Subject Matter Expert

4 days ago

Taguig, National Capital Region, Philippines Sutherland Full time

Company Description

You are joining Sutherland Global Services, a global business transformation company offering an integrated set of back-office and customer service support services.

One of the largest, independent process transformation companies in the world, Sutherland serves marquee clients in major industry verticals. With our head office in Rochester, New York, USA, Sutherland spans 60 locations across 19 countries supporting 8 industries, focusing on delivering results that businesses can see, resulting in improved experiences that their customers can feel.

Job Description

As a SME, you will be the designated technical expert for a team of 20-23 consultants who will carry out the following tasks (but are not limited to):

  • Patient Care: Coordinating case from multiple providers and helping injured patients who may not be able to manage their care on their own.
  • Manage administrative responsibilities: Helping patients with tasks like scheduling diagnostics (care coordinator activities).
  • Diagnostics - Voice & Back office: Reviewing prescription orders, requests for authorization from providers, and pre-screening of patients that will undergo diagnostics exams. The role requires strong clinical knowledge, attention to detail, and effective communication skills to collaborate with various stakeholders.
KEY RESPONSIBILITIES OF THE SME
  • Empower the Work: Create and facilitate Huddle Sessions to equip staff with fundamental skills and knowledge.
  • Conduct BQM / Remedial training for the folks in nesting and also conduct floor interventions for BQ teams.
  • Strengthen relationships: Establish and maintain communication with clients and/or team members; understand needs, resolve issues, and meet expectations.
  • Take the lead: Deliver new hire training for the business, ensuring a good learning experience for the new hires and equipping them with the relevant skill set to meet production goals from the first month post nesting. Partner with quality and training manager to identify skill and knowledge gaps that lead to unstable performance trends. Work with the training manager to prepare training content for BQ interventions and cater learning via the update management process and new launches.
  • Support the team with complex queries and fill out accurate reports.
  • Support the team manager and ensure the team delivers against key service level metrics while creating value for clients by impacting business outcomes.
  • Handle phone calls and transactions for the program.
  • Supervise and coach learners in nesting & BQM type environments.
  • Coach and provide feedback to trainees to help them fulfill performance metrics.
Qualifications

MINIMUM QUALIFICATIONS:

  • Minimum 24 months of healthcare/workers comp experience managing customer-facing accounts, preferably managing processes such as intake, scheduling, credentialing, and medical bill reviews.
  • Excellent Data Mining skills.
  • PHRN License.
  • Ability to think outside of traditional roles to evaluate business implications.
  • Ability to interpret data, identify trends, and make suggestions for improvements.
  • Strong verbal and written communication skills; able to communicate in a clear, constructive, and professional manner.
  • Demonstrated leadership skills; able to take the lead in making improvements and resolving issues.
  • Blended operations which involve back-office work, making outbound, and receiving inbound calls.
  • Working hours: 80% of the team works 8 am EST to midnight for 5 days a week. 20% of the team working in Philippines day hours (No calling).
  • Willing to work from the office.

All your information will be kept confidential according to EEO guidelines.

#J-18808-Ljbffr

  • Healthcare Subject Matter Expert

    3 days ago

    Taguig, National Capital Region, Philippines Sutherland Full time

    Job DescriptionWe are looking for an experienced Subject Matter Expert to join our team. In this role, you will be responsible for coordinating cases from multiple providers and helping injured patients who may not be able to manage their care on their own.Your Key Responsibilities Will Include:Managing administrative responsibilities such as scheduling...

  • Subject Matter Expert

    4 days ago

    Taguig, National Capital Region, Philippines Sutherland Full time

    Company DescriptionYou are joining Sutherland Global Services, a global business transformation company offering an integrated set of back-office and customer service support services.One of the largest, independent process transformation companies in the world, Sutherland serves marquee clients in major industry verticals. With our head office in Rochester,...

  • MyHR Advisor Subject Matter Expert

    1 week ago

    Taguig, National Capital Region, Philippines Unilever Brazil Full time

    Role Title: MyHR Advisor Subject Matter Expert (SME) Function: People Experience Location: Philippines Terms & Conditions: Full Time (Hybrid – BGC Office, Manila, Philippines) ABOUT UNILEVER With 3.4 billion people in over 190 countries using our products every day, Unilever is a business that makes a real impact on the world. Work on brands that are loved...

  • MyHR Advisor Subject Matter Expert

    2 days ago

    Taguig, National Capital Region, Philippines Unilever Full time

    Role Title: MyHR Advisor Subject Matter Expert (SME) Function: People Experience Location: Philippines Terms & Conditions: Full Time (Hybrid – BGC Office, Manila, Philippines) ABOUT UNILEVERWith 3.4 billion people in over 190 countries using our products every day, Unilever is a business that makes a real impact on the world. Work on brands that are loved...

  • People Operations Subject Matter Expert

    23 hours ago

    Taguig, National Capital Region, Philippines Unilever Full time

    Role Title: People Operations Subject Matter Expert (SME) Function: People Experience Location: Philippines Terms & Conditions: Full time (Hybrid – BGC Office, Manila, Philippines) ABOUT UNILEVER With 3.4 billion people in over 190 countries using our products every day, Unilever is a business that makes a real impact on the world. Work on brands that are...

  • Finance Subject Matter Expert

    2 weeks ago

    Taguig, National Capital Region, Philippines Fujitsu Full time

    Fujitsu Taguig, National Capital Region, PhilippinesHR Talent Acquisition Specialist | Human Resources, Recruiting, InterviewingFujitsu is the #1 IT Service Company in Japan and is ranked 7th globally. It has 80 years of rich history.Fujitsu's Global Delivery Center in the Philippines is known as WeServ Systems International Inc. We are a subsidiary of...

