Sagility Health

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: Subject Matter Expert (SME)-OperationsJob Description: The Subject Matter Expert (SME) is responsible to collaborate with assigned class Trainer/Vendor and UHC support in accordance with the classroom job responsibilities. The SME will actively be engaged in class participation and/or activities needed to assist and motivate agents in their role. Duties and responsibilities• Set up and invite Participants to team chats for learners, Trainers, and SMEs in Training Channel• Update daily attendance tracker• Monitor learner's login to Genesys/Pulse-Not Ready codes• Participate and observe in Simulated Practices and fishbowls• Observe and document agent/learner behavior• Submit daily Recap to Vendor/UHC support• Assist/troubleshoot learners with system issues• Proactively identifying and assisting as needed Eligibility1. Must be prior season returner Agents, must go through wave 0 or new hire training prior to supporting the training classroom.2. Supervisor/Coach, must go through wave 0 or new hire training prior to supporting the training classroom.3. Trainers Minimum education and experience required• 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: 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 USAUnited States of America

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: Subject Matter Expert (SME)-OperationsJob Description: The Subject Matter Expert (SME) is responsible to collaborate with assigned class Trainer/Vendor and UHC support in accordance with the classroom job responsibilities. The SME will actively be engaged in class participation and/or activities needed to assist and motivate agents in their role. Duties and responsibilities• Set up and invite Participants to team chats for learners, Trainers, and SMEs in Training Channel• Update daily attendance tracker• Monitor learner's login to Genesys/Pulse-Not Ready codes• Participate and observe in Simulated Practices and fishbowls• Observe and document agent/learner behavior• Submit daily Recap to Vendor/UHC support• Assist/troubleshoot learners with system issues• Proactively identifying and assisting as needed Eligibility1. Must be prior season returner Agents, must go through wave 0 or new hire training prior to supporting the training classroom.2. Supervisor/Coach, must go through wave 0 or new hire training prior to supporting the training classroom.3. Trainers Minimum education and experience required• 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: 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 USAUnited States of America

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 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.Job title: Consumer Engagement ManagerJob Description: Primary Responsibilities The Engagement Manager serves as a key resource for driving agent engagement, consumer experience, and performance improvement initiatives. This role partners closely with operations leadership, supervisors, coaches, and client stakeholders to create a positive and productive work environment. Core 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 communicationsTrainee recognition programsGraduation celebrationsEngagement activities throughout trainingReview unfavorable survey results by:Listening to recorded interactionsIdentifying performance opportunitiesPartnering with supervisors and coaches on corrective actionsSupporting outreach efforts and coaching plans as neededAnalyze 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 successQualifications: 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.Group Retiree Programs: Knowledge of Group Retiree resources and processes preferred.Minimum 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:WordExcelPowerPointOutlookOneNoteAbility to learn and navigate multiple operational and client-specific systems.Location: Work@Home USAUnited States of America

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: Sales CoachJob 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 Skills and competencies• 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 Minimum education and experience required• 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 USAUnited States of America

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. Intermediate level of experience with MS Office - Excel, Word, MS PowerPoint, MS Vision. Shows intermediate skills in power BI, Tableau and advanced skills in SharePoint, Microsoft Project Plan (MPP).Job title: Senior Director-ImplementationJob Description: Education: A Bachelor's Degree / MBA 8 + years of relevant experience in Payment integrityExperience: 10+ years’ experience in end to end new client implementations on data mining/clinical/coding programs Mandatory Skills: Effective handling of highly sensitive, and often highly confidential, information using exemplary judgment, tact and diplomacyExposure to budget, forecast and resource managementKnowledge of Project management methodologies such as Agile, WaterfallGood written/ verbal communication including effective interpersonal skillsProven interpersonal skills while contributing to team effort by accomplishing related results as neededMust be a team player and adaptable to a dynamic work environmentPreferred Skills: Intermediate level of experience with MS Office - Excel, Word, MS PowerPoint, MS VisioShows intermediate skills in power BI, Tableau and advanced skills in SharePoint, Microsoft Project Plan (MPP)Roles & Responsibilities: 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 savingsKey Responsibilities: Should have set up and led 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 typesMonitor onboarding and off boarding of resources activity including access managementSupport Artifact / Deliverable Management processes, including:Monitoring and reporting timely submission of client deliverablesCollation and initial quality review of deliverables for submissionMaintain process documents and template updatesMaintain and configure Project Management toolsMaintain resource trackers and other forecast information of the projectAssist project teams with the timely identification, management and resolution of action items, risks, and issuesPrepare executive status reports with high level of accuracyIndependently prepare project and program communicationsParticipate and prepare materials for meetingsMonitor Quality Assurance Activities like adherence to compliance items and escalate risks/ issues to team leaderReview time reports and follow up with any resources to ensure that any missing time is captured and recorded correctlyWork plan management across multiple projectsWork on ad-hoc tasks as directed by leadership, in a timely manner with high level of accuracyAssists project teams with timely identification, management and resolution of action items, risks, and issuesThe above statements are intended to indicate the general nature and level of work being performed by employees within this classification.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.  Employees in this job may perform other duties as assigned Location: Work@Home USAUnited States of America

