Senior Executive-Clinical

Sagility Limited; Hyderabad; On-site; INR 600,000 - 900,000; Full time

Job summary

Sagility Limited is hiring for a Senior Executive-Clinical role based in Hyderabad, India. The position requires 2.5+ years in the healthcare domain and a nursing certification (IRN) is preferred.

You will drive client satisfaction by applying effective communication, coaching, and process improvements within a multi-site environment. Responsibilities include claims processing, project handling, and ensuring quality standards while maintaining productivity across functions.

Qualifications

• 2.5+ years in healthcare domain
• Nursing certification (IRN) preferred
• Strong communication and conflict resolution skills
• Experience with call center metrics and monitoring tools

Responsibilities

• Possess basic knowledge of healthcare and analytical skills.
• Able to communicate fluently in the language required for the function/location.
• Active listening skills.
• Mentor and coach new team members as needed.
• Adhere to SLAs, quality, and auditing parameters.
• Meet productivity and TAT targets.

Skills

Interpersonal skills

Customer service

Communication

Analytical skills

Problem solving

Team leadership

Cross-functional collaboration

Education

Graduate or higher

Nursing certification (IRN)

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 senior executive 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 Executive-Clinical

Education

Any graduates or post graduate (preferably science background)

Professional Qualifications

Nursing Certification (IRN)

Experience

2.5+ years experience in HC domain & Clinical related field

Mandatory Skills

• Exceptional 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 teams processes across functions within the organization.
• Ability to drive individual, teams and department efficiency and productivity through effective and efficient metric management.
• Strong coaching and leadership skills, ability to develop and motivate employees towards improved performance.
• Ability to delegate and manage work loads and projects across functions within the organization.
• Ability to successfully drive continuous improvement efforts by leading various work streams related to call center metrics and monitoring tools.
• Capacity to operate in a complex, global environment with ease and fluidity, while driving and influencing results.
• Strong operational and financial acumen, executive presence, and the ability to lead multiple sites.
• Ability to problem solve, handle conflict, anticipate issues/concern, troubleshoot problems, and proactively institute creative solutions.
• Advanced customer focus and customer service skills.
• Ability to multitask and remain calm under pressure, especially during peak hours or intense situations.
• Ability to handle reporting, financial analysis (cost-effectiveness, cost-benefit etc.) & budgeting.
• Experience with Client relationship management is preferred.

Roles & Responsibilities

• Possess basic knowledge of Healthcare 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

Location

HyderabadIndia

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.