- Location
- Work@Home USA, United States of America
- Workplace
- Remote
- Type
- Temporary
- Department
- Healthcare
- Seniority
- Entry
- Experience
- 3+ years
- Education
- Bachelor
- Source
- Workday
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:
Job Description:
Key Responsibilities
Operational Leadership & Business Performance
- Lead day-to-day operations to ensure achievement of productivity, quality, service level, compliance, and client performance targets.
- Monitor and drive key operational metrics including productivity, quality, protocol adherence, CPD, attendance, schedule adherence, customer experience, and clinical outcomes.
- Conduct routine business reviews with Team Leaders to identify trends, risks, and opportunities.
- Review operational performance and implement action plans to close gaps and sustain results.
- Partner with Workforce Management to ensure staffing levels align with volume forecasts and service commitments.
- Ensure timely escalation and resolution of operational, clinical, and client-impacting issues.
- Drive a culture of accountability and ownership across the leadership team.
- Support budget management through effective utilization of staffing resources and overtime controls.
- Ensure business continuity plans, contingency plans, and disaster recovery procedures are operationally effective.
People Leadership & Talent Development
- Lead, coach, and develop Team Leaders to build a high-performing leadership pipeline.
- Conduct regular leadership coaching sessions focused on performance management, employee engagement, and leadership effectiveness.
- Develop and execute Individual Development Plans (IDPs) for Team Leaders and high-potential employees.
- Ensure performance management activities, coaching documentation, calibration sessions, and corrective actions are completed timely and consistently.
- Drive employee engagement, retention, and recognition initiatives.
- Partner with Human Resources on employee relations matters, disciplinary actions, and workforce planning.
- Lead succession planning efforts and identify future leaders within the program.
- Foster a positive and inclusive work environment that supports employee well-being and professional growth.
Ramp Readiness & Workforce Growth
- Lead operational readiness activities for new hire classes, expansions, and seasonal ramps.
- Partner with Recruitment, Workforce, Training, Quality, and Operations leadership to ensure ramp plans are executed successfully.
- Validate staffing requirements, hiring timelines, training capacity, mentor readiness, and nesting support plans.
- Monitor ramp progress through onboarding, training, nesting, production readiness, and stabilization phases.
- Ensure adequate Team Leader, mentor, and clinical support coverage throughout the ramp lifecycle.
- Identify risks that may impact staffing, readiness, performance, or client commitments and proactively implement mitigation plans.
- Drive retention efforts for new hires during ramp and early tenure periods.
- Track ramp performance metrics and provide leadership updates on readiness, productivity, quality, and staffing attainment.
- Support implementation of new programs, process changes, and client initiatives impacting operational delivery.
Clinical Operations Oversight
- Support escalation management involving member, provider, and clinical concerns.
- Ensure clinical processes are executed in accordance with client requirements, regulatory standards, nursing scope of practice, and company policies.
- Partner with Clinical Leadership and Quality teams to identify trends and implement corrective actions.
- Promote evidence-based decision-making and member advocacy principles across operations.
- Monitor clinical performance indicators and operational compliance requirements.
Quality, Compliance & Continuous Improvement
- Drive adherence to HIPAA, HITECH, URAC, client requirements, and organizational policies.
- Partner with Quality and Training teams to improve performance, reduce defects, and enhance customer experience.
- Conduct root cause analyses and implement sustainable corrective actions for recurring issues.
- Lead process improvement initiatives focused on efficiency, performance, quality, and cost management.
- Ensure audit findings, client concerns, and compliance gaps are addressed timely.
- Champion a continuous improvement culture across the operation.
Client & Stakeholder Management
- Serve as an operational point of contact for client-related initiatives and deliverables.
- Participate in business reviews and performance discussions with internal and external stakeholders.
- Ensure timely and accurate submission of operational reports and client deliverables.
- Collaborate with cross-functional partners including Workforce Management, Training, Quality, Human Resources, Clinical Leadership, Finance, and Business Enablement teams.
- Effectively communicate operational updates, performance insights, risks, and mitigation strategies to leadership.
Reporting & Analytics
- Analyze operational dashboards and performance reports to identify trends and opportunities.
- Leverage data to drive decision-making and recommend actions that improve operational performance.
- Ensure Team Leaders maintain accurate reporting, coaching documentation, and performance records.
- Prepare weekly, monthly, and quarterly business reviews for leadership and clients.
- Monitor staffing, attrition, productivity, quality, and financial performance indicators.
Financial Management
- Support achievement of financial goals through effective workforce utilization and productivity management.
- Monitor overtime, staffing efficiency, and operational expenses.
- Identify opportunities to improve operational effectiveness without compromising quality or member experience.
- Support financial forecasting, budgeting, and workforce planning activities as required.
Education
- Associate Degree or Diploma in Nursing required.
- Bachelor of Science in Nursing (BSN) preferred.
Experience
- Minimum of 3 years of experience in a clinical call center, utilization management, care management, case management, telehealth, or healthcare operations environment preferred.
- Minimum of 2 years of leadership experience managing supervisors, team leaders, or frontline clinical staff.
- Healthcare industry experience required.
- Experience managing remote or virtual teams preferred.
- Experience supporting workforce growth, onboarding, and ramp initiatives preferred.
Mandatory Skills
- Active, unrestricted nursing license.
- Strong leadership, interviewing, hiring, coaching, and performance management skills.
- Ability to manage multiple priorities, initiatives, and projects simultaneously.
- Excellent written, verbal, and interpersonal communication skills.
- Strong presentation and facilitation skills.
- Demonstrated analytical, critical thinking, and decision-making abilities.
- Knowledge of quality improvement methodologies and performance management processes.
- Ability to motivate, influence, and develop high-performing teams.
- Strong collaboration and stakeholder management skills.
- Member-focused mindset with a commitment to service excellence.
- Ability to assist members in navigating the healthcare system and community-based resources.
- Cultural awareness and sensitivity in serving diverse populations.
- Ability to work effectively in a remote or hybrid environment.
- Ability to assess risk and escalate operational, clinical, and member issues appropriately and timely.
- Proficient computer and systems skills, including reporting and data analysis tools.
- Thorough understanding of case management principles and practices.
- Knowledge of disease management programs and population health concepts.
- Understanding of family and group dynamics.
- Knowledge of behavior change and coaching techniques.
- Demonstrates empathy, professionalism, and emotional intelligence.
- Experience leading and developing teams in a virtual environment.
- Ability to interpret operational metrics and translate data into actionable business plans.
- Ability to lead cross-functional initiatives and drive operational improvements.
- Preferred Skills
- Basic financial acumen, including budgeting, workforce planning, cost-benefit analysis, and resource optimization.
- Experience supporting client-facing operations within a healthcare BPO/contact center environment.
- Experience leading ramp readiness, workforce expansion, or new program implementation initiatives.
- Knowledge of workforce management principles, staffing models, and capacity planning.
- Experience presenting business performance reviews to senior leadership and clients.
- Lean, Six Sigma, or Continuous Improvement experience preferred.
- Experience developing leadership pipelines, succession plans, and employee engagement initiatives.
Success Measures (KPIs)
- Productivity
- Quality
- Protocol Adherence / Compliance
- CPD
- Service Level Achievement
- Customer Experience (CSAT/NPS)
- Employee Engagement (VOE/ESAT)
- Attrition and Retention
- Attendance and Schedule Adherence
- Ramp Readiness and Graduation Success
- Leadership Development and Succession Readiness
- Operational Efficiency
- Client Satisfaction
Sagility is an Equal Opportunity Employer/Vet/Disability.
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