
Sagility
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S.O.A.R With Sagility
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Role Description The Telesales Supervisor will lead a fast-paced, high-energy sales team and will be responsible for driving daily team performance while ensuring individual and team goals are met or exceeded. Success in this role requires more than managing metrics; it requires a strong understanding of the sales process and the ability to coach specific behaviors that directly impact sales outcomes. The ideal candidate thrives in a dynamic environment and is passionate about developing team members to improve performance and close deals effectively. Duties and Responsibilities - Lead and motivate a remote team of Telesales agents in a fast-paced, goal-oriented environment - Monitor team KPIs and hold team members accountable for hitting performance targets - Identify sales behaviors that drive success, and provide real-time, actionable coaching - Analyze call performance, conversion rates, and sales pipelines to spot opportunities for growth - Foster a culture of urgency, ownership, and continual improvement - Partner with training and sales leadership to enhance process and skill development Qualifications - Proven ability to coach and manage employee performance using call center KPIs - Strong technical skills, including experience with Windows-based systems and call center software - Excellent verbal and written communication skills - Strong leadership and team management abilities - Ability to motivate and develop employees in a performance-driven environment - Strong problem-solving and decision-making skills - Ability to manage multiple priorities in a fast-paced operational environment - Strong organizational skills and attention to detail - Ability to analyze performance trends and implement improvement strategies Requirements - High School Diploma or equivalent - Active resident Health Insurance Producer License in resident state - Minimum of one year of recent experience as a call center supervisor - Healthcare or telesales supervisory experience preferred Location Work@Home USA, United States of America
Role Description BroadPath, a Sagility Company, is hiring experienced Outbound Sales and Enrollment Coordinators to join our remote team! We are hiring for both English-only and bilingual Spanish-English roles. Ideal candidates are consultative sales professionals who combine persuasive communication with empathy and precision, ensuring every interaction is both impactful and compliant. - Proactively reach out to prospective individuals to generate interest, assess eligibility, and drive enrollment into healthcare or public assistance programs. - Combine consultative selling with education, guiding individuals through program benefits, requirements, and next steps to support informed decision-making. - Requires confident outbound calling, strong listening skills, and the ability to overcome objections while maintaining compliance with privacy and regulatory standards. - Success comes from building rapport quickly, delivering clear and persuasive communication, and consistently meeting outreach and enrollment performance goals. Qualifications - High School Diploma or equivalent. - Minimum 1 year of experience in consultative sales, scheduling, or retention, with a strong focus on objection handling. - Proven ability to confidently initiate high-volume outbound calls and engage individuals. - Proven ability to build rapport quickly and lead persuasive, consultative conversations. - Strong listening skills with the ability to uncover needs and respond with clear, confident solutions. - Comfortable handling objections and guiding conversations toward enrollment or conversion outcomes. - Excellent verbal and written communication skills. - Ability to follow call scripts while maintaining a natural and conversational tone. - Strong attention to detail when collecting, verifying, and documenting information. - Ability to navigate multiple systems and update CRM or data entry platforms efficiently. - Self-motivated with the ability to meet performance metrics in a fast-paced outbound environment. - Ability to work remotely with reliable internet and a distraction-free workspace. Requirements - Engage members using a consultative approach, uncovering needs and providing tailored solutions that build trust and drive enrollment. - Demonstrate exceptional attention to detail when verifying eligibility, collecting data, and updating CRM systems. - Conduct outbound calls to individuals who may qualify for healthcare and/or public assistance, following approved scripts and compliance guidelines. - Verify eligibility requirements by gathering demographic, household, and income information from members. - Educate members on Medicaid benefits, enrollment steps, required documentation, and timelines. - Assist with applications by walking members through the process or directing them to appropriate resources. - Maintain accurate, timely, and complete records in CRM or eligibility systems to ensure compliance and operational excellence. - Identify barriers (such as lack of documents, confusion about requirements, or language needs) and provide solutions or escalate to support teams. - Ensure compliance with HIPAA and state/federal regulations during all interactions. - Promote a positive member experience by showing empathy, professionalism, and patience, especially when working with vulnerable or underserved populations. - Meet performance metrics, including call volume, quality assurance scores, first-call resolution, and enrollment targets. - Be receptive to feedback for continuous improvement. - Document and report member DNC and program opt-out requests. Benefits - Medical, Dental, and Vision coverage. - Life Insurance. - Short-Term and Long-Term Disability options. - Flexible Spending Account (FSA). - Employee Assistance Program. - 401(k) with employer contribution. - Paid Time Off (PTO). - Tuition Reimbursement.
