Sagility Health Careers Guide: Roles, Pay & Hiring

If you searched for the Sagility Health careers blog, you’re in the right place—this official guide brings together roles, requirements, pay drivers, remote policies, and the hiring process in one page.

Whether you’re new to healthcare operations or ready to level up in coding, claims, or CX, you’ll find decision-ready details here. We focus on concrete expectations (credentials, schedules, assessments) so you can apply with confidence.

You’ll also see where to find job alerts, connect with recruiters, and explore Sagility Health jobs across the USA.

What Is Sagility Health and Who This Blog Helps

If you’re wondering what Sagility Health does, here’s the simple version: we power healthcare operations and customer experience for payers, providers, and health tech clients.

Our teams work across:

Contact centers
Revenue cycle
Medical coding/HIM
Claims
Prior authorization/utilization review
Data/analytics

You may still see HGS references on legacy pages; this blog aligns branding and points you to active Sagility Health careers content. The goal is to help early- and mid-career candidates evaluate fit quickly and move smoothly from application to offer.

If you’re choosing between healthcare operations and healthcare CX, start with your strengths and preferred work style.

Operations roles (coding, claims, AR follow-up, analytics) emphasize accuracy, production metrics, and systems fluency.
CX roles center on empathy, communication, and schedule flexibility.

Both tracks value HIPAA awareness, quality, and reliability; the difference is how you use those strengths day to day. Keep reading for crisp role definitions, credentials, and preparation tips so you can pick your best path.

Our focus: healthcare operations, CX, and clinical-adjacent roles

If you’re scanning for the role families we hire most, here’s where to look. We hire for healthcare BPO careers across:

Contact centers
Claims/revenue cycle
Medical coding/HIM
Clinical support (e.g., prior authorization nursing)
Analytics

These teams touch:

Member/provider calls
Claims adjudication
AR resolution
Prior auth case review
Code assignment
Audit/QA
Data storytelling

Expect healthcare-specific tools, security standards, and performance benchmarks that keep member data safe and outcomes strong. Use the next section to shortlist roles that match your background.

How to use this careers blog

If you want to find what matters fast, here’s how to navigate.

Use category-style hubs such as:

Career Playbook (how-tos, interview prep)
Stories (day-in-the-life)
Community (events, DEI)
Meet Our Recruiters (contact touchpoints)

From there, filter by role family (CX, coding/HIM, claims/revenue cycle, clinical, analytics) and by location or Work@Home USA. Each post links to live Sagility Health jobs, state eligibility notes, and the Sagility Health hiring process so you always land on an actionable next step.

In-Demand Roles Right Now (and What They Do)

If you’re choosing where to apply today, here are the roles we see most often across clients and locations. You’ll get quick definitions and responsibilities so you can align your skills and expectations.

Review the list, then jump to the matching role section for KPIs, credentials, and schedule tips. This is a fast way to narrow your search and act.

Healthcare Customer Experience (Contact Center): Member and provider support via phone, chat, or email
Claims Adjudication/Processing: Applying plan rules, edits, and pricing to claims
Revenue Cycle/AR Follow-Up: Denials management, appeals, payer follow-up
Medical Coding/HIM: ICD-10-CM, CPT, HCPCS assignment; auditing; documentation integrity
Prior Authorization Nurse/Clinical Review: RN/LPN case review using criteria (e.g., InterQual/MCG)
Provider Data Operations: Provider file updates, credentialing support, directory accuracy
Data and Analytics: SQL/Excel/BI reporting, performance insights, operational dashboards

Healthcare customer experience (contact center) roles

If you excel at helping people, healthcare contact center jobs at Sagility Health blend service with compliance. You’ll handle member eligibility, benefits questions, provider support, prior auth status checks, and claims status inquiries with empathy and accuracy.

Typical KPIs include:

Quality scores
First contact resolution
Schedule adherence
Average handle time

Many programs run in CST or ET with day, evening, and occasional weekend options. Bilingual roles (English/Spanish) are in demand.

Core strengths include:

Professional communication
Problem solving
Multi-tasking across systems
De-escalation

A customer service background from retail, hospitality, or utilities translates well, even without prior healthcare experience. If you’re remote, confirm your state’s eligibility and tech requirements before applying. This is a great entry point with clear team lead and supervisor growth paths.

Revenue cycle and claims (AR, adjudication, follow-up)

If you’re systems-driven and detail-oriented, revenue cycle and claims roles focus on accuracy and production. Claims adjudicators apply plan edits, coordination of benefits, and pricing guidelines while meeting quality thresholds.

