Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
DUTIES & RESPONSIBILITIES:
Operations Management Function:
• Monitors daily all areas of performance metrics (call handling times, service levels & quality grades) to assure that standards are met across the board referring to a database, a program or reports
• Works with Shift Managers to administer program and implement both client and in-house policy
• Ensures that operations are being managed accordingly on a day-to-day basis
• Attends client meeting on a weekly basis or as needed to discuss the program performance based on the key operational metrics
• Interface with client during visits, do presentation regarding performance of the program if need be and escalate issues that are out of the ordinary
• Attends weekly operations review and present action plans to issues that need to be addressed
• Collates and responds to operational issues as reported by Shift Managers – as needed
• Escalates operational issues beyond level of authority to the Department Head – as needed
• Informs the Department Head when the system needed (system error/downtime) to handle calls are not working effectively – as needed
• Submits weekly and monthly ops review report to the Department Head
Quality Management/Standards Compliance Function:
• Minimizes or manages at acceptable level the customers’ complaints
• Works with the Department Head to further develop program and implement policy – as needed
• Works with the Shift Managers and all Support Managers in coordination with other groups in coming up with programs that will help further develop the associates
• Recommends new or modifications to existing procedures to ensure Continuous Process Improvement (CPI)
• Evaluates management and contact center practices for possible modifications that will result in increased employee efficiency and satisfaction
• Responsible for the development and implementation of policies and procedures pertaining to HIPAA and ensures the center is following Privacy Rules Standard
Staff Development Function:
• Ensures that the Contact Center meets productivity standards – daily
• Provides daily leadership and motivation to a team of at least 2 Shift Managers
• Conducts monthly one-on-one coaching to Shift Managers and provide feedback to drive performance and reduce cost using data from reports on Attendance, handling time, productivity and quality grades
• Devises strategic communication plan to ensure all changes are relayed on time and accurately
• Creates incentives for all staff in conjunction with meeting performance measurements
• Conducts weekly meeting with Shift Managers and discusses team and program performance, issues and share best practices
• Designs development plans for Shift Managers; Prepares for succession plan in case the position got vacated in the future
• Initiates and supports all employee satisfaction and workplace programs
• Consults personnel / program issues to the Department Head in terms of further decision-making
• Coordinates with client or security coordinator for login ID upgrades due to promotion and/or deletion of network IDs from the system for voluntary/involuntary attrition
• Regularly spot-checks agents on customer handling and provides TLs/Quality Personnel with feedback on areas for improvement
Others:
• Performs tasks assigned by the Department Head
• Prepares composite reports from the individual reports of subordinates
• Communicates as needed with other departments within the Contact Center about operational and personnel issues
• Handles the overall project, budgeting & financials, strategies to improve teams KPIs, SPOC for the client relations, profitability of the project, planning & process improvements
General Safety and Security
- Protects the organization’s assets by upholding the principles of the Quality Information Security Management System (QISMS)
- Ensures confidentiality, integrity, and availability of information critical to fulfilling the organization’s business functions
- Remain compliant with the relevant business, local and international regulatory and legislative requirements particularly the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH) as appropriate
Education and/or Experience:
Completed a 3 or 4-year university degree, alternatively completed a 2-year university or a technical degree with 3+ years of Inbound Customer Service Call Experience.
Must have a minimum of twenty-four (24) months experience in either (i) a similar position in the Call center industry, or (ii) a Team Lead position within one of BSC’s Call Programs described in separate Services Schedules or Provider Call Programs; for both (i) and (ii), any such Operational Manager shall have successfully passed company’s internal program for such position
Location:
Top Skills
What We Do
Sagility is a U.S.-based, tech-enabled healthcare business process management company that supports payers, providers, and their partners to deliver best-in-class operations, enhance the member and provider experience, improve the quality of care and promote health equity all while delivering cost-effective healthcare financial and clinical outcomes. Sagility Technologies uses a holistic consulting approach to identify the root causes of healthcare payer and provider pain points, analyze the issues, and provide a complete solution that encompasses people, process, and technology platform improvements. Equipped with a strategic solutions mindset, our core focus is on what most benefits the client. Combining healthcare operations and technology experience with advanced UI, UX, and analytics expertise, we develop and deploy customized solutions for our client’s business. Additionally, with our extensive global resources and facilities, we provide the best service/price ratio for any service outsourcing needs.





