Manager - Clinical Practice
Experience: Job Code: REQ-024475
Sagility
Bangalore
job Details
Job title
Manager - Clinical Practice
About Sagility
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:
Education:
Degree, Master Degree
Experience:
5-9years of experience in healthcare operations
Strong exposure to clinical programs such as Utilization Management, Prior Authorization, or Remote Patient Monitoring
Experience in managing clinical teams in a BPO environment
Proven track record in operations management, client engagement, and delivery excellence
Experience working with US healthcare or payer regulations and compliance frameworks
Mandatory Skills:
Strong understanding of US healthcare workflows
Team management and people leadership skills
Stakeholder and client management
Process improvement and productivity optimization
Knowledge of clinical documentation and quality standards
Strong communication and escalation management skills
Experience with reporting, metrics, and SLA/KPI management
Preferred Skills:
Clinical qualification (USRN / PharmD / BSc Nursing / Allied Health / MBA Helathcare)
Exposure to value-based care models
Experience in transition management and process setup
Knowledge of automation / digital tools in healthcare operations
Lean Six Sigma (Green Belt/Black Belt)
Experience in training, mentoring, and capability building
Roles & Responsibilities:
Operational Leadership
Manage end-to-end clinical program delivery (PA, UM,etc.)
Ensure adherence to SLAs, KPIs, and quality benchmarks
Drive productivity and cost optimization initiatives
People Management
Lead, mentor, and develop clinical teams (USRN/PharmD/coders)
Drive employee engagement and retention initiatives
Manage performance reviews and capability development
Client & Stakeholder Management
Act as primary point of contact for client interactions
Provide regular updates, insights, and performance reports
Manage escalations and ensure timely resolution
Process & Quality Management
Implement SOPs, governance frameworks, and quality controls
Drive continuous improvement initiatives
Ensure compliance with regulatory and client requirements
Strategic Initiatives
Support new transitions and program expansions
Identify automation and innovation opportunities
Contribute to business growth and capability building
Location: