Urwah Admin

Sagility

<div><h2 class="jobSectionHeader"><b>About Sagility</b></h2>
<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>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.</p>
</div></div></div></div></div></div></div></div></div></div></div></div></div></div><p></p><div><div><div><div><div><div><div><p><b>Job title:</b></p>
</div></div></div></div></div></div></div>Work From Home- Licensed Pharmacy Tech
<p></p><div><div><div><div><div><div><div><p><b>Job Description:</b></p>
</div></div></div></div></div></div></div><div><div><p>Sagility is seeking a <b>Prior Authorization Licensed Pharmacy Technician</b> to join our team in a fully remote capacity. This role offers the opportunity to work in a fast-paced, collaborative environment supporting critical pharmacy operations and patient access to medications.</p>
<p>In this position, you will review, research, and process prior authorization requests to ensure accuracy, compliance, and timely outcomes. The ideal candidate brings strong attention to detail, critical thinking skills, and the ability to communicate effectively with healthcare providers and internal teams.</p>
<p></p><p><b>Note:</b> Candidates must hold an active, unrestricted Pharmacy Technician license in Arizona.</p>
<p></p><p><b>Benefits You Will Enjoy</b></p>
<ul><li>Competitive pay: $23.00/hour</li>
<li>Performance-based incentives</li>
<li>Paid training in a cutting-edge virtual training environment</li>
<li>Comprehensive health coverage (available after 90 days)</li>
<li>Employee wellness and engagement programs.</li>
</ul><p></p><p><b>Responsibilities:
</b></p><ul><li>Process prescription prior authorization requests submitted by healthcare providers with accuracy and efficiency</li>
<li>Review and research complex and compound prescriptions to support appropriate coverage decisions</li>
<li>Conduct outbound outreach to providers to obtain additional or clarifying information as needed</li>
<li>Partner with pharmacists by providing prior authorization recommendations based on benefit plan design and coverage guidelines</li>
<li>Coordinate and process specialty medication reviews across both pharmacy and medical benefits</li>
<li>Maintain up-to-date knowledge of pharmacy and medical claims processing systems and requirements</li>
</ul><p></p><p><b>Qualifications:
</b></p><ul><li>Active, unrestricted Pharmacy Technician license in Arizona (AZ)</li>
<li>Previous experience as a Pharmacy Technician, preferably in prior authorization, managed care, or specialty pharmacy</li>
<li>Demonstrated experience with prior authorization processes, including specialty medications, precertification, and retrospective reviews</li>
<li>Strong analytical and problem-solving skills with the ability to interpret clinical and benefit information</li>
<li>Excellent communication skills with a focus on professionalism and customer service</li>
<li>Ability to work independently in a remote environment while managing productivity and quality expectations</li>
</ul><p></p><p><b>Preferred Qualifications:</b></p>
<ul><li>3 years of experience with Pharmacy Benefit Management (PBM) or prescription claims administration</li>
<li>1 year of Prior Authorization experience</li>
<li>2 years of experience handling confidential information</li>
</ul><p></p><p><b>Required Job Skills:
</b></p><ul><li>Intermediate PC proficiency with word processing, spreadsheets, and claims/imaging systems</li>
<li>Required Professional Competencies</li>
<li>Ability to establish and maintain collaborative working relationships</li>
<li>Strong organizational skills with the ability to prioritize workflow</li>
<li>Ability to compose clear and professional business correspondence</li>
</ul><p></p><p><b>Required Leadership Competencies:
</b></p><ul><li>Ability to use available information to prioritize tasks and support team objectives</li>
<li>Preferred Job Skills</li>
<li>Advanced PC proficiency with word processing, spreadsheets, and claims/imaging systems</li>
</ul><p></p><p><b>Preferred Professional Competencies:
</b></p><ul><li>Strong interpersonal communication skills</li>
<li>Multicultural awareness and sensitivity</li>
<li>Experience with pharmacy vendor claim systems</li>
</ul><p></p><p><b><i>What to Expect:</i></b></p>
<ul><li><i>On-camera participation during interviews, training, team meetings, and regular check-ins.</i></li>
<li><i>Face-to-face discussions sparking collaboration and engagement</i></li>
<li><i>A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.</i></li>
 </ul><p><b>Benefits:</b></p>
<ul><li>Medical, Dental, and Vision coverage.</li>
<li>Life Insurance.</li>
<li>Short-Term and Long-Term Disability options.</li>
<li>Flexible Spending Account (FSA).</li>
<li>Employee Assistance Program.</li>
<li>401(k) with employer contribution.</li>
<li>Paid Time Off (PTO).</li>
<li>Tuition Reimbursement.</li>
</ul><p></p><p>Sagility is an Equal Opportunity Employer/Veteran/Disability.</p><br>
<p></p><p><b><i>Alert:</i></b><i> Please beware of fraudulent communications from profiles impersonating Sagility or its employees. All official communication from Sagility will come from our verified email domains: &ldquo;@sagility.com&rdquo; or &ldquo;@sagilityhealth.com&rdquo;. Sagility will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether via email, WhatsApp, or any social platform. For any concerns, contact us directly through our official website.</i></p>
</div></div><p></p><div><div><div><div><div><div><div><p><b>Location:</b></p>
</div></div></div></div></div></div></div>Work@Home NationWideUnited States of America</div></div>

