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:
Process Improvement
- Understands Humana business strategy
- Understands BPO concept, strategy, goals and objectives from key performance indicators to operational metrics
- Leads multiple projects as assigned by Business Excellence Lead
- Provides necessary support for Process Mapping Workout & Analysis
- Performs data collection and analysis and recommend improvement actions
Project Management
- Monitors and controls projects implemented
- Measures impact of projects implemented.
- Leads SPARK and AIM initiatives
- Communicates project details effectively to stakeholders and other departments
- Defines, proposes and drives implementation areas of improvement within an identified department as well as other related areas through the use of process improvement tools
Work At Home Responsibilities
- Be familiar with and abide to all Sagility general security and Work @ Home security policies and procedures
- Be familiar with and abide by all client security policies and procedures required to protect customer data
- Maintain the security of the home work environment and protect the Sagility-provided assets, client system and data
- Ensure that all security related incidents are reported
- Shall work on the same internet connection that was tested during setup process. If changes are made to the current internet connection or router during the course of application or employment, employee will be required to notify the appropriate parties in advance and retest the connection to ensure the requirements are met.
- Must immediately report system performance problems or downtime to his/her manager and the local IT-SPOC
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), Health Information Technology for Economic and Clinical Health Act (HITECH), and Utilization Review Accreditation Commission (URAC).
COMPETENCY REQUIREMENTS:
With Moderate Competency Level in ff.:
- Communication Skill (Spoken)
- Communication Skill (Written)
- Customer Service Orientation
- Working in Teams / Interpersonal Skills
- Work Organization
- Thriving in Change
- Product Knowledge
- Presentation Skills
- Facilitation Skills
- Planning, Organizing, & Controlling
- Innovation
With Expert Competency Level in ff.:
- Sense of Urgency
- Passion for Excellence
- Drive for Results / Execution
- Expertise / Analytical Skills
- Computer Literacy
- Problem Solving
- Training Needs Analysis
- Process Improvement
OTHER REQUIREMENTS:
Reports to: Business Excellence Lead
Education and/or Experience:
- Two years of College Education with 6 months call center experience
- 7 Quality Tools, LEAN Six Sigma Yellow Belt Training
- One year Quality Assurance experience
Work environment (B&M):
- The work environment consists of a professional office workplace.
- Business attire may be required at times.
Work environment (WAH):
- Workstation PC is located in a confined area at home
- PC monitor is not facing the door or window
- Room is well ventilated to reduce the risk of equipment overheating
- Unauthorized entry to room is prevented (i.e. keeping the room locked at all times)
- Telephone conversations are not overheard from other areas of the house/outside
- Workstation is clean and free from any form of writing materials and electronic device
- Adequate internet connectivity (> 20 mbps)
Physical demands:
- Operations is in the evening
- May require work during weekends and holidays
Others:
- Must be reliable at all times.
- Self-motivated and can work with minimal supervision.
- Adherence to schedule provided.
- Attentive to details
- Creative in presenting data
- Fast learner
- Able to establish, implement and continuously improve the quality information security policies assigned to him / her.
- Able to establish structures and procedures to protect classified information.
- Able to report information security related incidents without any delay to the proper authorities. Example: All information-related incidents, losses, weaknesses and software/hardware malfunctions, breaches of confidentiality.
- Able to participate during training, orientation and awareness programs pertaining to QISMS.
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.







