Operations Manager- ESI (Voice)

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.

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.

Customer support-Enquiry
Education and wellness
International/Global
Customer support - Claims

Job title:

Operations Manager- ESI (Voice)

Job Description:

DUTIES & RESPONSIBILITIES:

DUTIES & RESPONSIBILITIES:

• Responsible for translating client requirements into production floor activities.
• Acts as the Supplier Program Manager/Senior Manager of Program Management
• Internal contact for the overall management and productivity of the operation.
• Responsible for the management of specified supervisory teams, tracking of overall center efficiency, keeping updated on product and promotion information, providing Supplier Program Management with updates on service provided, and identifying and tracking improvement and value-added opportunities

Shift Management Function:

• Monitor the teams? daily performance on all metrics (customer satisfaction ratings, call handling times, service levels & quality grades) to ensure that standards are being met referring to a database, a program or reports. 
• Work with Senior OM in implementing programs, which are both clients, and in house.
• Represents the site on client calls on specific area of discipline on a weekly basis or as scheduled for product/ system/ process updates best practices sharing, or call calibrations.
• Attend weekly operations review and present action plans to issues that need to be addressed.
• Execute data analysis specific to the team for action planning.
• Collate and respond to operational issues as escalated/ needed.
• Escalate operational issues beyond level of authority to the Senior Director for Operations ? as needed.
• Inform Senior OM when the system needed (system error/ downtime) to handle calls are not working effectively ? as needed.
• Submit weekly and monthly ops review report to the Senior Director for Operations.
• Perform counseling to assigned Team Leaders and/ or Customer Service Associates for performance and/or discipline management.
• Ensure Team Leaders? shift coverage on a daily/weekly basis.
• Approves/ disapproves request for unscheduled leaves and tardiness and do necessary adjustments to schedules of available manpower in order to meet requirements.
• Participates in the development of contingency plans, escalation procedures, and disaster recovery plans.

Quality Management/Standards Compliance Function:

• Ensure team?s adherence to quality metrics and audit requirements ? within and/or above standard compliance
• Ensure that Team Leaders are adhering to the monitoring requirement set forth
• Ensure that Team Leaders are calibrated in call monitoring
• Work with the Senior OM to further develop program and implement policy ? as needed.
• Work with the Team Leaders in coordination with other groups in coming up with programs that will help further develop the CSAs in delivering metrics.
• Recommend new or modifications to existing procedures to ensure Continuous Process Improvement (CPI).
• Evaluate management and contact center practices for possible modifications that will result in increased employee efficiency and satisfaction.
• Reviews preliminary investigation of disciplinary cases and approves/disapproves/escalates disciplinary actions in adherence to the provisions of the Company Code of Conduct.
• Participates in the preparation of the department?s annual business plan and budget to support HGS? objectives and goals.
• Implement action plans to ensure alignment between the other teams and/or support groups.
• Analyze situation that arises outside the established guidelines or parameters and be able to evaluate such situation for impact on present guidelines.
• Gives recommendations and implement these recommendations once approved to ensure process improvement in order to help the program achieve its goals.

Staff Development Function:

• Provide daily leadership and motivation to a team of 7-10 Team Leaders.
• Conduct monthly one-on-one coaching to Team Leaders and provide feedback to drive performance and reduce cost using data from reports on Attendance, handling time, productivity and quality grades.
• Help Senior OM in creating incentives for all staff in conjunction with meeting performance measurements.
• Conduct weekly meeting with Team Leaders and discuss team and program performance, issues and share best practices.
• Design development plans for Team Leaders. Prepare for succession plan if in case the position got vacated in the future.
• Initiate and support all employee satisfaction and workplace programs. 
• Consult personnel/ program issues to the Senior OM in terms of further decision making 
• Conducts performance reviews and appraisals for Team Leaders (yearly). Provide immediate coaching regarding Team Leader or team performance when the need arises using documented personal observations or critical incidences to improve Team Leader and team performance
• Ensures timely and accurate communication regarding updates to Team Leaders
• Recommends and applies corrective measures for staff members who do not meet minimum performance metrics.
• Works with Team Leaders to resolve concerns of CSAs as well as their own
• Able to follow-up personnel issues (e.g. Payroll, HR, etc) as reported by Team Leaders.
• Able to create specific Individual Development Plans for Team Leaders over a given period of time to prepare them to the next level.
• Regularly spot-checks CSAs on customer handling and provides TLs/ Quality Personnel with feedback on areas for improvement.

General Safety and Security

• Protects the organization?s assets by upholding the principles of the Quality Information Security Management System (QISMS).
• Ensures confidentiality, integrity, and availability of information critical to fulfilling the organization?s business functions.

With Basic Competency Level in the ff.:

Presentation Skills Facilitation Skills

With Moderate Competency Level in the ff.:

Communication Skill (Spoken) Communication Skill (Written) Customer Service Orientation Computer Literacy People Management/ Team Orientation Expertise/ Analytical Skills Product Knowledge Coaching Performance Management Discipline Management

With Expert Competency Level in the ff.:

Drive for Results/ Execution Thriving in Change Problem Solving Process Improvement Conflict Management Fiscal Management Business Acumen Change Management Planning, Organizing, Controlling

OTHER REQUIREMENTS:

Reports to:  

Operations Director

Education and/or Experience:

• Bachelor?s degree in related field (four-year course) or equivalent combination of education and experience.

Certificates, Licenses, Registrations :

• Preferably, with an Active US/ Philippines Certified Registered Nurse (RN) license.

Work environment:

The work environment is professional, office. Business casual attire.

Physical demands :

May require weekend or evening work.

Work demands :

• Ability to guide individuals toward goal achievement;
• Ability to demonstrate innovation and problem-solving skills when making decisions;
• Strong ability to coach and develop action plans to maximize performance and provide effective feedback;
• Ability to analyze and improve work processes; ability to work well under pressure.

Location:

Iloilo, SM Strata TowerPhilippines #J-18808-Ljbffr