Role Description The Program Manager – Clinical Operations is responsible for leading strategic programs and operational initiatives supporting Care Management, Utilization Management, Care Coordination, Population Health, and Value-Based Care services. This role will drive program execution, operational excellence, quality improvement, and performance outcomes across clinical operations while ensuring alignment with organizational goals and client expectations. Key Responsibilities - Program Leadership & Execution - Lead end-to-end management of clinical operations programs, including planning, implementation, monitoring, and optimization. - Manage multiple workstreams supporting care management, utilization management, transitions of care, chronic disease management, and population health initiatives. - Establish program governance, project plans, milestones, and performance metrics. - Ensure timely delivery of strategic initiatives while meeting quality, operational, and financial objectives. - Clinical Operations Management - Collaborate with clinical leadership to improve care management workflows and operational processes. - Drive initiatives focused on reducing avoidable admissions, readmissions, emergency department utilization, and total cost of care. - Support implementation and enhancement of clinical programs targeting high-risk and complex populations. - Ensure operational readiness for new client implementations, program expansions, and process transformations. - Population Health & Value-Based Care - Support value-based care initiatives through performance monitoring and outcome improvement strategies. - Utilize healthcare analytics to identify care gaps, risk trends, utilization patterns, and intervention opportunities. - Partner with quality and clinical teams to improve HEDIS, STAR, and other quality performance measures. - Monitor key population health metrics and recommend improvement actions. - Stakeholder & Client Management - Serve as a primary point of contact for internal and external stakeholders. - Facilitate collaboration across clinical, operational, technology, quality, and analytics teams. - Present program performance, operational updates, risks, and recommendations to leadership and clients. - Build strong relationships with healthcare payer, provider, and care management stakeholders. - Quality & Regulatory Compliance - Ensure adherence to NCQA, CMS, HIPAA, URAC, and client-specific requirements. - Support audit readiness and regulatory compliance activities. - Monitor operational quality metrics and implement corrective action plans when necessary. - Promote a culture of continuous quality improvement. - Performance Management & Analytics - Develop and monitor KPIs, operational dashboards, and program scorecards. - Analyze trends related to productivity, utilization, quality outcomes, and member engagement. - Identify opportunities for operational optimization through data-driven decision-making. - Provide executive-level reporting and actionable insights. - Risk & Change Management - Identify program risks, operational challenges, and process gaps. - Develop mitigation strategies and manage change initiatives across teams. - Ensure effective communication and stakeholder engagement throughout program implementation. Qualifications - Bachelor's degree in Healthcare Administration, Nursing, Public Health, Life Sciences, Business Administration, or a related field. - 7+ years of experience in healthcare operations, care management, utilization management, population health, or clinical program management. - 3+ years of experience leading cross-functional programs or large-scale operational initiatives. - Strong understanding of healthcare payer and provider operations. - Experience working with clinical and operational performance metrics. Preferred Qualifications - Master's degree (MBA, MHA, MPH, MSN, or equivalent). - PMP, Lean Six Sigma, PMP, or Healthcare Quality certifications. - Experience with Value-Based Care, Risk Adjustment, Population Health Management, HEDIS, STAR Ratings, or Care Management programs. - Familiarity with EMR/EHR systems, care management platforms, and healthcare analytics tools. Core Competencies - Program & Portfolio Management - Clinical Operations Leadership - Population Health Management - Utilization & Care Management - Value-Based Care Strategy - Healthcare Analytics & Reporting - Process Improvement & Operational Excellence - Stakeholder & Client Management - Regulatory Compliance - Change Management - Strategic Thinking & Problem Solving Key Performance Indicators (KPIs) - Program delivery within scope, timeline, and budget. - Improvement in care management and utilization outcomes. - Reduction in avoidable admissions and readmissions. - Enhanced quality measure performance (HEDIS, STAR, CMS metrics). - Client satisfaction and operational performance targets. - Operational efficiency and productivity improvements. - Compliance and audit readiness outcomes. Location Work@Home USA, United States of America
