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 Graduate or Postgraduate
Experience: 10+ years Call Center and/or Claims Administration experience in an outsource environment responsible for multiple sites and clients. Healthcare Industry Preferred.
Roles & Responsibilities:
Review and manage balanced scorecard and key performance indicators, regularly focusing on long term objectives to ensure Client and Organization goals are continually met.
Develop long term plan to enhance performance of programs. This includes areas such as Force Management, Training, quality, staffing and/or program initiatives.
Lead cross-functional activities and communication to further partnership between organization and assigned clients.
Examine financial data and use them to improve profitability
Manage Budget and forecast
Familiarize with HIPAA regulations
Lead internal reviews and track Operations metrics, focus on improving metrics
Use a systematic approach to identifying improvement opportunities, root-cause analysis, recommending solutions, and implementing process improvements in accordance with client/company policies and practices.
Responsible for leading, providing professional development, and evaluating direct reports.
Prepare, deliver, and facilitate both client and internal business presentations and meetings.
Promote teamwork and cooperative effort.
Help train and provide guidance to other employees within the organization.
Ensure both internal and external customers are provided with the highest quality service.
Experience with Client relationship management
Mandatory Skills:
Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills.
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
Experience with client relationship management is required
Experience in budgeting and forecasting
Preferred Skills:
US health care
Budget Management
Team Management
Location:
Skills Required
- Any graduate or postgraduate degree
- 10+ years of call center and/or claims administration experience
- Experience in an outsource environment managing multiple sites and clients
- Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills
- Ability to improve or transform team processes across organizational functions
- Ability to drive team and departmental efficiency and productivity through metric management
- Strong coaching and leadership skills with the ability to develop and motivate employees
- Client relationship management experience
- Experience in budgeting and forecasting
- Healthcare industry experience
- US healthcare experience
- Budget management
- Team management
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.
