Sutherland

Manager

• Relay timely and accurate credentialing reports and compliance status updates to management
• Develop credentialing strategies based on data analysis, regulatory requirements, and operational observations
• Oversee and manage credentialing quality and compliance standards
• Guarantee provider satisfaction and regulatory adherence
• Provide coaching and feedback to credentialing staff
• Establish and maintain communication with providers, payers, and internal stakeholders
• Understand credentialing needs and resolve verification issues
• Monitor credentialing workflows and application queues against defined timelines and targets
• Report delays or compliance gaps and take necessary action
• Perform root cause analysis on credentialing defects and implement corrective actions
• Drive credentialing turnaround-time improvement initiatives
• Meet regulatory and payer requirements
• Meet credential maintenance and renewal goals
• Participate in staff development and continuous process improvement

Credentialing Team Manager

Support Engineer

• Provide technical support via calls, email, and ticketing systems
• Communicate effectively with customers and resolve issues
• Analyze and troubleshoot application, database, and infrastructure issues
• Execute SQL queries and scripts for data analysis
• Use SQL Profiler to diagnose performance issues
• Handle database scripts and index-related troubleshooting
• Troubleshoot Windows OS issues including third-party driver problems
• Analyze logs using Event Viewer
• Manage Windows services using services.msc
• Understand server concepts and types of servers
• Create and manage Active Directory accounts
• Perform password resets and account unlocks
• Document issues and resolutions

Technical Support Engineer – IASM

Full-stack Engineer

• Design, execute, and analyze performance tests for web applications, BI reports/dashboards, and ETL/data models
• Use JMeter for load, stress, soak, and spike testing of web applications
• Develop custom Playwright/Python scripts for BI and ETL performance testing
• Convert SLAs into measurable performance thresholds
• Validate ETL pipeline and data-model performance, including job runtime, data-volume handling, transformation throughput, and downstream reporting impact
• Assess BI performance, including report/dashboard load times, query response, concurrent-user load, and refresh/batch windows
• Integrate performance tests into Azure DevOps pipelines with automated quality gates, reporting, and release-readiness checks
• Identify bottlenecks, publish clear findings, and collaborate with development, QA, data, and operations teams
• Participate in SAFe ceremonies including PI Planning, Sprint Planning, System Demo, and Inspect & Adapt
• Deliver against iteration and PI goals
• Use GitHub Copilot and MCP where available to accelerate scripting, analysis, and documentation

Tech Lead – QA – Performance Testing

Provider Enrollment Specialist

• Enter, update, and maintain provider information in internal systems
• Validate provider credentialing data, contracts, and demographic data
• Ensure provider records comply with CMS, HIPAA, and state/federal regulations
• Conduct routine audits and reconciliations to maintain data integrity
• Review and load required data into the health plan system according to process guidelines
• Manage and monitor daily activities and meet set targets
• Work independently and complete tasks within established timeframes with minimal supervision
• Prioritize and complete all job duties
• Adhere to changes based on department and/or business requirements

Provider Data Management Specialist – Enrollment

Business Intelligence Developer

• Generate reports and present them through dashboards as an individual contributor
• Manage MIS and Power BI reports across F&A processes, including Order Management, O2C, P2P, R2R, and FP&A
• Process CRM reports and present the results
• Identify performance gaps and create dashboards to support decision-making and process changes in Operations
• Perform MIS reporting using Advanced Excel, Power BI, and VBA macros
• Create and share daily, weekly, monthly, and quarterly SLA, KPI, and operational-process reports according to client requirements
• Deliver high-quality end products with quick turnaround times
• Implement practices and processes to improve operational efficiency in generating and maintaining daily MIS data and updating management

MIS, Power BI Developer

Data Analyst

• Design and develop data pipelines using Microsoft Fabric Data Factory
• Create and maintain Lakehouse and Warehouse solutions within Microsoft Fabric
• Implement and manage Bronze, Silver, and Gold Layer architectures
• Develop scalable ETL/ELT pipelines for ingesting and transforming data from multiple sources
• Monitor pipeline performance and troubleshoot data quality issues
• Design and develop Fact Tables and Dimension Tables following dimensional modeling principles
• Create and maintain Star Schema and Snowflake Schema data models
• Define surrogate keys, business keys, and Slowly Changing Dimensions (SCD) where required
• Optimize data models for reporting and analytics performance
• Write complex SQL queries for data extraction, transformation, and validation
• Build views, stored procedures, and reusable query frameworks
• Perform query optimization and performance tuning
• Develop Python-based data transformation and validation scripts using Pandas, NumPy, PySpark, and Requests
• Automate data quality checks and reconciliation processes
• Partner with business stakeholders to gather reporting and analytics requirements
• Develop datasets optimized for Power BI reporting
• Support creation of KPIs, metrics, and business data definitions
• Ensure data governance and consistency across analytical solutions

Associate

• Handle inbound and outbound customer calls relating to mobile phone products and services
• Demonstrate empathy, patience, and active listening to ensure a positive customer experience
• Resolve customer queries effectively, including troubleshooting mobile-related issues and providing technical solutions
• Accurately document call details and actions taken in ticket notes for each interaction
• Escalate unresolved or complex issues through appropriate channels in a timely manner
• Adhere to program guidelines, company policies and compliance requirements