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: Sales CoachJob 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 Skills and competencies• 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 Minimum education and experience required• 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 USAUnited States of America

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 purpose of the role of a Trainer in Instruction Content is to design and deliver effective training programs, ensuring that educational materials and content are engaging, informative, and aligned with the learning objectives & also play a vital part in equipping individuals with the knowledge and skills needed to excel in their respective fields.Job title: TrainerJob Description: Education; Any Graduate or Diploma   Experience: Minimum 4 years of relevant experience as a Content Writer & Instructional Designer Mandatory Skills: Attention to detail Strong interpersonal skills Excellent written and verbal communication skills; ability to write effective instructional text, facilitator materials, audio and video scripts and other design documents Strong collaboration skills enabling the designer to work effectively with content owners, graphic designers, deployment teams to ensure that clients’ needs and expectations are met Preferred Skills: Strong knowledge of adult learning principles Learning management systems and virtual classroom software Roles & Responsibilities: Interact with healthcare domain experts to review/rewrite and finalize content; utilize their feedback to revise the documents. Develop innovative storyboards, courses, audio/video scripts,  Create facilitator and participant guides, job aids and other materials.  Write engaging instructional materials including assessments and quizzes, practice exercises with appropriate feedback, procedural steps, descriptions of concepts/processes/principles, opportunities for reflection and self-explanation, overviews, etc. Ensure quality of learning content and proofread learning materials to ensure consistency (e.g. ensure references between leader guides and participant materials add-up, checking formatting, confirming timings in leader guides etc.)  Collaborate closely with graphics designers and developers to ensure finished materials are authored as specified.  Share instructional design best practices with other members of the design team in the spirit of continuous improvement.   Act independently to complete all aspects of content writing Attention to detail & Excellent written communication skills; ability to write effective instructional text. Act independently to complete all aspects of design activities. Review the work of internal or external developers to ensure adherence to the design. Define and design learning courses and programs from the healthcare domain on time, to budget and quality standards.  Conduct skill needs and task analysis Develop learning solutions and gain approvals from stakeholders.  Interact with healthcare domain experts to review and finalize content; utilize their feedback to revise design documents.  Develop innovative eLearning storyboards, courses, audio/video scripts, facilitator and participant guides, job aids and other materials  Write engaging instructional materials including assessments and quizzes, practice exercises with appropriate feedback, simulations, demonstrations, case studies, worked examples, procedural steps, descriptions of concepts/processes/principles, opportunities for reflection and self-explanation, overviews, etc. Ensure quality of learning content and proofread learning materials to ensure consistency (e.g. ensure references between leader guides and participant materials add-up, checking formatting, confirming timings in leader guides etc.)  Collaborate closely with graphics designers and developers to ensure finished materials are authored as specified.  Share instructional design best practices with other members of the design team in the spirit of continuous improvement.  Create templates in Microsoft Word and PowerPoint. Manage eLearning partners/vendors The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.  Employees in this job may perform other duties as assigned. Location: Work@Home USAUnited States of America

