Director of Claims Operations

Sagility; United States; On-site; USD 120,000 - 225,000; Full time

Benefits offered by this job

Medical

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

Job summary

Sagility is looking for a Director of Claims Operations to manage site operations, improve operational performance, and lead diverse teams. The ideal candidate will have a substantial background in healthcare, operational efficiency, and strong leadership capabilities. This role is pivotal in enhancing member and patient experiences across a global organization and includes competitive benefits.

Qualifications

• 5+ years experience in customer service, call center, or related field.
• Healthcare industry experience required.
• Management experience is a must.

Responsibilities

• Manage overall business culture and site operations.
• Drive operational performance and continuous improvement initiatives.
• Lead across multiple teams and locations.

Skills

Interpersonal skills

Customer service

Problem-solving

Verbal communication

Written communication

Conflict resolution

Presentation skills

Financial acumen

Leadership

Analytical skills

Education

BA/BS in Business Administration or related field

Tools

Software applications

Phone systems

Job description

Join to apply for the Director of Claims Operations role at Sagility

Join to apply for the Director of Claims Operations role at Sagility

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:

Director of Claims Operations

Job Description:

The Sagility Team is currently hiring a talented Director of Operations to manage the overall business culture and site operations, including the development, guidance and direction of the Contact Center and Support Staff. This is an ideal role for an experienced and well rounded “hands on” leader with a focus on driving operational performance, facility management, P&L and continuous improvement initiatives.

Education:

• BA/BS in Business Administration or related field or equivalent required

Experience:

• 5+ years experience in customer service, call center or related field, including directing multiple sites and clients. Healthcare Industry Required.

Mandatory Skills:

• Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills.
• Excellent presentation and client interaction 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.
• Capacity to operate in a complex, global environment with ease and fluidity, while driving and influencing results.
• Ability to drive individual, teams and department efficiency and productivity through effective and efficient metric management.
• Strong operational and financial acumen, executive presence, and the ability to lead multiple locations.
• Strong business acumen with a broad understanding of fundamental business principles.
• Exhibit relevant and consistent leadership behaviors in team management, client communications and internal interactions with teams, peers and senior management. Work effectively across a global matrix organization.
• Effective leadership and people management skills, with a focus on developing diverse, high performing teams and fostering an inclusive culture that is collaborative and inquisitive.
• Ability to solve problems using creativity, critical thinking, decisiveness, and leadership.
• Advanced customer focus and customer service skills.
• Sufficient schedule flexibility commitment to support a 24/7 Global company.
• Experience and willingness to delve into all levels of detail needed to accomplish the business goals.
• Strong fiscal acumen with financial modelling & budgeting experience.
• Review and manage balanced scorecard and key performance indicators, regularly focusing on long term objectives to ensure Client and Organization goals are continually met.
• Develop long term plan to enhance performance of programs. This includes areas such as Force Management, Training, quality, staffing and/or program initiatives.
• Effectively manage in a fast paced call center environment with multiple teams.
• Lead cross-functional activities and communication to further partnership between organization and assigned clients.
• Participate in cross-functional teams including IT, WFM, Client Services, Implementation, Change Management, and other support departments.
• Use a systematic approach to identifying improvement opportunities, root-cause analysis, recommending solutions, and implementing process improvements in accordance with client/company policies and practices.
• Responsible for leading, providing professional development, and evaluating direct reports.
• Provide clients with contact center consulting services in relationship to benchmark data relative to forecasting, staffing, quality assurance, training, call center technology, etc.
• Prepare, deliver, and facilitate both client and internal business presentations and meetings.
• Promote teamwork and cooperative effort.
• Help train and provide guidance to other employees within the organization.
• Maintain a clean, safe, and unobstructed work area, and practice good safety habits.
• Ensure both internal and external customers are provided with the highest quality service.

Salary Range: $120,000.00 and up dependent on experience

Sagility Offers Competitive Benefits Including:

• Medical
• 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:

El Paso United States of America

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and General Business

• Industries

  Outsourcing and Offshoring Consulting

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