Workforce Senior Manager (Premium Healthcare)
Experience: Job Code: REQ-018214
Sagility
Quezon City
job Details
Job title
Workforce Senior Manager (Premium Healthcare)
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:
Job Description
Education : High School Diploma or equivalent required. Bachelor's Degree or advanced degree preferred
Experience:
4+ years legacy client direct people management experience required, with demonstrated skills in Developing Direct Reports, Leading Change and Building Effective Teams
•4+ years legacy client direct people management experience required, with demonstrated skills in Developing Direct Reports, Leading Change and Building Effective Teams
•3+ years of experience with each of the following claim platforms; Proclaim & Facets with knowledge of claim operation systems & processes required
Mandatory Skills:
•Drive for results in a fast paced environment
Ability to develop solid working relationships and establish a high level of credibility across functions, geographies, and lines of business required
• Ability to drive and influence business partners to meet operational goals
• Excellent communication skills: written, oral and listening skills
Preferred Skills:
Roles & responsibilities :•
Responsible for oversight of the daily business operations inventory and the operational strategy to execute on business goals for Claim Operations.
• Manage a team of Band 3 Resource Planning Supervisors
• Provides leadership level presentations, work initiatives, and team metrics
• Oversees the process of managing daily client inventory, escalation of inventory, and advises on task routing and alignment
• Stay knowledgeable about the company’s strategic direction and plans and support efforts to achieve those goals
• Optimizes the usage of the Proficiency Index data to determine effective mail routing guidelines.
• Proactively oversees the Claim inventory volume and aging to achieve turn-around-time by gaining insights into current and projected inventory levels
• Gain insights into volumes aligned with upstream partners to mitigate risks to the downstream teams.
• Monitor inventory across all lines of business to optimize the claim resources.
• Develops direct reports through effective coaching and guidance, empowering and enabling strong leadership from each
• Collaborates cross functionally to establish processes and effectively communicates and influences business partners and systems personnel
• Foster and maintain a collaborative relationship with internal and external customers to ensure customer satisfaction and profitability; work with business partners to identify ways to improve business processes.
• Accountable for operational budget achievement and expense control
• Drive change and influence individuals at all levels of the organization to take appropriate risks
• Takes initiative to evaluate and problem solve, escalating to the next level as necessary
• Partner with other senior leaders, including our GSP partners, on overall strategy and performance
Location: