The role involves building and implementing an effective implementation process for Payment Integrity audit programs. It focuses on ensuring an excellent onboarding experience for clients and managing various project deliverables.
Sagility
29 Remote Job Openings at Sagility
Verify provider credentials through approved sources and process credentialing applications to ensure compliance with internal and external regulations. Maintain provider demographics in the database and communicate with providers regarding required documentation.
Provide administrative and operational support to leadership by managing workflows, calendars, and regulatory documentation. Coordinate training programs and facilitate communication between departments to ensure operational efficiency.
Leadership Roles- Licensed Health Insurance- Medicare - Work from Home
Sagility
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Full Time
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7 days ago
Sagility
Lead the end-to-end delivery of complex clinical BPO projects, ensuring they are completed on time, within scope, and in compliance with regulatory standards. Serve as the primary liaison for clients and internal stakeholders to drive operational excellence and project success.
Build and implement an effective framework for Payment Integrity audit programs and client onboarding processes. Lead high-performing cross-functional teams to manage end-to-end PI programs including data mining and clinical audits.
Support the credentialing and recredentialing of healthcare providers by conducting primary source verification of licenses and certifications. Maintain accurate provider records and ensure compliance with regulatory standards and company policies.
The role involves remotely monitoring customer service representatives to ensure call quality, accurate coding, and proper documentation. The analyst provides feedback to staff and completes daily statistical and quality control reports.
The SME collaborates with trainers and support teams to assist and motivate agents during training activities. Responsibilities include monitoring learner behavior, managing team chats, and troubleshooting system issues for learners.
Licensed Health Insurance Agents - Medicare - Work from Home
Sagility
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Full Time
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25 days ago
Sagility
Lead the clinical sales team to drive revenue growth by selling clinical solutions to U.S. health plans. Act as a trusted advisor to payer executives to implement utilization and care management solutions.
The Sales Coach drives the performance of the sales team through individualized coaching, training, and actionable feedback. They analyze performance data to identify trends and partner with leadership to implement strategies that boost productivity.
Design and deliver effective healthcare training programs by creating engaging instructional materials, storyboards, and assessments. Collaborate with domain experts and graphic designers to ensure high-quality learning content and adherence to design standards.
The coordinator manages and resolves member and provider complaints, grievances, and appeals. They conduct comprehensive investigations and ensure all responses adhere to state and federal regulatory requirements.
Licensed Health Insurance Agents - Medicare - Work from Home
Sagility
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Full Time
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a month ago
Sagility
Leadership Roles- Licensed Health Insurance- Medicare - Work from Home
Sagility
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Full Time
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a month ago
Sagility
Lead and develop licensed telesales agents through coaching, training, and quality assurance to improve sales performance and customer experience. Serve as a subject matter expert on products and compliance while analyzing performance metrics to drive operational excellence.
Work from Home: Customer Service Representative (Healthcare)
Sagility
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Full Time
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a month ago
Sagility
Handle incoming healthcare-related calls professionally to provide effective resolutions to customer inquiries. Accurately document call details while meeting daily quality and customer satisfaction goals.
Work from Home: Customer Service Representative (Healthcare)
Sagility
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Full Time
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a month ago
Sagility
Handle incoming calls professionally to research and provide effective resolutions to customer inquiries. Accurately document call details while meeting daily quality and customer satisfaction goals.
Licensed Health Insurance Agents - Medicare - Work from Home
Sagility
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Full Time
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a month ago
Sagility
Provide consultative support to customers to help them explore and select the most appropriate Medicare health insurance plans. Build trusting relationships with members while representing the company with professionalism in a remote environment.
The Provisioning Associate manages new hire IDs and offboarding for client systems while tracking attrition in Workday and QuickBase. They are responsible for submitting and escalating credential issues and generating daily, weekly, and monthly reports.
Handle inbound and outbound calls to assist healthcare members and providers with benefits, scheduling, and claims. Maintain accurate documentation in EMR/CRM systems while ensuring strict adherence to HIPAA privacy guidelines.
The Supervisor is responsible for coaching and developing customer service representatives to meet and exceed client KPIs and CPIs. They manage employee performance through monitoring tools, handle escalated customer claims, and drive continuous improvement efforts within the call center.
Lead the Global Training Office by designing and implementing learning strategies, content, and tech ecosystems across multiple geographies. Manage the overall training department, including budgeting, resourcing, and the delivery of strategic initiatives like NHT and process changes.
Oversee daily clinical operations and shift management to ensure productivity standards and client service levels are met. Lead and develop a team of supervisors through coaching, performance reviews, and the implementation of operational policies.
Licensed Health Insurance Agents Specialty-Work from Home
Sagility
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Full Time
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3 months ago
Sagility
Licensed Health Insurance Agents will provide consultative support to customers exploring health insurance options by qualifying callers, assessing needs, explaining plan benefits, and guiding them to the most appropriate plan. Responsibilities also include answering inbound calls, building trusting relationships with prospects, and representing the company and client partners professionally.
The Operations Business Analyst Lead is responsible for gathering, analyzing, and preparing reports to support data-driven decision-making within the clinical pillar team. This role focuses on generating insightful reports for various departments, ensuring accuracy, and providing valuable insights to drive business growth and efficiency.
This role involves engaging with operations to build relationships, schedule classes, develop trainer teams, and drive effective group training initiatives across the organization. The manager will coordinate training strategies with business priorities, analyze program data to report outcomes, and ensure system-wide training alignment with evolving healthcare standards.
