Role Description
We are seeking an experienced and highly motivated Clinical Operations Supervisor / Team Lead to lead a team of Registered Nurses (RNs) and/or Care Coaches supporting Care Management programs. This position is responsible for driving operational performance, quality outcomes, member satisfaction, employee engagement, compliance, and workforce effectiveness while fostering a culture of accountability, continuous improvement, and servant leadership.
-
Oversee day-to-day operations of a team of RNs and/or Care Coaches supporting client programs.
-
Serve as the first point of escalation for associate questions, process concerns, member issues, and system-related challenges.
-
Monitor productivity, quality, attendance, adherence, member engagement, service levels, and operational performance metrics.
-
Ensure team compliance with client, company, CMS, HIPAA, and regulatory requirements.
-
Manage staffing coverage, queue performance, and workload distribution to achieve operational goals.
-
Support workforce and attendance management activities through timely communication of staffing concerns and schedule variances.
-
Verify associate readiness, system functionality, and connectivity prior to shift start and escalate issues as needed.
-
Provide real-time support and guidance to associates regarding workflows, policies, systems, and member interactions.
-
Identify operational risks, performance barriers, and workflow inefficiencies and implement corrective actions.
-
Support audits, client requests, compliance reviews, and operational readiness activities.
Qualifications
-
Active unrestricted U.S. Registered Nurse (RN) License
-
Minimum two (2) years of post-licensure clinical experience.
-
Minimum one (1) year of leadership, mentoring, coaching, Team Lead, or supervisory experience.
-
Experience working in healthcare operations, BPOβs, care management, case management, disease management, utilization management, or a contact center environment.
-
Preferred: Previous experience supporting Medicare Advantage, SNP, Medicaid, or managed care populations.
-
Experience leading remote, hybrid, or geographically dispersed teams.
-
Experience facilitating training sessions, new hire onboarding, or classroom instruction.
-
Experience serving as a Trainer, SME, Mentor, Team Lead, or Supervisor within a healthcare environment.
Requirements
-
Strong coaching, mentoring, and employee development skills.
-
Ability to lead difficult conversations with professionalism and consistency.
-
Proven ability to manage performance, engagement, and accountability.
-
Strong understanding of productivity, quality, attendance, adherence, service levels, and workforce management principles.
-
Strong analytical skills with the ability to identify trends, assess risks, and implement effective solutions.
-
Excellent verbal and written communication skills.
-
Proficiency with Microsoft Office Suite, reporting tools, workforce management applications, and operational dashboards.
Benefits
-
Delivering strong quality, productivity, adherence, and member outcome results.
-
Building an engaged, high-performing team culture.
-
Developing future leaders, SMEs, and trainers.
-
Ensuring compliance with client and regulatory requirements.
-
Driving continuous improvement through coaching, collaboration, and operational excellence.
Company 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.