Manager - Clinical Practice

Sagility Limited; Bengaluru; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Sagility Limited is seeking a Manager - Clinical Practice to lead and manage centralized support for US healthcare programs. The ideal candidate will drive standardization, operational efficiency, and capability building while ensuring high-quality delivery and regulatory compliance.

Key responsibilities include managing clinical program delivery, leading clinical teams, and maintaining stakeholder relationships. Candidates should possess 5-9 years of experience in healthcare operations and strong exposure to clinical programs.

Strong leadership and communication skills are essential for this role.

Qualifications

• 5-9 years of experience in healthcare operations.
• Strong exposure to clinical programs such as Utilization Management, Prior Authorization, or Remote Patient Monitoring.
• Experience in managing clinical teams in a BPO environment.
• Proven track record in operations management, client engagement, and delivery excellence.
• Experience working with US healthcare or payer regulations and compliance frameworks.

Responsibilities

• Manage end-to-end clinical program delivery (PA, UM, etc.).
• Ensure adherence to SLAs, KPIs, and quality benchmarks.
• Drive productivity and cost optimization initiatives.
• Lead, mentor, and develop clinical teams (USRN/PharmD/coders).
• Act as primary point of contact for client interactions.
• Implement SOPs, governance frameworks, and quality controls.

Skills

Strong understanding of US healthcare workflows

Team management and people leadership skills

Stakeholder and client management

Process improvement and productivity optimization

Knowledge of clinical documentation and quality standards

Strong communication and escalation management skills

Experience with reporting, metrics, and SLA/KPI management

Education

Degree, Master Degree

Job description

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

Manager - Clinical Practice

Overview

To lead and manage Clinical Practice as a centralized support and shared services function for US healthcare programs, ensuring high‑quality delivery, regulatory compliance, and consistency across engagements. The role is responsible for driving standardization, operational efficiency, and capability building, while supporting business units with clinical expertise, scalable solutions, and process excellence across all clinical practice areas.

Education

• Degree, Master Degree

Experience

• 5‑9 years of experience in healthcare operations
• Strong exposure to clinical programs such as Utilization Management, Prior Authorization, or Remote Patient Monitoring
• Experience in managing clinical teams in a BPO environment
• Proven track record in operations management, client engagement, and delivery excellence
• Experience working with US healthcare or payer regulations and compliance frameworks

Mandatory Skills

• Strong understanding of US healthcare workflows
• Team management and people leadership skills
• Stakeholder and client management
• Process improvement and productivity optimization
• Knowledge of clinical documentation and quality standards
• Strong communication and escalation management skills
• Experience with reporting, metrics, and SLA/KPI management

Preferred Skills

• Clinical qualification (USRN / PharmD / BSc Nursing / Allied Health / MBA Healthcare)
• Exposure to value‑based care models
• Experience in transition management and process setup
• Knowledge of automation / digital tools in healthcare operations
• Lean Six Sigma (Green Belt/Black Belt)
• Experience in training, mentoring, and capability building

Roles & Responsibilities

• Operational Leadership
  • Manage end-to-end clinical program delivery (PA, UM, etc.)
  • Ensure adherence to SLAs, KPIs, and quality benchmarks
  • Drive productivity and cost optimization initiatives
• People Management
  • Lead, mentor, and develop clinical teams (USRN/PharmD/coders)
  • Drive employee engagement and retention initiatives
  • Manage performance reviews and capability development
• Client & Stakeholder Management
  • Act as primary point of contact for client interactions
  • Provide regular updates, insights, and performance reports
  • Manage escalations and ensure timely resolution
• Process & Quality Management
  • Implement SOPs, governance frameworks, and quality controls
  • Drive continuous improvement initiativesEnsure compliance with regulatory and client requirements
• Strategic Initiatives
  • Support new transitions and program expansions
  • Identify automation and innovation opportunities
  • Contribute to business growth and capability building

Location

Bangalore, India