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 purpose of the role of a Trainer in Instruction Content is to design and deliver effective training programs, ensuring that educational materials and content are engaging, informative, and aligned with the learning objectives & also play a vital part in equipping individuals with the knowledge and skills needed to excel in their respective fields.Job title: TrainerJob Description: Education; Any Graduate or Diploma   Experience: Minimum 4 years of relevant experience as a Content Writer & Instructional Designer Mandatory Skills: Attention to detail Strong interpersonal skills Excellent written and verbal communication skills; ability to write effective instructional text, facilitator materials, audio and video scripts and other design documents Strong collaboration skills enabling the designer to work effectively with content owners, graphic designers, deployment teams to ensure that clients’ needs and expectations are met Preferred Skills: Strong knowledge of adult learning principles Learning management systems and virtual classroom software Roles & Responsibilities: Interact with healthcare domain experts to review/rewrite and finalize content; utilize their feedback to revise the documents. Develop innovative storyboards, courses, audio/video scripts,  Create facilitator and participant guides, job aids and other materials.  Write engaging instructional materials including assessments and quizzes, practice exercises with appropriate feedback, procedural steps, descriptions of concepts/processes/principles, opportunities for reflection and self-explanation, overviews, etc. Ensure quality of learning content and proofread learning materials to ensure consistency (e.g. ensure references between leader guides and participant materials add-up, checking formatting, confirming timings in leader guides etc.)  Collaborate closely with graphics designers and developers to ensure finished materials are authored as specified.  Share instructional design best practices with other members of the design team in the spirit of continuous improvement.   Act independently to complete all aspects of content writing Attention to detail & Excellent written communication skills; ability to write effective instructional text. Act independently to complete all aspects of design activities. Review the work of internal or external developers to ensure adherence to the design. Define and design learning courses and programs from the healthcare domain on time, to budget and quality standards.  Conduct skill needs and task analysis Develop learning solutions and gain approvals from stakeholders.  Interact with healthcare domain experts to review and finalize content; utilize their feedback to revise design documents.  Develop innovative eLearning storyboards, courses, audio/video scripts, facilitator and participant guides, job aids and other materials  Write engaging instructional materials including assessments and quizzes, practice exercises with appropriate feedback, simulations, demonstrations, case studies, worked examples, procedural steps, descriptions of concepts/processes/principles, opportunities for reflection and self-explanation, overviews, etc. Ensure quality of learning content and proofread learning materials to ensure consistency (e.g. ensure references between leader guides and participant materials add-up, checking formatting, confirming timings in leader guides etc.)  Collaborate closely with graphics designers and developers to ensure finished materials are authored as specified.  Share instructional design best practices with other members of the design team in the spirit of continuous improvement.  Create templates in Microsoft Word and PowerPoint. Manage eLearning partners/vendors The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.  Employees in this job may perform other duties as assigned. Location: Work@Home USAUnited States of America

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: Work from Home: Customer Service Representative (Healthcare)Job Description: Elevate Your Career with SagilitySagility, a global leader in business process management, is dedicated to enhancing the member and patient experience. By combining cutting-edge technology with decades of healthcare expertise, we deliver exceptional results for our clients. Become Part of a Team That S.O.A.R,s! S Spark CuriosityO One Team, One DirectionA Action for ResultsR Right by Right PurposeWe are passionate about shaping careers and are hiring Remote Customer Service Representatives for our call center team. Be the compassionate human connection that makes our service exceptional. Benefits You Will Enjoy: Competitive pay: $14.00 – $15.00/hour.Performance-based incentives.Paid training in a cutting-edge virtual training environment.Comprehensive health coverage (available after 90 days).Employee wellness and engagement programs.Career advancement opportunities: 90% of our leaders started as Customer Service Representatives.Your Role: Handle incoming calls promptly and professionally.Research and provide effective resolutions to customer inquiries.Accurately document call details.Communicate empathetically and diplomatically with clear, professional articulation.Meet team goals for quality and customer satisfaction daily.What You Bring to the Table: Commitment to excellence and a positive attitude.Strong communication and interpersonal skills.Comfort in a fast-paced, team-oriented environment.Proficiency in navigating computer applications.Desire to exceed customer expectations and grow professionally.Previous healthcare experience is a plus.At least 1 year of experience in a call center environment is required.Job Requirements: Must be 18 years or older.High School Diploma or equivalent.Minimum of 1 year at a single job, preferably in customer service.Reliable attendance, with no absences in the first 90 days.Typing at least 25 WPM.Hardwired internet connection with minimum speeds of 10 Mbps upload and 25 Mbps download.Secure, private work area at home.Flexible availability, including weekends.Additional Perks: Daily Pay.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.As a work-from-home team member, you are required to participate in active camera sessions for your role. You will be expected to remain on camera throughout onboarding and training and be available on camera as needed once in production. This is a standard requirement for the position; failure to meet this expectation will result in separation from employment.   Sagility is an Equal Opportunity Employer/Vet/Disability. Location: Work@Home USAUnited States of America