Work From Home- Licensed Pharmacy Tech

<div><h2 class="jobSectionHeader"><b>About Sagility</b></h2>
<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>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.</p>
</div></div></div></div></div></div></div></div></div></div></div></div></div></div>The Business Analyst lead role will be responsible for gathering, analyzing, and preparing reports to support data-driven decision-making within the clinical pillar team. This role will primarily focus on generating insightful reports for various departments and stakeholders, ensuring accuracy, and providing valuable insights to drive business growth and efficiency.
<p></p><div><div><div><div><div><div><div><p><b>Job title:</b></p>
</div></div></div></div></div></div></div>Operations Business MIS Analyst Lead
<p></p><div><div><div><div><div><div><div><p><b>Job Description:</b></p>
</div></div></div></div></div></div></div><p>DUTIES &amp; RESPONSIBILITIES:</p>
<p>The Operations Business Analyst lead role will be responsible for gathering, analyzing, and preparing reports to support data-driven decision-making within the clinical pillar team. This role will primarily focus on generating insightful reports for various departments and stakeholders, ensuring accuracy, and providing valuable insights to drive business growth and efficiency.</p>
<p></p><p>Reporting and Analysis:</p>
<ul><li>Collaborate with stakeholders to understand reporting requirements and objectives.</li>
<li>Design and develop comprehensive reporting solutions that meet business needs.</li>
<li>Gather and analyze data from multiple sources to generate accurate and meaningful reports.</li>
<li>Identify trends, patterns, and anomalies in the data to provide valuable insights.</li>
<li>Ensure the accuracy and integrity of the data by conducting data validation and quality checks.</li>
<li>Create visually appealing and easy-to-understand reports, utilizing charts, graphs, and other data visualization techniques.</li>
<li>Present findings and recommendations to key stakeholders in a clear and concise manner.</li>
<li>Continuously monitor and improve the reporting process to enhance efficiency and effectiveness.</li>
<li>Stay up-to-date with industry trends and best practices in reporting and analytics.</li>
</ul><p></p><p>People Management:</p>
<ul><li>Handles and resolves inconsistency of the team to change as it involves conflicting views and opinions</li>
<li>Conducts alignment meetings for all clinical programs to ensure all reports are current and up to date</li>
</ul><p></p><p>Others:</p>
<ul><li>Perform tasks assigned by his/her immediate Head.</li>
<li>Actively assist in maintaining operational excellence on critical metrics for all clinical programs (example: attrition, metrics, employee demographics,</li>
<li>Amplifai data, list of eligible employees for incentives and clinical success profiles)</li>
<li>Helps in process automation</li>
</ul><p></p><p>General Safety and Security</p>
