Senior Associate - Pharma Operations – Prior Authorization

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 Good 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) Process SLA Awareness of ISO, ISMS Telephone etiquettes MS office Typing skills & computer skills Effective communication in English Location: Bangalore. India