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

• Valuable 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)

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📌 Senior Associate (Bengaluru)
🏢 Sagility
📍 Bengaluru