Remote Quality Analyst/Clinical Nurse Advisor (RN)

Job Overview

  • Clinical License RN
  • State(s) Nationwide

Full 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. Our company optimizes the entire member/patient experience through service offerings for clinical operations, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Colorado-based Sagility has more than 30,000 employees across 5 countries and revenues of over $500 million.

The Sagility team is currently hiring Quality Analyst/Clinical Nurse Advisor. In this role you will monitor, report on and coach behaviors to ensure quality standards are met and develop initiatives designed to improve quality performance.

Key Requirements:

  • Responsible for monitoring in an objective fashion of all customer contact points. (Web, voice, e-mail, white mail)
  • Responsible for reporting all behavior that does not conform to the quality standards set by the company and the account management.
  • Designs and implements reports to establish patterns and trends of quality issues as they may arise.
  • Provides quantifiable data for all quality judgments that are made.
  • Works with Operations and other Support Groups as an auditor as well as regulator of quality issues.
  • Provides coaching tips and materials to Operations to enhance product knowledge, system navigation and soft skills.
  • Works with Operations and Support Groups to provide trend reports to address any issues.
  • Works with Operations and Support Groups to develop initiatives designed to improve quality performance.
  • Conducts Calibration Sessions with the client and with Operations.
  • Conducts product specific coaching sessions with the agents regarding trends and quality.
  • Provides updated, accurate and timely reports as required to the Quality Lead/Manager.
  • Offers suggestions for continuous improvement of process and systems.
  • Actively assist in maintaining operational excellence on critical metrics such as service levels.
  • Render phone time as required/scheduled and when needed to help with Operations’ service levels, call volume, etc.).
  • Performs Utilization Management review similar to Clinical Nurse Advisors in accordance to federal and state mandated regulations, HUM URAC standards and client requirement and/or policies as needed.
  • Follows other tasks and/or offline tasks assigned by the Quality Lead/Manager.

Education, Experience, and Skills:

  • Active unrestricted PHRN and US Licensed Registered Nurse (USRN)
  • Active PHRN and US Certified Registered Nurse (USRN) license, state license requirements, CEUs and state mandate requirements.
  • 2-3 years of post-education clinical experience
  • 2-3 years of post-education clinical experience

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Job Type: Full-time


  • Nursing: 1 year (Preferred)


  • BLS Certification (Preferred)
  • RN (Preferred)

Work Location: Remote




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