Opportunity at
SutherlandClinical Healthcare BPO Consultant
Sutherland is seeking a Clinical Healthcare BPO Consultant for a part-time, on-site role intended for pooling purposes. This position involves delivering consultancy services to the insurance…
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About This Role
Sutherland is seeking a Clinical Healthcare BPO Consultant for a part-time, on-site role intended for pooling purposes. This position involves delivering consultancy services to the insurance and healthcare sector, specifically focusing on establishing clinical, bill review, and insurance practices. The role requires an experienced professional to maintain communication with clients and team members, address issues, meet expectations, and take part in proposals, sales calls, and RFPs. The consultant will analyze…
Job Description
Sutherland is seeking a Clinical Healthcare BPO Consultant for a part-time, on-site role intended for pooling purposes. This position involves delivering consultancy services to the insurance and healthcare sector, specifically focusing on establishing clinical, bill review, and insurance practices.
The role requires an experienced professional to maintain communication with clients and team members, address issues, meet expectations, and take part in proposals, sales calls, and RFPs. The consultant will analyze reports to build effective business strategies, identify staff training requirements, and guide the operations team on system tools, operational procedures, and service delivery enhancements.
Additionally, the consultant will collaborate with stakeholders on strategy creation and ensure process compliance across team members, partners, and third-party providers while recommending framework improvements.
Responsibilities
- Provide consultancy services to set up clinical, bill review, and insurance practices for the insurance and healthcare vertical
- Establish and maintain communication with clients and team members to understand needs, resolve issues, and meet expectations
- Participate in requests for proposals, client proposals, client meetings, and sales calls under supervisor direction
- Develop effective strategies using accurate data reports, analysis, and observations
- Identify staff training needs to equip personnel with essential skills for clinical, bill review, and insurance programs
- Understand system tools and operational procedures to guide the operations team on service delivery improvements
- Collaborate with stakeholders regularly to formulate strategies
- Monitor process compliance for team members, partners, and third-party providers and recommend framework improvements
Requirements
- Earned a bachelor's degree in a related field
- Registered Nurse with both Philippine and US licenses
- At least 15 years of industry work experience, including 2 to 3 years in a Director role
- Experience in the healthcare, casualty, or worker's compensation domain managing processes such as Intake, Clinical Utilization Review, Nurse Reviews, and Medical Provider Call Center
- Working knowledge of Microsoft Office applications
- Ability to manage time and track multiple schedules, meetings, and initiatives
- Strong analytical skills and demonstrated leadership abilities
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the employment type for this position?
The position is offered on a part-time basis and is intended for pooling purposes.
Where is this job located?
The posting indicates that the role is on-site, though a specific city or location is not stated.
What licensing is required for applicants?
Applicants must be Registered Nurses holding both Philippine and US licenses.
What level of experience is needed?
Candidates must have at least 15 years of industry experience, including 2 to 3 years of Director experience.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.