<ul><li>Protects the organization&rsquo;s assets by upholding the principles of the Quality Information Security Management System (QISMS).</li>
<li>Ensures confidentiality, integrity, and availability of information critical to fulfilling the organization&rsquo;s business functions.</li>
</ul><p></p><p>COMPETENCY REQUIREMENTS:</p>
<p></p><p>With Moderate Competency Level in the ff:</p>
<ul><li>Communication Skills (Spoken)</li>
<li>Communication Skills (Written)</li>
<li>Customer Service Orientation</li>
<li>Computer Literacy</li>
<li>Job Knowledge</li>
<li>Sense of Urgency</li>
<li>Passion for Excellence</li>
<li>Working in Teams/Interpersonal Skills</li>
<li>Work Organization</li>
<li>Drive for Results/Execution</li>
<li>Thriving in Change</li>
<li>Expertise/Analytical Skills</li>
<li>Product Knowledge</li>
<li>Typing Skills</li>
<li>Problem Solving</li>
<li>Process Improvement</li>
<li>Performance Management</li>
<li>Change Management</li>
</ul><p></p><p>With Expert Competency Level in the ff.:</p>
<p>Expertise/Analytical Skills</p>
<p>OTHER REQUIREMENTS:</p>
<p></p><p>Reports to:
</p><p>Senior Vice President or Operations Director</p>
<p></p><p>Education and/or Experience:</p>
<ul><li>Bachelor's degree in any field preferred or Associate's degree with 2 years of similar experience</li>
<li>Proven experience as a Reports Analyst or similar role.</li>
<li>Proficiency in data analysis and reporting tools such as Excel, SQL, Tableau, or Power BI.</li>
<li>Strong analytical skills with the ability to interpret complex data sets.</li>
<li>Excellent attention to detail and accuracy.</li>
<li>Effective communication skills, both written and verbal, with the ability to present findings to non-technical stakeholders.</li>
<li>Strong problem-solving abilities and the capability to work independently or as part of a team.</li>
<li>Ability to manage multiple projects and meet deadlines in a fast-paced environment.</li>
<li>Familiarity with healthcare or clinical data is a plus.</li>
</ul><p></p><p>Certificates, Licenses, Registrations:</p>
<p>N/A</p>
<p></p><p>Work environment:</p>
<p>The work environment is professional, office. Business casual attire</p>
<p></p><p>Work at Home:</p>
<ul><li>Ability to create and follow business plans</li>
<li>Time management skills</li>
<li>Be reliable and responsible</li>
<li>Organizational skills</li>
<li>Willingness to seek help and ask questions</li>
<li>Adaptability and Flexibility</li>
<li>Self-Motivated</li>
<li>Technically proficient</li>
<li>Ability to work independently</li>
<li>Proactive</li>
<li>Ability to work as part of a virtual team</li>
<li>Strong written and verbal communication skills</li>
<li>Reliable home office equipment and internet connectivity</li>
<li>Excellent problem-solving skills</li>
<li>Ability to work with little supervision</li>
<li>Strong work ethic; Integrity</li>
</ul><p></p><p>Physical demands:</p>
<p>May require weekend, evening or shifting work schedule</p>
<p></p><div><div><div><div><div><div><div><p><b>Location:</b></p>
</div></div></div></div></div></div></div>Work@Home USAUnited States of America</div></div>