Mobile Telecommunications Support Associate

Customer Support

• Serve as the primary point of contact for patients calling about self-pay and out-of-pocket medical balances
• Deliver high-quality customer service
• Resolve financial accounts using approved guidelines
• Adhere to speed and accuracy metrics
• Understand payer contracts, rules and regulations
• Understand insurance eligibility requirements
• Understand insurance billing priority
• Review claim denials, rejections and underpayments
• Communicate issues and offer suggestions to Management for process improvements
• Understand and apply federal and state rules and regulations, including HIPAA, PCI Compliance regulations, and PII/PHI Security

Bilingual Spanish Customer Service – Insurance Billing/Self Pay

Cloud Engineer

• Architect and lead Azure-based Disaster Recovery and Business Continuity Planning solutions
• Design and maintain Azure DR architectures using Azure Site Recovery, Azure Backup, and multi-region strategies
• Define RTO/RPO targets, recovery strategies, and application dependency mapping for Azure workloads
• Develop and govern Azure DR/BCP policies, standards, and recovery plans
• Conduct risk assessments and Business Impact Analysis for Azure and hybrid environments
• Plan, execute, and oversee Azure DR drills, failover/failback tests, and BCP exercises
• Ensure compliance and audit readiness aligned with security, regulatory, and organizational requirements
• Identify resiliency gaps and drive continuous improvement in Azure recovery capabilities
• Collaborate with cloud, application, security, and leadership teams for DR/BCP readiness
• Own governance, documentation, and stakeholder communication as Azure DR/BCP Architect and Lead
• Lead DR tabletop exercises through scripted failure scenarios
• Conduct full-scale DR drills and oversee failover to secondary sites or cloud, including monitoring restore times, data integrity, and failback processes
• Perform hands-on testing of critical Oracle EBS modules, databases, and cloud workloads to ensure recovery

Lead Architect – Azure DR

Compliance

• Oversee, execute, and audit continuous identity and physical location verification processes across the remote employee life cycle
• Oversee multi-point identity validation during recruitment, including video interview image capture, SHL behavioral assessment photo capture, and Webex-based I-9 document verification via Sterling Portal
• Monitor Day 1 new hire orientation identity checks and Webex Admin Console IP and geographic location checks
• Audit daily training identity checks and mandatory go-live identity gate audits
• Direct quarterly and event-driven identity revalidation across active operations teams
• Manage Sentinel Vision continuous workstation monitoring alerts
• Enforce physical location checklist audits, including asset tags, wall outlet types, ISP modem validation, travel router/VPN checks, and phone verification
• Oversee the biometric Yubikey opt-out program and enrollment standards
• Investigate identity or location discrepancies, pause training/system access, escalate issues, and create iSmart IT Incident tickets
• Lead client and executive notification protocols for suspected impersonation cases
• Collaborate with InfoSec, IT/Logistics, Asset Recovery, Talent Acquisition, Service Delivery, and HR to resolve violations within SLAs
• Ensure evidence records, photo captures, and audit trails are maintained in eDMS and Smartsheet according to 90-day retention policies
• Consolidate findings into monthly Performance & Risk Reports
• Participate in threat-intelligence reviews and recommend control enhancements

Compliance Manager

• Efficiently manage client accounts by taking ownership of account handling, maintenance, collection, and liquidation for assigned portfolios
• Analyze payment history and notes and clearly communicate account statuses to customers
• Recommend appropriate solutions by analyzing customer accounts and negotiating acceptable collection arrangements
• Promptly report or refer sensitive and complex issues to the Team Leader
• Document all activities clearly and concisely in accordance with established procedures
• Handle a high volume of inbound calls

Spanish/English Customer Service Representative

• Handle maintenance, collection, and liquidation activities for an assigned portfolio of accounts
• Handle customer inquiries
• Analyze payment history and account notes
• Communicate account statuses to customers
• Review customer contracts, including voluntary surrender, principal and interest payment breakdowns, and total loss processes
• Advise customers regarding open and closed account status
• Provide information about title status, including state-to-state transfers and title protection
• Assist customers with optional product information
• Assist with extensions and payment deferrals
• Take payments and review account history and notes
• Maintain accurate records of customer interactions, issues, and resolutions
• Recommend appropriate customer solutions by analyzing accounts

Customer Service Representative

Insurance

• Provide expert support to existing clients
• Identify opportunities to offer additional products or services
• Deliver professional and courteous service via phone, email, or web inquiries
• Resolve client requests and maintain relationships supporting retention
• Identify upselling and cross-selling opportunities
• Collaborate with team members and leadership throughout the policy cycle
• Troubleshoot escalated service, billing, and claims issues
• Document interactions and maintain accurate records in internal systems
• Stay informed on industry trends and recommend solutions based on client needs
• Support and mentor junior colleagues when needed

Property & Casualty Insurance Agent

• Handle claims status inquiries, denial rationales, appeals, medical records, research/routing, and EOB/EOP requests
• Handle authorization and utilization management status inquiries, denial rationales, appeals, and prior authorization verification
• Verify provider participation, eligibility, coverage, medical benefit grids, and credentialing
• Document call details thoroughly and drive resolutions
• Explain next steps and educate providers on self-service tools such as Availity
• Manage back-to-back calls
• Support the expanding needs of a health insurance company customer

Provider Customer Service Representative – Health Insurance

• Serve as the primary point of contact for patients calling about self-pay and out-of-pocket medical balances
• Deliver high-quality customer service
• Resolve financial accounts using approved guidelines
• Adhere to speed and accuracy metrics
• Understand payer contracts, rules and regulations
• Apply insurance eligibility requirements and insurance billing priority
• Review claim denials, rejections and underpayments
• Communicate issues and offer suggestions to Management for process improvements
• Understand and apply federal and state rules and regulations, including HIPAA, PCI Compliance regulations, and PII/PHI Security