Careers at Sagility

Clinical Operations Manager- Care Management

Sagility is a global leader specializing in augmenting healthcare teams to better patient, member, business and financial outcomes in partnership with payers and providers. A Leader who can interact closely with members and patients to deliver evidence-based, timely, preventative, personalized, cost-effective care with focus on the whole person that improves health, value and overall quality of life.

We are currently hiring an Clinical Operations Manager- Care Management to join our team!

Skills Required:

• People Management/ Team Orientation

• Drive for Results/ Execution

• Expertise/ Analytical Skills

• Product Knowledge

• Presentation Skills

• Process Improvement

• Change Management

• Organizing and Management Skills

• Communication Skill (Spoken)

• Communication Skill (Written)

• Customer Service Orientation

• Computer Literacy

• Job Knowledge

• Sense of Urgency

• Passion for Excellence

• Working in Teams/ Interpersonal Skills

• Work Organization

• Thriving in Change

• Problem Solving

• Facilitation Skills

• Coaching

• Performance Management

• Discipline Management

• Conflict Management

• Fiscal Management

• Business Acumen

• Planning, Organizing, Controlling

Role Expectation:

• Monitors daily all areas of performance metrics (call handling times, service levels & quality grades) to assure that standards are met across the board referring to a database, a program or reports. 

• Works to administer program and implement both client and in house policy.

• Ensures that operations are being managed accordingly on a day-to-day basis.

• Attends client meeting on a regular basis or as needed to discuss the program performance based on the key operational metrics.

• Interface with client during visits, do presentation regarding performance of the program if need be and escalate issues that are out of the ordinary.

• Attends weekly operations review and present action plans to issues that need to be addressed.

• Collates and responds to operational issues as reported by Team Leads – as needed.

• Escalates operational issues beyond level of authority to the Department Head – as needed.

• Informs the Department Head when the system needed (system error/downtime) to handle calls are not working effectively – as needed.

• Submits weekly and monthly ops review report to the Department Head.

• Minimizes or manages at acceptable level the customers’ complaints

• Works with the Department Head to further develop program and implement policy – as needed.

• Works with the Team Leads and all Support Managers in coordination with other groups in coming up with programs that will help further develop the associates.

• Recommends new or modifications to existing procedures to ensure Continuous Process Improvement (CPI).

• Evaluates management and contact center practices for possible modifications that will result in increased employee efficiency and satisfaction.

• Responsible for the development and implementation of policies and procedures pertaining to HIPAA and ensures the center is in compliance with Privacy Rules Standard.

• Ensures that the Operations Team meets productivity standards – daily.

• Provides daily leadership and motivation to the Operations Team.

• Conducts monthly one-on-one coaching to direct reports and provide feedback to drive performance and reduce cost using data from reports on Attendance, handling time, productivity and quality grades.

• Devises strategic communication plan to ensure all changes are relayed on time and accurately.

• Creates incentives for all staff in conjunction with meeting performance measurements.

• Conducts weekly meetings with direct reports to discuss team and program performance, issues and share best practices.

• Designs development plans for direct reports; Prepares for succession plan in case the position got vacated in the future.

• Initiates and supports all employee satisfaction and workplace programs. 

• Consults personnel / program issues to the Department Head in terms of further decision-making.

• Coordinates with client for login ID upgrades due to promotion and/or deletion of network IDs from the system for voluntary/involuntary attrition.

• Regularly spot-checks agents on customer handling and provides TLs/Quality Personnel with feedback on areas for improvement.

• Performs tasks assigned by the Department Head.

• Prepares composite reports from the individual reports of subordinates.

• Communicates as needed with other departments about operational and personnel issues.

• Handles the overall project, budgeting & financials, strategies to improve teams KPIs, SPOC for the client relations, profitability of the project, planning & process improvements.

Education & Qualifications:

• Any Nursing 4 years College Degree, and/or associate degree, and /or equivalent experience.

• 5 years clinical experience

• 2 years managerial experience.

• Preferred experience: 2 years customer service

Sagility Offers Competitive Benefits Including:

• Medical

• Dental

• Vision

• Life Insurance

• Short-Term and Long-Term Disability

• Flexible Spending Account

• Life Assistance Program

• 401K with employer contribution

• PTO and Sick Time

• Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Work@Home USAUnited States of America