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:
Education:
Any graduates or post graduate (preferably science background)
Professional Qualifications:
Nursing Certification (IRN)
Experience:
2.5+ years experience in HC domain & Clinical related field
Mandatory Skills:
Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills.
Proficiency with the necessary technology, including computers, software applications, phone systems, etc.
Ability to improve and/or transform teams processes across functions within the organization.
Ability to drive individual, teams and department efficiency and productivity through effective and efficient metric management.
Strong coaching and leadership skills, ability to develop and motivate employees towards improved performance.
Ability to delegate and manage work loads and projects across functions within the organization.
Ability to successfully drive continuous improvement efforts by leading various work streams related to call center metrics and monitoring tools.
Capacity to operate in a complex, global environment with ease and fluidity, while driving and influencing results.
Strong operational and financial acumen, executive presence, and the ability to lead multiple sites.
Ability to problem solve, handle conflict, anticipate issues/concerns, troubleshoot problems, and proactively institute creative solutions.
Advanced customer focus and customer service skills.
Ability to multitask and remain calm under pressure, especially during peak hours or intense situations.
Ability to handle reporting, financial analysis (cost-effectiveness, cost-benefit etc.) & budgeting.
Experience with Client relationship management is preferred
Roles & Responsibilities:
Possess basic knowledge of Healthcare
Good reasoning and analytical skills
Able to communicate fluently in the language required for the function/location
Active listening skills
Passion to learn
Influencing skills
Ability to comprehend the employee requirement well
Adhere to attendance and punctuality norms
Acquiring knowledge & skills of related areas of the process
Processing claims/developing projects/handling calls, as per the process guidelines
Understands, knows, and interprets different complex scenarios and is able to resolve all assigned tasks
Adhering to the SLA, and understanding Quality & Auditing parameters
Meeting assigned productivity goals
Understanding and adhering to quality standards
Meeting TAT
Mentor & coach new members of the team based on requirement
To act as a subject matter expert
Ability to look for alternative solutions for problems identified; Takes decisions based on logical reasoning and relevant information
Assumes responsibility for work activities and coordinating efforts
Location:
Skills Required
- Any graduate or postgraduate degree, preferably with a science background
- Nursing certification (IRN)
- At least 2.5 years of healthcare-domain and clinical-related experience
- Exceptional interpersonal, customer service, problem-solving, communication, and conflict-resolution skills
- Proficiency with computers, software applications, and phone systems
- Ability to improve team processes across organizational functions
- Experience managing metrics to improve individual, team, and department efficiency
- Strong coaching, leadership, delegation, and employee-motivation skills
- Ability to lead continuous-improvement workstreams involving call-center metrics and monitoring tools
- Ability to operate effectively in a complex global environment and influence results
- Strong operational and financial acumen, executive presence, and ability to lead multiple sites
- Ability to handle reporting, financial analysis, cost-effectiveness, cost-benefit analysis, and budgeting
- Client relationship management experience
- Healthcare knowledge, analytical reasoning, active listening, influencing, and fluent communication skills
- Ability to process claims, handle calls, develop projects, resolve complex scenarios, and meet productivity and turnaround-time goals
- Ability to adhere to service-level agreements, quality standards, auditing parameters, attendance requirements, and process guidelines
What We Do
Sagility is a technology-led healthcare operations and business process optimization partner serving payers and providers. It combines healthcare expertise with artificial intelligence, intelligent automation, analytics, cloud platforms, consulting, and BPaaS to streamline claims, membership, clinical, payment-integrity, provider-network, and revenue-cycle workflows across the healthcare ecosystem. Its goal is to reduce administrative costs, improve member and provider experiences, and support better clinical and financial outcomes.
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