Operations Business MIS Analyst Lead

<div><h2 class="jobSectionHeader"><b>About Sagility</b></h2>
<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>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.</p>
</div></div></div></div></div></div></div></div></div></div></div></div></div></div><p></p><div><div><div><div><div><div><div><p><b>Job title:</b></p>
</div></div></div></div></div></div></div>Claims Representative -Work From Home (Healthcare)
<p></p><div><div><div><div><div><div><div><p><b>Job Description:</b></p>
</div></div></div></div></div></div></div><p>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.</p>
<p></p><p>If you are detail-oriented, analytical, and thrive in a structured environment, this is your opportunity to build a career in healthcare operations. Sagility is actively building a pipeline of qualified Claims Representatives to support upcoming classes. Early applicants will be prioritized for interview scheduling and for consideration of offers.</p>
<p></p><p>As a Claims Representative, you will review and process medical, dental, or supplemental insurance claims according to eligibility guidelines, benefits, and internal policies. Our structured training program prepares you for success through instructor-led virtual sessions, hands-on learning, and progressive performance goals. Once training is complete, you will be responsible for meeting established quality, productivity, and accuracy standards.</p>
<p>If you are motivated, reliable, and ready to grow your career in healthcare, we encourage you to apply as soon as possible.</p>
<p></p><p><b>Become Part of a Team That S.O.A.R,s!</b></p>
<ul><li><b>S Spark Curiosity</b></li>
<li><b>O One Team, One Direction</b></li>
<li><b>A Action for Results</b></li>
<li><b>R Right by Right Purpose</b></li>
</ul><p></p><p><b>Benefits You Will Enjoy</b></p>
<ul><li>Competitive pay: $16.00-$17.00/hour</li>
<li>Performance-based incentives</li>
<li>Paid training in a cutting-edge virtual training environment</li>
<li>Comprehensive health coverage (available after 90 days)</li>
<li>Employee wellness and engagement programs.</li>
<li>Career advancement opportunities: 90% of our leaders started as Customer Service Representatives</li>
</ul><p></p><p><b>What You Will Do</b></p>
<ul><li>Review and process insurance claims accurately using internal guidelines and benefit plans
</li><li>Research and navigate multiple systems and documents to validate claim details
</li><li>Confirm required documentation is included and identify missing information
</li><li>Verify accuracy of medical coding (CPT/ICD-10 preferred)
</li><li>Evaluate eligibility, coverage, authorizations, and coordination of benefits
</li><li>Identify discrepancies and resolve errors using established procedures
</li><li>Maintain productivity and quality standards in a fast-paced environment
</li><li>Work independently while collaborating with supervisors, coaches, and trainers
</li><li>Use multiple computer applications and virtual tools such as Outlook, Webex, and internal systems
</li><li>Continuously improve efficiency through feedback and training support</li></ul>
<p></p><p><b>What You Bring</b></p>
<ul><li>High school diploma or equivalent
</li><li>Ability to quickly learn new systems and processes
</li><li>Experience using Microsoft Outlook (email, calendar invites, attachments)
</li><li>Basic Microsoft Excel skills (sorting/filtering)
</li><li>Ability to navigate multiple systems using shortcuts and efficient workflows
</li><li>Strong attention to detail and ability to follow complex procedures
</li><li>Excellent time management and organizational skills
</li><li>Ability to meet productivity and quality performance expectations
</li><li>Experience working independently in a remote environment preferred
</li><li>Familiarity with healthcare terminology, insurance claims, CPT or ICD-10 coding preferred
</li><li>Previous claims processing or related administrative experience preferred</li></ul>
<p></p><p><b>Job Requirements</b></p>
<ul><li>Must be at least 18 years of age
</li><li>Minimum 1 year of consistent employment history (customer service or administrative experience preferred)
</li><li>Reliable attendance required, especially during the first 90 days
</li><li>Typing speed of at least 25 WPM
</li><li>Hardwired internet connection with minimum speeds of 25 Mbps download and 10 Mbps upload
</li><li>Secure, private workspace free from distractions
</li><li>Flexible availability, including weekends as business needs require</li></ul>
<p></p><p><b>Benefits &amp; Perks</b></p>
<ul><li>Daily Pay options available
</li><li>Medical, Dental, and Vision coverage
</li><li>Life Insurance
</li><li>Short-Term and Long-Term Disability options
</li><li>Flexible Spending Account (FSA)
</li><li>Employee Assistance Program
</li><li>401(k) with employer contribution
</li><li>Paid Time Off (PTO)
</li><li>Tuition Reimbursement</li></ul>
<p></p><p>Sagility is an Equal Opportunity Employer/Veteran/Disability.</p>
<p></p><p><b><i>Alert:</i></b><i> Please beware of fraudulent communications from profiles impersonating Sagility or its employees. All official communication from Sagility will come from our verified email domains: &ldquo;@sagility.com&rdquo; or &ldquo;@sagilityhealth.com&rdquo;. Sagility will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether via email, WhatsApp, or any social platform. For any concerns, contact us directly through our official website.</i></p>
<p></p><div><div><div><div><div><div><div><p><b>Location:</b></p>
</div></div></div></div></div></div></div>Work@Home USAUnited States of America</div></div>

Claims Representative -Work From Home (Healthcare)

<div><h2 class="jobSectionHeader"><b>About Sagility</b></h2>
<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>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.</p>
</div></div></div></div></div></div></div></div></div></div></div></div></div></div>The AVP of Program Integrity will lead the strategy, execution, and continuous improvement of pre-pay and post-pay audit concepts. This leader brings deep payer-side expertise, strong clinical and coding knowledge, and the ability to translate regulatory and payer policies into scalable and profitable audit logic.
<br>
<br>
The role partners with Audit Operations, IT, Sales, and Client Leadership to expand Sagility's end-to-end Payment Integrity value proposition, ensuring industry-leading medical cost savings, operational excellence, high quality, and strong client trust.
<p></p><div><div><div><div><div><div><div><p><b>Job title:</b></p>
</div></div></div></div></div></div></div>AVP Program Integrity - Ideation and Analytics
<p></p><div><div><div><div><div><div><div><p><b>Job Description:</b></p>
</div></div></div></div></div></div></div><div><h2 class="jobSectionHeader"><b>Operational </b><b>Leadership</b></h2>
<ul><li>Direct multi-disciplinary PI teams including Ideation SMEs, Pricing Analysts, auditors, and program integrity staff.</li>
<li>Build and scale high-yield pre-pay and post-pay audit operations delivering measurable savings and ROI.</li>
<li>Establish centralized workflows, SOPs, quality assurance programs, and performance dashboards.</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Payment Integrity Strategy &amp; </b><b>Ideation</b></h2>
<ul><li>Lead development of innovative audit concepts across data mining and clinical review.</li>
<li>Use analytics to uncover trends, patterns, atypical billing behavior, and outlier providers.</li>
<li>Translate regulatory and medical policy changes into proactive PI strategies and editable audit logic.</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Pricing, Policy &amp; Regulatory </b><b>Interpretation</b></h2>
<ul><li>Interpret complex Medicaid, Medicare, and commercial reimbursement rules.</li>
<li>Partner with the pricing team to convert pricing guidelines into automated pricer logic within PI tools.</li>
<li>Ensure accuracy, compliance, and scalability of contract audit methodologies.</li>
</ul><p></p><h2 class="jobSectionHeader"><b>.</b><b>Fraud, Waste &amp; Abuse (FWA) </b><b>Oversight</b></h2>
<ul><li>Provide strategic oversight of SIU/FWA functions including investigators, managers, and directors.</li>
</ul></div><p></p><div><ul><li>Drive enterprise-wide FWA risk assessments and ensure compliance with federal/state regulations.</li>
<li>Build relationships with industry bodies (BCBSA, NHCAA, law enforcement, regulatory agencies).</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Client Engagement &amp; Growth </b><b>Support</b></h2>
<ul><li>Serve as a PI subject matter expert in client discussions, sales cycles, and go-to-market strategy.</li>
<li>Understand client goals, identify opportunity areas, and co-create PI roadmaps.</li>
<li>Monitor KPIs for client engagement, satisfaction, and revenue growth.</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Vendor </b><b>Management</b></h2>
<ul><li>Oversee PI vendor relationships including claims editing partners, overpayment recovery partners, and audit vendors.</li>
<li>Ensure vendor staff effectiveness, compliance, and alignment with enterprise PI strategy.</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Performance &amp; ROI </b><b>Governance</b></h2>
<ul><li>Develop reporting metrics to track medical cost savings, team productivity, quality, and ROI.</li>
<li>Drive long-term performance improvement; replicate and scale successful PI concepts.</li>
<li>Achieve aggressive year-over-year gains similar to prior ROI increases demonstrated in earlier roles.</li>
</ul><p></p><h1 class="jobSectionHeader"><b>QUALIFICATIONS</b></h1>
<h2 class="jobSectionHeader"><b>Required</b></h2>
<p></p><ul><li>10+ years of healthcare experience in Payment Integrity, SIU/FWA, coding compliance, and audit operations.</li>
<li>Exceptional Executional Skills &ndash; meet numbers/goals and objectives</li>
<li>Demonstrated success building centralized PI programs (pre-pay, post-pay, policy, edits, chart review).</li>
<li>Strong experience with payer environments (Medicaid, Medicare, Commercial) and audit vendors.</li>
<li>Expertise in developing audit concepts, pricing logic, and regulatory interpretation.</li>
<li>Proven leadership of teams of 20&ndash;30+ investigators, SMEs, analysts, and auditors.</li>
<li>Certifications such as AHFI and CPC (highly preferred).</li>
<li>Bachelor&rsquo;s degree in Criminal Justice, Finance, Healthcare Administration, or related field</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Deal &amp; Commercial </b><b>Skills</b></h2>
<p></p><ul><li>Experience supporting sales, GTM strategy, and client expansions.</li>
<li>Prior leadership in a Blue Plan or large national payer.</li>
<li>Experience implementing claims editing platforms and PI technologies.</li>
</ul><p></p><h1 class="jobSectionHeader"><b>KEY</b><b> </b><b>LEADERSHIP</b><b> </b><b>COMPETENCIES</b></h1>
<ul><li>Strategic Thinking: Ability to modernize PI programs, centralize fragmented operations, and align PI capabilities with enterprise strategy.</li>
<li>Operational Excellence: Skilled in workflow optimization, quality enforcement, and scaling teams.</li>
<li>Data-Driven Insight: Strong use of analytics to drive ideation, risk detection, and provider behavior insights.</li>
<li>Influence &amp; Executive Presence: Represents the organization with regulators, clients, and industry forums.</li>
<li>Innovation Mindset: Comfortable introducing new audit concepts, predictive risk analytics, and automation.</li>
</ul></div><ul><li><b>SUCCESS </b><b>MEASURES</b></li>
</ul><div><ul><li>YOY increase in validated audit savings and medical cost avoidance.</li>
<li>Operational efficiency gains (cycle time, accuracy, auto adjudication rates).</li>
<li>Expansion of Pl ideation pipeline and audit innovation throughput.</li>
<li>Client NPS improvement and successful renewal/ expansion.</li>
<li>Compliance audit outcomes with zero findings.</li>
<li>Effective vendor governance and pricing logic modernization.</li>
</ul></div><p>Client-Centric Orientation: Deep understanding of payer needs and ability to architect PI solutions that drive measurable value</p>
<p></p><div><div><div><div><div><div><div><p><b>Location:</b></p>
</div></div></div></div></div></div></div>Work@Home USAUnited States of America</div></div>

