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:
Education:
Bachelor's degree in healthcare management, business administration, or a related field. A master's degree is preferred.
Experience:
18-20 years of BPO experience in an outsource environment responsible for multiple sites and clients including a minimum of 8 years’ experience in business development, sales strategy, and/or proposal development roles in outsourcing/professional services.. Healthcare Industry Required.
Mandatory Skills:
- Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his prospects, clients, global operations, and pursuit teams alike - establishing winning strategies, and exerting influence both internally and externally to win new business.
- Innovative team player with the energy, creativity, and an entrepreneurial spirit to achieve success. A professional who earns respect for his/her leadership, intelligence, and expertise.
- Success as a superb relationship builder, negotiator, and communicator.
- Deep expertise designing global, digital solutions to improve each stage of the customer journey
- Possess commercial acumen, drive commercial impact (sales, cost reduction projects)
- Acts as a Subject Matter Expert for the sales and client services teams, attends sales calls, demonstrates the products, helps to answer deep questions about the product and works to convince the client we have the best solution.
- Lead and front-end projects (internal – with Ops/IT/BE, external – selling and supporting sales) and lead work through influence to manage stakeholders (internal matrix, client, partner)
- Strong communicator who can take complex ideas and communicate them effectively internally, externally and using Project Management tools
- Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his peers, clients, global operations, and pursuit teams alike - establishing winning strategies, and exerting influence both internally and externally to win new business.
- Guides stakeholders, both internal and external, on the path to the solution while driving executive sign-off.
- Prepares spend estimates, work plans and identify delivery locations while gaining input and buy-in from the legal, finance and delivery teams on approach, solution plan and cost to deliver.
Preferred Skills:
Expertise in different pricing models like PMPM, outcome based, transaction and FTE.
Roles & Responsibilities:
- Interpret and translate business challenges into transformational solutions that can be configured through existing and developing channels.
- Design BPaaS, operations and transformative solutions.
- Full & comprehensive understanding of healthcare services spectrum for payer and provider services. For payer services – enrolments, plan/benefit configuration, premium billing, end-to-end claims servicing, payment integrity, provider data management including credentialing, utilization management and member/provider calls. On the provider side RCM, coding services
- Market view of different platforms and technologies available
- Design solutions that define committed outcomes to the customers
- Work with internal stakeholders across technology, WFM, SMEs, operations, automation, and others and design a holistic solution
- Conduct internal leadership presentations
- Lead customer presentations across the cycle, wear a consultant hat, ability to do onsite assessments.
- Engage in conversations to understand and define problem statements and design the solutions.
- Collaborate as a key member of the sales team to represent solution offerings from discovery to deal closure, facilitating the transition to the SAGILITY delivery organizations.
- Builds and maintains a detailed view of competitive offerings, making sure that the sales team is fully briefed, and that product strategy is developed with a detailed view of competing offerings.
- Works with finance and sales to manage and adjust pricing based on market conditions and profitability goals.
- Works across the organization to champion the product/solution and find ways in which the business can bring value to a broader audience.
- Develops contract templates that accurately define SOW, standard delivery terms, invoicing, etc. with Legal
- Collaborate with marketing, helps to develop and update sales materials, web pages, presentations, and RFP responses.
- Builds solid cross-functional relationships with departmental heads and management across the business spectrum.
- Partners with other operations, clients, L&D and HR function to determine program priorities, roll-out plans, set program deadlines, ROI and analytics.
- Collaborates with departmental heads and managers, to identify areas that require training and to develop program requirements unique to each department. Works closely with key stakeholders in addressing gaps in the overall Solution designs.
- Conducts current and ongoing strategic assessments of business-wide training and development programs and initiatives.
- Ensures effective data governance, reporting and measures program delivery quality, which ensures continuous improvement, maintenance, and adjustment in Solutions delivery
The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned.
Location:
Originally posted on