AR follow-up specialists resolve denials, submit appeals, and work payer portals and EDI systems to reduce days in AR. Metrics often include quality, productivity, turnaround time, and denial overturn rate.

Experience with payer/provider workflows, clearinghouses, or EHR/claim systems (e.g., Epic, FACETS, or similar) is a plus. Many roles train you on client-specific rules if you bring the right aptitude and reliability.

You’ll collaborate closely with QA, training, and client teams, especially during updates to plan policies. If you like clear targets and structure, this track fits.

Medical coding and HIM

If you’re exploring medical coding jobs at Sagility Health, certifications are your edge. Coders and HIM specialists assign ICD-10-CM, CPT, and HCPCS codes, perform audits, and partner with documentation teams to close gaps.

Productivity and accuracy targets are standard, with role-specific benchmarks by specialty or setting. Credentials like CPC, COC, or CCS are commonly required or preferred; RHIT/RHIA supports HIM roles and leadership.

Experience with Encoders and EHRs, familiarity with payer edits, and exposure to risk adjustment or HCC coding are all valuable. Some projects offer remote work with secure access; confirm state eligibility and equipment before applying. If you enjoy precision and continuous learning, coding/HIM delivers strong career ladders.

Clinical support (e.g., prior authorization, utilization review)

If you’re a licensed clinician looking for off-the-floor impact, clinical support roles center on case review and collaboration. Prior authorization nurse jobs at Sagility typically require an active RN or LPN/LVN license and experience in utilization review, case management, or acute/ambulatory settings.

You’ll assess medical necessity against criteria (e.g., InterQual/MCG), document determinations, and communicate clearly with providers and members. Expect quality and turnaround time KPIs, with schedules aligned to client time zones (often CST or ET).

You’ll partner with physicians, medical directors, and non-clinical teams to ensure timely and compliant decisions. If you value structured clinical work without bedside shift demands, this path balances autonomy and teamwork. Review listings for state-of-licensure requirements and shift differentials.

Data and analytics roles

If you like turning data into decisions, analytics roles connect operations with outcomes. You’ll build SQL queries, create Excel or BI dashboards, and analyze trends in calls, claims, denials, coding quality, or workforce planning.

Common tools include SQL, Excel/Power Query, and BI platforms. Healthcare context (HIPAA, PHI, payer/provider terms) is essential.

Deliverables range from daily operational reports to executive insights and root-cause analyses. Strong candidates combine technical skills with crisp storytelling and stakeholder management.

Many analytics roles are hybrid or remote with set core hours in CST/ET for collaboration. If you’re upskilling, start with SQL basics, VLOOKUP/XLOOKUP, and visualization fundamentals.

Do I Qualify? Credentials, Experience, and Training Support

If you’re asking “Am I eligible?” use this section to match your background to our most common roles. Healthcare experience helps but isn’t required for all teams; we hire for aptitude, reliability, and a growth mindset.

HIPAA awareness, data privacy, and quality discipline are non-negotiables across the board. Use the credential map below, then scan the training section if you’re new to the field.

Credential-to-role quick map

If you want to see which certifications and experiences map to roles, start here.

Contact Center/CX: Customer service experience; healthcare exposure a plus; bilingual preferred for some programs
Claims Adjudication: Claims processing experience or strong data-entry accuracy; payer rules knowledge a plus
Revenue Cycle/AR: Denials management, appeals, payer portals; medical billing/coding exposure helpful
Medical Coding: AAPC or AHIMA credentials (CPC, COC, CCS); risk adjustment/HCC and auditing are differentiators
HIM/Documentation Integrity: RHIT/RHIA preferred; CDI, audit experience, or hospital outpatient/inpatient exposure
Prior Authorization/UR: Active RN or LPN/LVN license; UM/CM experience; InterQual/MCG familiarity preferred
Provider Data Operations: Data entry accuracy, attention to detail; credentialing/directory experience helpful
Data and Analytics: Excel and SQL fundamentals; BI/reporting; healthcare data context is a plus

If a role lists a certification as “preferred,” you can apply without it if you bring relevant experience or strong aptitude. Always read the job posting for the exact requirement and equivalencies.

New to healthcare? How we train and ramp talent

If you’re switching in from retail, hospitality, or general customer service, we’ve built training to help you ramp. Most entry programs include paid classroom or virtual training on systems, HIPAA, and role scenarios, followed by nesting with extra coaching.