Role Description The Engagement Manager is responsible for creating a motivating, engaging, and high-performing environment that drives both agent success and an exceptional consumer experience. This role requires a high-energy, people-focused professional who is passionate about employee engagement, recognition, and performance improvement. Primary Responsibilities - Drive execution of the Agent Experience (AE) program in alignment with established SOPs. - Coordinate and manage contests sponsored by both the client and internal leadership. - Maintain branding, signage, and visual communications that promote engagement and performance. - Develop and maintain recognition programs, leaderboards, rankings, and performance celebrations. - Recognize and reward positive consumer feedback, including survey results. - Manage and distribute approved swag, incentives, and recognition awards. - Drive new hire engagement activities, including: - Welcome communications - Trainee recognition programs - Graduation celebrations - Engagement activities throughout training - Review unfavorable survey results by: - Listening to recorded interactions - Identifying performance opportunities - Partnering with supervisors and coaches on corrective actions - Supporting outreach efforts and coaching plans as needed - Analyze performance trends using reporting tools. - Provide recommendations to supervisors and coaches on strategies to improve sales performance, engagement, and consumer satisfaction. - Prepare reports and presentations on engagement activities, performance trends, and program outcomes. - Partner with operational and client leadership to manage expectations and support overall program success. Qualifications - Passion for delivering an outstanding consumer experience. - Creative and innovative approach to building a positive, motivating culture for agents. - Strong interpersonal skills and ability to connect with individuals at all levels. - Demonstrated history of stable work experience. - Proficiency with computer systems and Windows-based applications, with the ability to quickly learn and navigate complex platforms. - Excellent verbal and written communication skills. - Strong organizational and multitasking abilities. - Ability to understand and support multiple products and benefit structures. - Ability to remain focused and productive while performing repetitive tasks. - Self-motivated, ambitious, and results-oriented. - Outgoing personality with a positive, high-energy approach. Requirements - Bachelor's degree in Business, Marketing, Communications, Human Resources, or a related field preferred. - Minimum of four (4) years of experience in customer service, employee engagement, operations, training, sales support, or a related field. - Demonstrated experience creating employee engagement and recognition initiatives. - Strong problem-solving and conflict-resolution skills. - Excellent communication and relationship-building abilities. - Ability to work independently while managing multiple priorities in a fast-paced environment. - Experience analyzing performance metrics and translating insights into actionable recommendations. - Strong attention to detail and organizational skills. Certifications / Training Requirements - Trainer Content Certification or completion of designated New Hire Agent Training. - Attendance at required client-designated training location(s) as assigned. - Completion of client mandated training. Systems Experience Required - Microsoft Office Suite: - Word - Excel - PowerPoint - Outlook - OneNote - Ability to learn and navigate multiple operational and client-specific systems. Location Work@Home USA, United States of America
Role Description The Sales Coach will be instrumental in driving the performance and development of the sales team. This position provides hands-on support, training, and personalized coaching to both sales representatives and managers while helping shape and reinforce best practices, deliver impactful training sessions, and foster a culture of continuous improvement across the sales organization. Duties and Responsibilities - Provide individualized coaching to sales agents and managers, including development plans and actionable feedback - Analyze performance data to identify trends, obstacles, and areas for improvement - Partner with sales leadership to develop strategies that drive performance and productivity - Ensure adherence to established sales processes and recommend improvements based on market trends and team feedback - Support the implementation of tools and technologies to boost sales efficiency - Serve as the first line of support for agent-reported issues and troubleshooting - Foster a positive, high-energy team culture through motivation, collaboration, and recognition efforts Qualifications - Strong computer skills, including comfort navigating multiple systems and learning new tools quickly - Proficiency with Windows-based applications and cloud-based platforms used for virtual collaboration and documentation - Strong verbal communication and interpersonal skills - Ability to adapt quickly in a fast-paced, performance-driven environment - Strong attention to detail and ability to follow compliance and process guidelines - Ability to receive feedback and apply coaching effectively - Strong organizational and time management skills Requirements - High School Diploma or equivalent - Active resident Health Insurance Producer License - Previous experience as a licensed sales agent handling inbound or outbound sales calls - Must obtain and maintain non-resident licenses as needed in: AL, AZ, CA, FL, GA, IL, MO, NJ, NY, NC, OH, PA, TX, VA, WA - Must successfully complete a Simulated Call Assessment facilitated by a Vendor Lead or SME before being assigned to a team - Required to attend all initial and refresher training sessions assigned to sales agents - Experience coaching or mentoring others in a sales environment is a plus Location Work@Home USA, United States of America
