requirements.
- Excellent English communication, analytical, coaching, and stakeholder management skills.
Nice to have
- Experience in disability claims, clinical claims review, utilization management, case management, health insurance, or healthcare BPO operations.
- Experience managing US healthcare or insurance accounts.
- Lean Six Sigma, quality, or process improvement certification.
- Experience with client-facing operational reviews and presentations.
Culture & Benefits
- Work in a performance-focused environment centered on accountability and continuous improvement.
- Support employee development through coaching and career discussions.
- Collaborate with HR and Operations leadership on employee relations and engagement.
- Contribute to digital transformation and business process excellence initiatives.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →