Senior Associate - Pharma Operations – Prior Authorization

Sagility Limited; Bengaluru; On-site; INR 450,000 - 580,000; Full time

Job summary

Sagility is seeking a Senior Associate for Pharma Operations – Prior Authorization in Bangalore. The role requires 2-3 years of US healthcare pharma non-voice experience and any graduate education. You will handle claims processing, project development, and ensure adherence to SLAs and quality standards.

Responsibilities include analyzing complex scenarios, mentoring new team members, and maintaining client satisfaction through timely, compliant work. Excellent English communication is essential.

Qualifications

• Knowledge of US healthcare pharma (non-voice) processes and SLA requirements.
• Understanding of regulatory considerations (ERISA, HIPAA, state mandates).
• Attention to quality, accuracy and timeliness in work output.

Responsibilities

• Handle claims processing, project development, and calls per process guidelines.
• Interpret complex scenarios and resolve assigned tasks with logical reasoning.
• Adhere to SLA, quality and auditing parameters to meet productivity goals.
• Mentor new team members and act as a subject matter expert when needed.
• Coordinate activities and ensure delivery of action plans to improve client satisfaction.

Skills

US health care (ERISA/HIPAA/State Mand

Education

Any Graduate

Tools

MS Office

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. The role of an associate is to contribute to the overall team performance and profitability by implementing action plans which in return will improve and maintain client satisfaction.

Job title: Senior Associate - Pharma Operations – Prior Authorization

Job Description:

Education: Any Graduate

Experience: 2-3 Years US Healthcare Pharma - Non Voice Experience

Roles & Responsibilities

• Possess basic knowledge of US Healthcare Pharma - Non Voice


• Good reasoning and analytical skills


• Able to communicate fluently in the language required for the function/location


• Active listening skills


• Passion to learn


• Influencing skills


• Ability to comprehend the employee requirement well


• Adhere to attendance and punctuality norms


• Acquiring knowledge & skills of related areas of the process


• Processing claims/developing projects/handling calls, as per the process guidelines


• Understands, knows, and interprets different complex scenarios and is able to resolve all assigned tasks


• Adhering to the SLA, and understanding Quality & Auditing parameters


• Meeting assigned productivity goals


• Understanding and adhering to quality standards


• Meeting TAT


• Mentor & coach new members of the team based on requirement


• To act as a subject matter expert


• Ability to look for alternative solutions for problems identified; Takes decisions based on logical reasoning and relevant information


• Assumes responsibility for work activities and coordinating efforts

Skills

• US health care (ERISA/HIPAA/State Mandates)


• Process SLA


• Awareness of ISO, ISMS


• Telephone etiquettes


• MS office
  
• Typing skills & computer skills


• Effective communication in English

Location: BangaloreIndia 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.