  • Instructional Design and Development Expert

    3 days ago

    Taguig, National Capital Region, Philippines Nityo Infotech Full time

    About the RoleThis is an exciting opportunity for an experienced elearning designer to join our team at Nityo Infotech. As an elearning designer, you will play a key role in creating engaging and effective online learning experiences for our clients. You will work closely with subject matter experts to understand their requirements and develop content that...

  • Technology Risk Specialist

    3 days ago

    Taguig, National Capital Region, Philippines Sun Life Full time

    Digital Compliance ExpertSun Life is seeking a seasoned Digital Compliance Expert to lead the development and implementation of a strategy to gain ongoing assurance over information services through automated methods.Data Analytics: Identify opportunities to automate testing using toolsets deployed internally (CAATs and analytical tools) or through the...

  • SAP HCM Implementation Expert

    1 day ago

    Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    Job DescriptionSAP HCM Consultant at TASQ Staffing SolutionsTASQ Staffing Solutions is seeking an experienced SAP HCM Consultant to join our team. As a key member of our organization, you will be responsible for implementing and supporting the SAP Human Capital Management (HCM) suite of modules. This includes all aspects of the system, from core HR...

  • Continuity and Crisis Expert

    7 days ago

    Taguig, National Capital Region, Philippines Asurion Full time

    Job SummaryThe Continuity and Crisis Expert will lead business continuity initiatives with a focus on crisis management. This role requires expertise in risk management and business resilience, ensuring effective response to crises and minimizing disruptions to business operations.Develops and implements resiliency programs to minimize risks and maximize...

  • International Talent Solutions Expert

    3 days ago

    Taguig, National Capital Region, Philippines Recruiter PH Full time

    Job SummaryThe International Talent Solutions Expert will work closely with the Functional Manager and Subject Matter Experts to understand business problems, target audiences, and develop relevant Talent solutions for global clients (Japanese and Non-Japanese).Main ResponsibilitiesCollaborate with the client team to identify solution approaches and...

  • Observer of Complex Systems

    3 days ago

    Taguig, National Capital Region, Philippines Hunter's Hub, Inc. Full time

    Serve as a Subject Matter Expert:Dynatrace, AppDynamics, and other relevant technologies

  • Technology Learning and Development Expert

    7 days ago

    Taguig, National Capital Region, Philippines GCash Full time

    About the RoleThis is an exciting opportunity to work with a dynamic team that is passionate about making a difference in the lives of Filipinos.As an IT Learning & Enablement Specialist, you will be responsible for aligning training needs with business objectives, monitoring learning metrics, and ensuring effective training delivery.Responsibilities...

  • Senior Manager

    4 days ago

    Taguig, National Capital Region, Philippines Regal Executive Search Full time

    Regal Executive SearchOur goal is to connect talented professionals with top companies in the Accounting and Finance industry.Technical Accounting and Advisory ExpertWe are seeking a highly skilled accounting professional to join our team. As a result, you will have the opportunity to grow your career in a dynamic environment that is a playground for highly...

  • Dynatrace Solutions Expert

    3 days ago

    Taguig, National Capital Region, Philippines Hunter's Hub Inc. Full time

    At Hunter's Hub Inc., we are seeking a highly skilled Dynatrace Solutions Expert to join our team. As a key member of our observability team, you will play a critical role in ensuring the high performance and reliability of our applications.About the RoleThis is an exciting opportunity for someone who is passionate about delivering exceptional results and...

  • Capability Building Expert

    2 days ago

    Taguig, National Capital Region, Philippines Gratitude Philippines Full time

    Job SummaryWe are looking for a skilled Capability Building Expert to lead our training and development efforts. The ideal candidate will have a strong background in instructional design, adult learning principles, and training delivery, with a focus on capability building and organizational development.Key Responsibilities:Design and deliver comprehensive...

  • Enterprise Cybersecurity Lead

    3 days ago

    Taguig, National Capital Region, Philippines J-K Network Services Full time

    **Key Responsibilities**The successful candidate will lead the adoption of Microsoft cloud security technologies, serve as the Subject Matter Expert (SME) for the Microsoft security suite, including Defender for Cloud, Identity, and Office 365, and develop and implement policies for security and availability of M365 applications.

  • Instructional Technology Expert

    4 days ago

    Taguig, National Capital Region, Philippines Willis Towers Watson Full time

    Job SummaryWe're looking for an experienced IT Technical Trainer to join our team at Willis Towers Watson. As a key member of our training team, you will be responsible for designing, developing, and delivering high-quality training on the Microsoft Power Platform.Main ResponsibilitiesDevelop comprehensive training plans and materials for the Microsoft Power...

  • Compliance and Regulatory Expert

    3 days ago

    Taguig, National Capital Region, Philippines Visage Executive Search Full time

    **Job Summary:**We are looking for a skilled Compliance and Regulatory Expert to ensure that our organization conducts business in accordance with relevant laws and regulations.**Key Responsibilities:**Identify key risks in the current client life-cycle management process and recommend strategies to mitigate AML risks while operating efficiency levers and...

  • Sourcing and Procurement Expert

    4 days ago

    Taguig, National Capital Region, Philippines TE Connectivity Corporation Full time

    RequirementsTo be considered for this exciting opportunity, you must possess a minimum of 5+ years of experience in Indirect Procurement. A strong background in a shared service environment, knowledge of SAP PR2, S/4, and excellent communication skills are essential. You will also need to demonstrate a strong understanding of procurement processes and...