Role Description This role is to build and implement an effective implementation process and framework for PI audit programs (Datamining and Clinical) and the major functions in the end to end cycle leveraging an integrated PI technology platform to understand the tasks involved related to client implementations. One of our key goals of this role is to offer our clients an excellent on-boarding experience in a timely manner for quick realization of savings. Qualifications - A Bachelor's Degree / MBA - 8+ years of relevant experience in Payment Integrity - 10+ years’ experience in end to end new client implementations on data mining/clinical/coding programs Requirements - Effective handling of highly sensitive, and often highly confidential, information using exemplary judgment, tact and diplomacy - Exposure to budget, forecast and resource management - Knowledge of Project management methodologies such as Agile, Waterfall - Good written/verbal communication including effective interpersonal skills - Proven interpersonal skills while contributing to team effort by accomplishing related results as needed - Must be a team player and adaptable to a dynamic work environment Key Responsibilities - Set up and lead high performing teams with cross-functional experience in implementation of end to end Payment Integrity programs in both Pre Pay and Post Pay not limited to Data Mining, DRG, Home Health, SNF, HCD/DME audit types - Monitor onboarding and off boarding of resources activity including access management - Support Artifact / Deliverable Management processes, including: - Monitoring and reporting timely submission of client deliverables - Collation and initial quality review of deliverables for submission - Maintain process documents and template updates - Maintain and configure Project Management tools - Maintain resource trackers and other forecast information of the project - Assist project teams with the timely identification, management and resolution of action items, risks, and issues - Prepare executive status reports with high level of accuracy - Independently prepare project and program communications - Participate and prepare materials for meetings - Monitor Quality Assurance Activities like adherence to compliance items and escalate risks/issues to team leader - Review time reports and follow up with any resources to ensure that any missing time is captured and recorded correctly - Work plan management across multiple projects - Work on ad-hoc tasks as directed by leadership, in a timely manner with high level of accuracy Location Work@Home USA, United States of America
• Verify provider credentials through approved sources in a timely and accurate manner • Track and process credentialing and re-credentialing applications • Enter and update provider information in the credentialing database • Maintain and update provider demographics • Monitor and manage data from delegated entities • Communicate with providers or their office staff regarding credentialing status and required documentation • Identify and report non-compliance or credentialing issues to the supervisor • Ensure confidentiality of sensitive data and documents • Perform other duties as assigned
Role Description This role will support leadership and teams by managing administrative workflows, coordinating activities, and ensuring adherence to internal processes and regulatory requirements. The ideal candidate brings strong attention to detail, training support experience, and the ability to manage multiple priorities in a fast-paced environment. Key Responsibilities - Provide administrative and operational support to leadership and functional teams - Manage calendars, schedule meetings, and coordinate logistics across internal and external stakeholders - Prepare, edit, and maintain reports, including compliance tracking and operational performance documentation - Maintain organized filing systems for audit-ready documentation and regulatory compliance records - Support training coordination, including onboarding materials, scheduling sessions, and tracking completion - Assist in process documentation, updates, and improvements to ensure operational efficiency - Monitor workflows, track deadlines, and follow up on action items to ensure completion - Coordinate communication between departments and support resolution of operational issues - Compile data and assist with reporting related to quality assurance, compliance, and productivity - Handle confidential information with a high degree of professionalism and discretion Qualifications - 3–7+ years of administrative, operations, or business support experience - Experience in regulated environments (e.g., banking, financial services, healthcare, or compliance-driven industries) - Strong knowledge of administrative coordination, reporting, and documentation practices - Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint) - Experience supporting training programs, process improvement, or project coordination - Excellent organizational, communication, and multitasking skills - High attention to detail and ability to work independently Preferred Qualifications - Experience with process improvement, quality assurance, or reporting initiatives - Prior experience supporting call center or operations teams - Familiarity with regulatory frameworks such as BSA, KYC, CIP, or related compliance programs Key Competencies - Organizational excellence and workflow management - Strong written and verbal communication - Process improvement mindset - Critical thinking and problem-solving - Collaboration and stakeholder engagement - Time management and prioritization - Confidentiality and ethical judgment Location Work@Home USA, United States of America
