Clinical Executive | Sagility – Bangalore, India
Location: Surya Wave Building, Bangalore, India
Experience: 2+ Years | Education: BSc Nursing / MSc Nursing / Post-BSc Nursing
Employment Type: Full-Time
About Sagility
Sagility is a global leader in healthcare Business Process Management (BPM) services, leveraging technology and healthcare domain expertise to enhance the member and patient experience. With over 25,000 employees across five countries, Sagility provides services spanning clinical operations, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.
Role Overview
As a Clinical Executive, you will contribute to overall team performance and client satisfaction by managing clinical processes, handling claims, and driving operational excellence. This role requires hands-on clinical knowledge, strong analytical and communication skills, and the ability to lead initiatives that improve efficiency, quality, and compliance within healthcare operations.
Key Responsibilities
Demonstrate basic knowledge of healthcare operations and clinical processes.
Process claims, handle projects, and manage calls according to standard process guidelines.
Meet productivity targets, turnaround times (TAT), and adhere to service level agreements (SLA).
Understand and comply with internal and external quality and security standards (HIPAA/ISO).
Acquire and apply knowledge across related process areas to support team performance.
Communicate effectively in English and other languages required for the function.
Analyze operational data and metrics to identify areas for improvement and optimize team performance.
Provide coaching, mentoring, and leadership to team members to enhance productivity and performance.
Manage multiple tasks, escalations, and reporting responsibilities in a fast-paced environment.
Collaborate with internal stakeholders and support continuous process improvement initiatives.
Mandatory Skills
Strong interpersonal, customer service, and conflict resolution skills.
Excellent verbal and written communication abilities.
Proficiency with computers, software applications, and phone systems.
Ability to lead, delegate, and manage workloads and projects across teams.
Strong analytical, financial, and operational acumen.
Experience in driving process improvements, metrics management, and reporting.
Ability to multitask, handle pressure, and maintain a high level of professionalism.
Preferred Skills
Client relationship management experience.
Knowledge of healthcare regulatory standards and compliance.
Why Join Sagility
Gain hands-on experience in clinical operations and healthcare BPM.
Work in a collaborative, innovative, and global environment.
Develop leadership, operational, and analytical skills with opportunities for career growth.
Contribute to improving healthcare processes and patient/member experience.
Apply Now to join Sagility as a Clinical Executive and advance your career in healthcare operations while making a tangible impact on patient and member services.
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