AVP Program Integrity - Ideation and Analytics

<div><h2 class="jobSectionHeader"><b>About Sagility</b></h2>
<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>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.</p>
</div></div></div></div></div></div></div></div></div></div></div></div></div></div>The role of an executive is to contribute to the overall team performance and profitability by implementing action plans which in return will improve and maintain client satisfaction.
<p></p><div><div><div><div><div><div><div><p><b>Job title:</b></p>
</div></div></div></div></div></div></div>Executive Coding
<p></p><div><div><div><div><div><div><div><p><b>Job Description:</b></p>
</div></div></div></div></div></div></div><p><b>Education : </b>Any graduates or post graduate (preferably science background)</p>
<p></p><p><b>Experience : </b>1.5+ years experience in HC domain &amp; coding related field</p>
<p></p><p><b>Roles &amp; Responsibilities :</b></p>
<ul><li>Possess basic knowledge of Healthcare</li>
<li>Good reasoning and analytical skills</li>
<li>Able to communicate fluently in the language required for the function/location</li>
<li>Active listening skills</li>
<li>Passion to learn</li>
<li>Influencing skills</li>
<li>Ability to comprehend the employee requirements well</li>
<li>Adhere to attendance and punctuality norms</li>
<li>Acquiring knowledge &amp; skills of related areas of the process</li>
<li>Processing claims/developing projects/handling calls, as per the process guidelines</li>
<li>Adhering to the SLA, and understanding Quality &amp; Auditing parameters</li>
<li>Meeting assigned productivity goals</li>
<li>Understanding and adhering to quality standards</li>
<li>Meeting TAT</li>
<li>Ensure adherence to external and internal quality and security standards (HIPPA /ISO)</li>
</ul><p></p><p><b>Skills :</b></p>
<ul><li>Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills.</li>
<li>Proficiency with the necessary technology, including computers, software applications, phone systems, etc.</li>
<li>Ability to improve and/or transform teams processes across functions within the organization.</li>
<li>Ability to drive individual, teams and department efficiency and productivity through effective and efficient metric management.</li>
<li>Strong coaching and leadership skills, ability to develop and motivate employees towards improved performance.</li>
<li>Ability to delegate and manage work loads and projects across functions within the organization.</li>
<li>Ability to successfully drive continuous improvement efforts by leading various work streams related to call center metrics and monitoring tools.</li>
<li>Capacity to operate in a complex, global environment with ease and fluidity, while driving and influencing results.</li>
<li>Strong operational and financial acumen, executive presence, and the ability to lead multiple sites.</li>
<li>Ability to problem solve, handle conflict, anticipate issues/concerns, troubleshoot problems, and proactively institute creative solutions.</li>
<li>Advanced customer focus and customer service skills.</li>
<li>Ability to multitask and remain calm under pressure, especially during peak hours or intense situations.</li>
<li>Ability to handle reporting, financial analysis (cost-effectiveness, cost-benefit etc.) &amp; budgeting.</li>
<li>Experience with Client relationship management is preferred</li>
</ul><p></p><div><div><div><div><div><div><div><p><b>Location:</b></p>
</div></div></div></div></div></div></div>HyderabadIndia</div></div>

Executive Coding

<div><h2 class="jobSectionHeader"><b>About Sagility</b></h2>
<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>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.</p>
</div></div></div></div></div></div></div></div></div></div></div></div></div></div><p></p><div><div><div><div><div><div><div><p><b>Job title:</b></p>
</div></div></div></div></div></div></div>Associate Director - Java Full stack
<p></p><div><div><div><div><div><div><div><p><b>Job Description:</b></p>
</div></div></div></div></div></div></div><ul><li>12+ yrs proven working experience in Java development</li>
<li>Must have hands on experience in designing and developing applications using Java EE platforms</li>
<li>Must have exposure in developing web applications using at least one popular web frameworks like JSF, Spring, Hibernate and JSF</li>
<li>Must have experience in Core Java/ Advance Java, Algorithms, Design patterns, Multi-threading, Garbage collection, Data structures.</li>
<li>Must have at least 6+ yrs in Spring MVC/ Spring Boot, Hibernate, Rest- Webservices, Angular.</li>
<li>Strong experience in Object Oriented analysis and design</li>
<li>Profound insight of Java and JEE internals (multi-threading, Memory Management, Transaction management etc)</li>
<li>Must have excellent knowledge of Relational Databases, Oracle, SQL and ORM technologies (JPA2, Hibernate)</li>
<li>Exposure/ Experience in Healthcare domain is Mandatory (Payer side is Preferred).</li>
<li>Must have exposure to front end technologies.</li>
<li>Should collaborate well with internal teams and stakeholders.</li>
<li>Mentor junior resources and groom them on the application.</li>
<li>Should focus on writing reusable code &amp; process improvement.</li>
<li>Knowledge on Spring boot, Angular, DevOps &amp; Agile will be a plus.</li>
</ul><p></p><div><div><div><div><div><div><div><p><b>Location:</b></p>
</div></div></div></div></div></div></div>HyderabadIndia</div></div>

Associate Director - Java Full stack

Join Sagility and explore 6   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.