Clinical Executive

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 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:

Clinical Executive

Job Description:

Education: BSC Nursing/ MSC Nursing/ Post BSC Nursing.

Experience: 2 + years experience in HC domain / Clinical related field.

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.
• Adhering to the SLA, and understanding Quality & Auditing parameters.
• Meeting assigned productivity goals.
• Understanding and adhering to quality standards.
• Meeting TAT.
• Ensure adherence to external and internal quality and security standards (HIPPA /ISO).

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/concerns, 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.

Location:

BLR, Surya Wave BuildingIndia