Careers At Sagility

Quality Leader

Job Code : REQ-011913
Quezon City Partially Remote/Hybrid

Job 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.

Operation Support

Job title:

Quality Leader

Job Description:

DUTIES & RESPONSIBILITIES:

Performance Management:

  • Ensures analysts meet standards for monitoring in an objective fashion all customer contact points
  • Monitor and control the analysts on Productivity and Attendance related issues
  • Prepare plans for Quality Analysts.
  • Designs and implements reports to establish patterns and trends of quality issues as they may arise
  • Able to provide quantifiable data to all quality judgments that are made
  • Works with operations as an auditor as well as regulator of quality issues
  • Provides coaching tips and materials to Operations to enhance product knowledge, system navigation and soft skills
  • Maintaining Agent wise Error Trend Reports for the process and discussing about the plan of action with operations on a monthly basis
  • Maintaining documents related to Internal and External Audits
  • Maintaining Consolidated Reports for processes
  • Conducts client presentation regarding quality procedures
  • Responsible in maintaining all QA related documents. (ie. ISO docs.)
  • Responsible in releasing and approving updates to Operations and Training
  • Provides updated, accurate and timely reports as required to the Manager
  • Works with Operations and Training in achieving quality objectives
  • Work on quality audits and quality feedback per the set quality norms and guidelines for the process
  • Highlight & facilitate key areas of operational improvement, leading to improvement in Key Client Metrics & SLA's
  • Drives quality culture in the team and make quality as a way of life
  • Assist team members in meeting/exceeding targets through knowledge sharing
  • Ensure process compliance standards as defined
  • Overview Quality score rebuttals with Operations
  • Master calibrator for the process and participates in calibration sessions
  • Coordination of Quality induction for New Hires
  • Attend client meetings weekly and as scheduled.

People Management:

  • Handles and resolves inconsistency of the team to change as it involves conflicting views and opinions
  • Conducts Quality meetings. Expands training knowledge through seminars and keeping abreast of current quality issues
  • Develops and trains analysts through coaching, providing work advice and motivation. Also includes counseling for disciplinary actions
  • Communicates account overall quality performance to Operations Manager

Process Improvement:

  • Provides continuous improvement of processes and systems
  • Conducts process improvement plan and quality communication with the client handled, operations and training management

Technical:

  • Designs and implements reports to establish patterns and trends of quality issues as they may arise.
  • Able to provide quantifiable data to all quality judgments that are made

General Safety and Security

  • Protects the organization?s assets by upholding the principles of the Quality Information Security Management System (QISMS)
  • Ensures confidentiality, integrity, and availability of information critical to fulfilling the organization?s business functions
  • Remain compliant with the relevant business, local and international regulatory and legislative requirements particularly the Health Insurance Portability and Accountability Act of 1996 (HIPAA), HITECH Act and URAC

Location:

Quezon City, Bridgetowne ZetaPhilippines