Sagility

Manage healthcare payment integrity teams, identify cost-saving opportunities, and develop client partnerships. | Minimum 9-12 years in healthcare operations, experience in payment integrity, leadership skills, and ability to manage client relationships. | 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. The incumbent will be accountable directly and indirectly through a matrix team. He/She will be partnering with key value streams and business units within Sagility Payment Integrity Organization. This role is essential for supporting the mission of affordable health system for all and drive financial savings. Job title: Associate Vice President - Payment Integrity Job Description: Education: • Bachelor’s degree in healthcare administration, Business, or a related field. Master's degree preferred. Experience: • Minimum of 9-12 years of experience in healthcare, with focus on leading Operations within the Payment Integrity Vertical on Health Plan & Vendor. • Experience in directly interfacing with and managing clients with integrity and transparency. Mandatory Skills: • Financial Acumen and Attention to Detail. • Proven leadership experience with the ability to motivate and develop a high-performing team. • In-depth knowledge of healthcare regulations and compliance requirements. • Excellent analytical and problem-solving skills. • Effective communication and interpersonal skills. • Ability and willingness to travel internationally. Roles & Responsibilities: • Effectively manage a work from home and potentially offshore teams. • Oversee and lead a team to Identify opportunities to reduce healthcare costs for the companies’ clients through improved payment integrity processes, such as targeted audits, recovery efforts, and cost containment measures to meet and exceed monthly and annual company and client goals. • P&L Management for assigned teams. • Partner with Technology towards building and improving automated solutions and the audit workstation utilized by staff to manage the overpayment recovery process. • Utilize systems tools to manage performance and its impact on the financial goal while Delivering Highest Level of Service Delivery requirements. • Mentoring & Coaching Operational & Leadership values. • Creating strong client partnerships and help grow the accounts across Sagility service offerings. Location: Work@Home USAUnited States of America

Handle incoming calls, research and resolve customer inquiries, document call details, and meet quality and customer satisfaction goals. | At least 1 year call center experience, high school diploma, typing speed of 25 WPM, reliable attendance, and a secure home workspace with hardwired internet. | 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: Work At Home-Customer Service Representative-Healthcare Job Description: Elevate Your Career with Sagility Sagility, a global leader in business process management, is dedicated to enhancing the member and patient experience. By combining cutting-edge technology with decades of healthcare expertise, we deliver exceptional results for our clients. Why Join Us? Become Part of a Team That S.O.A.R! • S – Spark Curiosity • O – One Team, One Direction • A – Action for Results • R – Right by Right Purpose We are passionate about shaping careers and are hiring Remote Customer Service Representatives for our call center team. Be the compassionate human connection that makes our service exceptional. Benefits You Will Enjoy: • Competitive pay: $11.00–$14.00/hour (bilingual representatives: $15.00/hour). • Performance-based incentives. • Paid training in a cutting-edge virtual training environment. • Comprehensive health coverage (available after 90 days). • Employee wellness and engagement programs. • Career advancement opportunities—90% of our leaders started as Customer Service Representatives. Your Role: • Handle incoming calls promptly and professionally. • Research and provide effective resolutions to customer inquiries. • Accurately document call details. • Communicate empathetically and diplomatically with clear, professional articulation. • Meet team goals for quality and customer satisfaction daily. What You Bring to the Table: • Commitment to excellence and a positive attitude. • Strong communication and interpersonal skills. • Comfort in a fast-paced, team-oriented environment. • Proficiency in navigating computer applications. • Desire to exceed customer expectations and grow professionally. • Previous healthcare experience is a plus. • At least 1 year of experience in a call center environment is required. Job Requirements: • Must be 18 years or older. • High School Diploma or equivalent. • Minimum of 1 year at a single job, preferably in customer service. • Reliable attendance, with no absences in the first 90 days. • Typing speed of at least 25 WPM. • Hardwired internet connection with minimum speeds of 5 Mbps upload and 10 Mbps download. • Secure, private work area at home. • Flexible availability, including weekends. Additional Perks: • Daily Pay. • Medical, Dental, and Vision coverage. • Life Insurance. • Short-Term and Long-Term Disability options. • Flexible Spending Account (FSA). • Employee Assistance Program. • 401(k) with employer contribution. • Paid Time Off (PTO). • Tuition Reimbursement. Take the first step toward a rewarding career. Join Sagility today and make a difference! Sagility is an Equal Opportunity Employer/Vet/Disability. Location: Work@Home North CarolinaUnited States of America

Manage daily operations and performance metrics of care management teams, ensure compliance with policies including HIPAA, lead coaching and development of staff, and liaise with clients to improve program outcomes. | Requires a nursing degree or equivalent clinical experience with at least 5 years clinical and 2 years managerial experience, plus customer service skills. | Sagility is a global leader specializing in augmenting healthcare teams to better patient, member, business and financial outcomes in partnership with payers and providers. A Leader who can interact closely with members and patients to deliver evidence-based, timely, preventative, personalized, cost-effective care with focus on the whole person that improves health, value and overall quality of life. We are currently hiring an Clinical Operations Manager- Care Management to join our team! Skills Required: • People Management/ Team Orientation • Drive for Results/ Execution • Expertise/ Analytical Skills • Product Knowledge • Presentation Skills • Process Improvement • Change Management • Organizing and Management Skills • Communication Skill (Spoken) • Communication Skill (Written) • Customer Service Orientation • Computer Literacy • Job Knowledge • Sense of Urgency • Passion for Excellence • Working in Teams/ Interpersonal Skills • Work Organization • Thriving in Change • Problem Solving • Facilitation Skills • Coaching • Performance Management • Discipline Management • Conflict Management • Fiscal Management • Business Acumen • Planning, Organizing, Controlling Role Expectation: • 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 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 regular 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 Team Leads - 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. • 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 Team Leads 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 in compliance with Privacy Rules Standard. • Ensures that the Operations Team meets productivity standards - daily. • Provides daily leadership and motivation to the Operations Team. • Conducts monthly one-on-one coaching to direct reports 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 meetings with direct reports to discuss team and program performance, issues and share best practices. • Designs development plans for direct reports; 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 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. • Performs tasks assigned by the Department Head. • Prepares composite reports from the individual reports of subordinates. • Communicates as needed with other departments 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. Education & Qualifications: • Any Nursing 4 years College Degree, and/or associate degree, and /or equivalent experience. • 5 years clinical experience • 2 years managerial experience. • Preferred experience: 2 years customer service Sagility Offers Competitive Benefits Including: • Medical • Dental • Vision • Life Insurance • Short-Term and Long-Term Disability • Flexible Spending Account • Life Assistance Program • 401K with employer contribution • PTO and Sick Time • Tuition Reimbursement Join our team, we look forward to talking with you! An Equal Opportunity Employer/Vet/Disability Location: Work@Home USAUnited States of America

Coach and develop a customer service team to meet performance metrics, handle escalated calls, manage employee performance, and promote teamwork. | 1+ years customer service experience with 12 months supervisory experience, strong interpersonal and communication skills, proficiency with technology, and ability to lead and improve team processes. | Education: • High School Diploma or equivalent required, Associates or Bachelor's degree preferred Experience: • 1+ years experience in customer service, call center or related field, including 12 months in a supervisor capacity. Healthcare Industry Preferred. Mandatory Skills: • Excellent 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 team processes across functions within the organization. • Ability to understand basic data and take appropriate action. • Ability to drive individual and team efficiency and productivity through effective and efficient metric management. • Ability to coach, train, and motivate employees and evaluate their performance. • Ability to effectively lead and develop team towards improved performance. • Ability to delegate and manage workloads and projects across functions within the organization. • Ability to successfully drive continuous improvement efforts by leading work streams related to call center metrics and monitoring tools. • Ability to problem solve, handle conflict, anticipate issues/concerns, troubleshoot problems, and proactively institute creative solutions. Roles & Responsibilities: • Coach and develop team to achieve account specific and organization CPIs and KPIs. • Responsible for monitoring employee performance using coaching tool and performance dashboards based on CPIs and KPIs. • Responsible for managing employee performance to include coaching, reward and recognition activities and merit/performance reviews. • Responsible for clearly communicating client and organization's expectations on an individual and team basis. • Develop daily and weekly action Plans to address individual performance in relationship to team performance. • Responsible for employee accountability and productivity, utilizing tools and reporting provided by clients and organization. • Responsible for handling escalated and non-resolved customer calls. • Participate in cross-functional activities and communication to further Company's capabilities and improvements. • Responsible for communicating by personal example and ongoing dialogue compliance to Company's policies and procedures, e.g., conducting oneself as a positive role model for all employees, particularly our CSRs. • Promote teamwork and cooperative effort. • Help train and provide guidance to other CSRs within the organization • Maintain a clean, safe, and unobstructed work area, and practice good safety habits. • Provide internal and external customers with the highest quality service. Salary Range: $18.75 and up dependent on experience Sagility Offers Competitive Benefits Including: • Medical • Dental • Vision • Life Insurance • Short-Term and Long-Term Disability • Flexible Spending Account • Life Assistance Program • 401K with employer contribution • PTO and Sick Time • Tuition Reimbursement Join our team, we look forward to talking with you! An Equal Opportunity Employer/Vet/Disability Location: Work@Home El PasoUnited States of America