Job Description

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:

Process Consultant (Non-Voice)-Work From Home

Job Description:

Join the Talent Community at Sagility

Are you detail-oriented, analytical, and looking to build a rewarding career in healthcare operations? Sagility is continuously seeking talented individuals to join our growing team of Process Consultants (Non-Voice).

About Sagility

Sagility is a leading technology-enabled healthcare business process management company dedicated to improving member and provider experiences through innovation, operational excellence, and compassionate service. With more than 28,000 employees across the United States, India, the Philippines, Jamaica, and Colombia, we partner with some of the nation's leading healthcare organizations to deliver meaningful results.

Our expertise spans care management, claims administration, member engagement, provider solutions, payment integrity, analytics, and healthcare operations transformation.

Why Build Your Career with Sagility?

At Sagility, we believe our people are our greatest strength. We are committed to creating an environment where employees can learn, grow, and advance their careers while making a positive impact on healthcare outcomes.

What We Offer

• Starting pay of $16.00 per hour
• Daily Pay – access eligible earnings when you need them
• Paid virtual training
• Medical, dental, and vision benefits after 90 days
• Paid Time Off (PTO)
• 401(k) with employer contribution
• Life Insurance, Short-Term and Long-Term Disability coverage
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• Tuition Reimbursement
• Wellness and employee engagement programs
• Career growth opportunities – many of our leaders began in entry-level roles

Our Culture: We S.O.A.R.

Spark Curiosity

We embrace continuous learning and innovation.

One Team, One Direction

We collaborate to achieve shared goals and deliver exceptional results.

Action for Results

We act with urgency, accountability, and purpose.

Right by the Right Purpose

We lead with integrity and do what is right for our clients, members, providers, and each other.

What You Will Do

As a Process Consultant, you will play an important role in supporting healthcare operations through accurate and efficient claims processing and administrative support activities. Responsibilities may include:

• Reviewing and processing healthcare claims according to established guidelines and procedures
• Maintaining quality, accuracy, and productivity standards
• Investigating and resolving claim-related issues when appropriate
• Following compliance, audit, and service level requirements
• Managing multiple tasks and priorities in a fast-paced environment
• Collaborating effectively with peers, leaders, and cross-functional teams
• Demonstrating accountability, professionalism, and attention to detail in all aspects of work
• Continuously expanding knowledge of healthcare processes and industry standards

What We're Looking For

Required Qualifications

• High school diploma or equivalent
• Strong written and verbal communication skills
• Basic computer proficiency and ability to navigate multiple systems
• Proficiency with Microsoft Office applications, including Word, Excel, and Outlook
• Strong attention to detail and organizational skills
• Ability to maintain confidentiality and handle sensitive information
• Ability to meet deadlines and productivity expectations

Preferred Qualifications

• Previous healthcare operations, claims processing, administrative, or data entry experience
• Knowledge of U.S. healthcare processes and terminology
• Understanding of healthcare compliance and regulatory requirements

Success Factors

• Analytical thinking
• Time management
• Customer-focused mindset
• Accuracy and attention to detail
• Accountability and reliability
• Professional communication
• Integrity and confidentiality

Work Requirements

• Must be 18 years of age or older
• Minimum of six months of employment with a single employer preferred
• Reliable attendance and punctuality
• Ability to successfully complete training and meet performance expectations

Ready to Take the Next Step?

If you're looking for an opportunity to launch or grow your career in healthcare operations with a company that invests in its people, we encourage you to apply today. Join our talent community and be among the first considered for future Process Consultant opportunities at Sagility.

Sagility is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Location:

Work@Home WisconsinUnited States of America