Typical ramp periods range from two to six weeks depending on role complexity and client needs. Expect hands-on practice, knowledge checks, and quality feedback so you know exactly what “good” looks like.

For coding and clinical roles, role-specific assessments confirm readiness. For CX and claims, nesting helps you move from practice to production smoothly. If you like structured onboarding and clear milestones, you’ll have a roadmap from day one.

Remote/Work-From-Home at Sagility Health

If you want Sagility Health work from home jobs, here’s what to know before you apply. Remote eligibility varies by role, program, and state due to licensing, tax, and client-compliance requirements.

Many teams align to CST or ET schedules to match client and member availability. Read postings carefully for state lists, schedule windows, and any on-site expectations for training or equipment.

Eligible locations and time zones (e.g., CST) and why they matter

If you’re asking, “Does Sagility Health hire remote in Texas (CST)?”, the answer is often yes for select roles. Eligibility depends on the posting.

States are approved based on:

Legal and client requirements
Licensed-role rules
Support coverage needs

Time-zone alignment ensures members and providers can reach us during peak hours and that teams can collaborate reliably. You’ll see “Work@Home USA” language on some roles with an eligible-state list and core hours (commonly CST or ET).

If your state isn’t listed today, set a job alert—eligibility can change by client program. This keeps you in the loop without rechecking daily.

Your home office setup: equipment and security checklist

If you want to pass IT checks fast, prepare this work-from-home setup in advance. Some roles provide equipment or stipends; others are BYOD—always review the posting.

Reliable computer meeting role specs (CPU/RAM), updated OS, and current antivirus
Dual monitors (or one large monitor), wired USB headset, and webcam for training and QA
Hard‑wired Ethernet connection (recommended minimum 20 Mbps down/5 Mbps up) and a surge protector
Quiet, private workspace with door; no speakerphone or public Wi‑Fi; ability to join video calls
Willingness to use company VPN/MFA, complete device posture checks, and follow clean‑desk policies

Prepare a backup plan for internet interruptions (mobile hotspot or secondary ISP) and test your speed before assessments. This reduces delays during onboarding and nesting.

Compensation, Benefits, and Career Growth

If you’re comparing offers, understand what drives pay, what benefits apply, and how careers progress here. We post or share ranges where required, and the final offer reflects skills, credentials, location, and shift.

Many programs include bonus, differential, or referral opportunities—check each posting for specifics. Your growth starts on day one with coaching and clear ladders.

What influences pay ranges (role, location, credentials, shift)

If you want a fair snapshot, these are the common pay drivers. Role complexity, market location, and verified credentials (e.g., CPC, CCS, RN) influence base ranges.

Off-hours coverage—nights, weekends, or holidays—may add shift differentials, and performance incentives may reward quality and productivity.

Role and scope (entry, senior, lead, supervisor)
Location and cost-of-labor, including remote-by-state rules
Credentials, licensure, and in-demand skill sets
Shift, bilingual requirements, and client-specific incentives

Always review the live posting for the exact range and benefits for that program and location. If a range isn’t listed, ask your recruiter during the first screen.

Benefits snapshot and learning support (CEUs, tuition, certifications)

If total rewards matter to you, look beyond base pay. Benefits typically include medical, dental, vision, paid time off, and retirement savings options, plus wellness and EAP support.

Learning benefits may include CEUs for licensed roles, tuition assistance, and reimbursement for approved certifications (e.g., CPC, CCS) tied to your job. Offer details vary by role and state; your recruiter will confirm what applies to you.

If you’re planning to earn a credential in your first year, ask about timelines for reimbursement eligibility. Investing in your development is a shared priority.

Career ladders and internal mobility examples

If you’re growth‑minded, internal mobility is a major advantage here. Clear ladders show how to progress from entry roles to leadership, quality, or training tracks.

Many supervisors and managers were promoted from within after mastering KPIs and mentoring others.

CX: Agent → Senior Agent → Team Lead → Supervisor → Operations Manager
Claims/Revenue Cycle: Associate → Senior → QA/Trainer → Team Lead → Manager
Coding/HIM: Coder → Senior Coder → Auditor → Lead → Coding Supervisor
Clinical Support: RN/LPN → Clinical Reviewer → Team Lead → Clinical Manager
Data/Analytics: Analyst → Senior Analyst → BI Developer → Analytics Manager

Ask your manager about milestones after onboarding—clarity helps you build a realistic 6–12 month plan and stay motivated.