Role Description The Senior Project Manager (SPM) is responsible for leading and delivering complex clinical business process outsourcing (BPO) projects across multiple clients and therapeutic areas. This role ensures projects are executed on time, within scope, and within budget while maintaining high-quality standards and regulatory compliance. The SPM serves as the primary point of contact for clients and internal stakeholders, driving operational excellence and client satisfaction. - Lead end-to-end project management for clinical BPO programs including planning, execution, monitoring, and closure. - Develop and manage project plans, timelines, budgets, and resource allocation. - Serve as the primary client liaison, ensuring transparent communication and proactive issue resolution. - Oversee cross-functional teams including clinical operations, data management, pharmacovigilance, and regulatory support. - Ensure compliance with GxP, FDA, ICH, and other applicable regulatory requirements. - Identify risks and implement mitigation strategies to ensure project success. - Track project performance metrics and provide regular status reports to stakeholders. - Drive continuous improvement initiatives and process optimization within the BPO environment. - Support business development activities including proposals, bids, and client presentations. - Mentor and coach junior project managers and team members. Qualifications - Bachelor’s degree in Life Sciences, Healthcare, Business, or related field; advanced degree preferred. - 8–12+ years of experience in clinical research, outsourcing, or healthcare BPO environment. - 5+ years of project management experience managing complex, multi-functional projects. - Strong knowledge of clinical trial processes and regulatory requirements. - Proven experience managing global or multi-regional projects. Requirements - Project Management Professional (PMP) or equivalent (e.g., PRINCE2 Practitioner). - Good Clinical Practice (GCP) Certification. - ICH-GCP training certification (current and up to date). - Clinical research compliance training (e.g., FDA, EMA regulatory training). - Lean Six Sigma Green Belt or higher (preferred in BPO operational environments). Skills & Competencies - Exceptional leadership and stakeholder management skills. - Strong communication and client-facing abilities. - Financial acumen including budgeting and forecasting. - Risk management and problem-solving expertise. - Ability to manage multiple priorities in a fast-paced environment. - Proficiency in project management tools (e.g., MS Project, Smartsheet). Work Environment This role operates in a dynamic, client-driven clinical BPO environment, requiring collaboration across global teams and flexibility to accommodate different time zones. Reporting Structure Reports to: Senior Vice President of Clinical Operations Location Work@Home USA, United States of America
Role Description This seasonal Project Coordinator role is responsible for reviewing, tracking, auditing, and communicating discrepancies across multiple systems and manual trackers. The role creates and monitors change requests, tracks the status and source of each change, and partners with the Project Management Office to address updates identified by Sagility Operations. This position works directly with the U.S. Project Management Office. Qualifications - Experience in project coordination or management. - Proficiency in Excel and project management tools. - Strong communication skills. Requirements - 70% - Class Scheduling, Tracking, and Change Management - Review data, reports, and spreadsheets to identify discrepancies and overages. - Enter project intake data into Excel trackers. - Create and validate Class IDs and TRIO IDs in Workday or QuickBase, as needed. - Complete weekly class validation requests and monitor the class tracker. - Communicate discrepancies to appropriate teams and track resolution. - Track and coordinate daily spreadsheet updates to maintain accuracy and accountability. - Partner with PMO to confirm approvals for budgeted and forecasted classes. - Conduct ongoing audits of spreadsheets and trackers. - Participate in meetings and email communications to confirm approvals for unplanned changes. - 20% - Monitoring and Reporting - Monitor change requests to ensure updates are completed accurately and on time. - Partner with PMO to report on change activity and status. - Identify data issues and drive resolution to closure. - 10% - Administration and Operations - Maintain the project management tracker and ensure status updates are current. - Communicate team discrepancies and client project risks in a timely manner. Benefits - Competitive salary. - Health and wellness programs. - Opportunities for professional development. Company 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.
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