Careers at Sagility

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Senior Associate - Pharma Operations – Prior Authorization

Fully Onsite

Experience: Job Code: REQ-023463

Sagility

Bangalore

Appliquer Maintenant

job Details

Job title

Senior Associate - Pharma Operations – Prior Authorization

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.

The role of an associate is to contribute to the overall team performance and profitability by implementing action plans which in return will improve and maintain client satisfaction.

Job title:

Senior Associate - Pharma Operations – Prior Authorization

Job Description:

Education: Any Graduate

Experience: 2-3 Years US Healthcare Pharma - Non Voice Experience

Roles & Responsibilities:

  • Possess basic knowledge of US Healthcare Pharma - Non Voice

  • Good reasoning and analytical skills

  • Able to communicate fluently in the language required for the function/location

  • Active listening skills

  • Passion to learn

  • Influencing skills

  • Ability to comprehend the employee requirement well

  • Adhere to attendance and punctuality norms

  • Acquiring knowledge & skills of related areas of the process

  • Processing claims/developing projects/handling calls, as per the process  guidelines

  • Understands, knows, and interprets different complex scenarios and is able to resolve all assigned tasks

  • Adhering to the SLA, and understanding Quality & Auditing parameters

  • Meeting assigned productivity goals

  • Understanding and adhering to quality standards 

  • Meeting TAT

  • Mentor & coach new members of the team based on requirement

  • To act as a subject matter expert

  • Ability to look for alternative solutions for problems identified; Takes decisions based on logical reasoning and relevant information

  • Assumes responsibility for work activities and coordinating efforts 

Skills:

  • US health care (ERISA/HIPAA/State Mandates)

  • Process SLA 

  • Awareness of ISO, ISMS

  • Telephone etiquettes

  • MS office

  • Typing skills & computer  skills

  • Effective communication in English 

Location:

BangaloreIndia

Join our team, we are looking forward to talking to you!