The Sagility Health Hiring Process: Step-by-Step

If you want to move from application to offer smoothly, here’s what to expect. We aim for a transparent and timely process with clear communication at each stage.

Timelines can shift by role and client, but the flow below is a reliable guide. Prepare early to keep momentum.

Timeline: from application to offer

If you’re timing your job search, these are typical windows.

Application review: 2–5 business days
Online assessments: 1–3 days to complete after invite
Interviews: 1–2 rounds over 5–10 business days
Offer and contingencies: often within a week of final interview
Background/clearance and onboarding: ~5–10 business days

Most candidates move from application to start date in about 2–4 weeks, depending on background checks, licensure verification, and equipment setup. Your recruiter will share a role-specific timeline.

Assessments and interviews: how to prepare

If you’re prepping now, expect relevant, job-specific steps.

CX roles may include typing/multi-tasking, situational judgment, and a brief healthcare knowledge quiz; interview questions often use real member/provider scenarios.
Claims and revenue cycle roles may test accuracy, research, and interpretation of payer rules.
Coding roles may include a timed coding or audit exercise; clinical roles may present case vignettes.
Analytics roles often include an Excel/SQL or data storytelling prompt.

Prepare by reviewing your resume against the posting, practicing STAR examples, and testing your tech and internet in a quiet space. Bring a government ID to video interviews and confirm your legal name matches application records.

Clear, concise answers that show your quality mindset and data privacy awareness go a long way.

Background, compliance, and onboarding essentials

If you receive an offer, plan for compliance steps that protect patient data. Typical requirements include:

Background check
Employment/education verification
I‑9 documentation
Active license verification for licensed roles
Drug screening (may apply by program)

You’ll complete HIPAA and security training during onboarding and sign confidentiality and acceptable use agreements. For remote roles, IT will validate your device and network security before Day 1 or ship equipment per program rules.

Orientation covers tools, policies, and your training schedule so you can ramp without surprises. Keeping documents handy speeds things up.

Frequently Asked Questions

Do I need prior healthcare experience to apply?

If you’re new to the industry, you can still qualify for many CX, claims entry, and provider data roles. We look for customer service strength, accuracy, reliability, and the ability to learn healthcare systems quickly.

If you’re targeting medical coding or clinical roles, relevant certifications or licensure are typically required. Use entry roles to build HIPAA fluency and move into advanced tracks over time.

Can I work remotely from my state and what schedules are available?

If you want remote flexibility, check each posting for the eligible-state list and schedule windows. Many programs operate in CST or ET with day and evening shifts and limited weekends; some offer shift differentials.

Licensed roles may require specific state licensure even if the role is remote. If your state isn’t listed, set a job alert—eligibility can change with client needs.

Which certifications help me get hired faster?

If you’re choosing credentials, select those tied directly to the role. For coding/HIM, CPC, COC, or CCS are high-signal; RHIT/RHIA supports HIM leadership.

For clinical support, an active RN or LPN/LVN plus UR/CM experience and InterQual/MCG familiarity stand out. For analytics, SQL and a BI portfolio speed up interviews.

Always note whether a posting lists certifications as required or preferred.

Ready to Apply? Next Steps and Resources

If you’re ready to move, here’s how to take the next step with clarity and momentum. Start with roles that match your strengths, confirm remote eligibility, and prepare documents now.

Small steps today save days later during screening and onboarding.

Explore open roles and set job alerts

If you want live opportunities, visit the Sagility Health Careers site to search by keyword (e.g., “medical coding jobs at Sagility,” “claims adjudication jobs Sagility,” “Sagility Health contact center jobs”). Filter by location or Work@Home USA and review each posting’s pay range, schedule, and state eligibility.

Create job alerts for “revenue cycle careers Sagility,” “prior authorization nurse jobs Sagility,” and “provider data management careers” to stay ahead of new openings. Apply to your top 2–3 matches to keep your process focused and fast.

Connect with a recruiter

If you have nuanced questions or a complex background, connecting with recruiting helps you tailor your search. Engage through our Meet Our Recruiters content, hiring events, or talent community so we can match you to the right team and location.

Share your resume, credentials/licensure, preferred schedule and time zone, and remote setup details up front. This accelerates screening and helps us route you to the best-fit Sagility Health careers program.

Updated for currency and clarity. For the latest on ranges, eligibility, and assessments, always defer to the details in each live posting and your recruiter’s guidance.