- *About Sagility**
- -----------------
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.
Senior Director \- Solutions
Role Summary
The Solution Architect will play a strategic role in positioning the organization as a leading end\-to\-end partner in the U.S. healthcare ecosystem. This role is responsible for designing innovative, outcome\-driven solutions across back\-office operations, enabling enhanced client value, operational efficiency, and competitive differentiation. The individual will be a key contributor across the sales lifecycle, from opportunity discovery to solution design and successful transition to delivery.
Role: Solution Architect
Designation : Senior Director
Function : Solutions
Domain Expertise : Back\-Office Operations (U.S. Healthcare preferred)
Experience (Mandatory)
12–14 years in BPO Operations/Solutions (Back\-Office)
Experience (Preferred)
12–14 years in Healthcare BPO Operations/Solutions
Overall Experience : 15–18 years
Location: India (Offshore)
Work Model : Hybrid (Remote \+ Office)
Role Type : Individual Contributor
Employment Type: Permanent
Reporting To : VP – Solutions
The Solution Architect will drive solution innovation across traditional administrative services and next\-generation digital transformation initiatives. The role requires deep expertise in U.S. healthcare back\-office operations, including Claims, Enrollment \& Billing, Configuration, Mailroom, Provider Network Operations, General \& Administrative (G\&A), and Revenue Cycle Management (RCM).
The incumbent will design and deliver scalable, outcome\-based solutions aligned to client needs across the member, provider, and agent lifecycle, while contributing to thought leadership and market differentiation.
- *Solutions Function – Scope \& Capabilities**
This function plays a critical role in bridging client requirements with scalable, technology\-enabled business solutions. Key components include:
- **Needs Assessment:** Conduct in\-depth discovery sessions to understand client business challenges, operational gaps, and strategic objectives, translating them into clearly defined problem statements.
- **Solution Design:** Develop tailored, end\-to\-end solutions encompassing process design, operating models, technology enablement, and transformation strategies aligned to client needs.
- **Implementation Oversight:** Guide the deployment of solutions, ensuring seamless integration into existing client environments, supported by structured transition plans, training, and change management.
- **Optimization \& Continuous Improvement:** Monitor solution performance against defined KPIs and outcomes, driving continuous improvement through data\-led insights and feedback loops.
- **Innovation \& Transformation:** Leverage industry trends, emerging technologies, and automation capabilities to design forward\-looking, differentiated solutions that create competitive advantage.
- **Client Engagement \& Stakeholder Management:** Act as a strategic liaison between clients and internal teams, ensuring alignment, transparency, and consistent delivery of business objectives.
- *1\. Solution Leadership \& Client Engagement**
- Serve as a trusted client\-facing solutions partner, translating complex business challenges into scalable, transformation\-led solutions.
- Lead discovery sessions, client workshops, and executive presentations across the sales lifecycle.
- Design and deliver BPaaS, operational, and digital/automation\-led solutions across healthcare payer, provider value chains \& Managed services.
- Conduct onsite and virtual assessments to define problem statements and align solutions with measurable outcomes.
- Ensure seamless transition of solutions from sales to delivery teams.
- *2\. Solution Design \& Domain Expertise**
- Architect end\-to\-end, outcome\-driven solutions leveraging platforms, technology, and optimized operating models.
- Apply deep domain expertise in U.S. healthcare back\-office and RCM operations.
- Integrate automation, analytics, and digital capabilities into solution frameworks.
- Collaborate with cross\-functional teams including technology, operations, WFM, SMEs, and automation specialists.
- *3\. Strategy \& Go\-To\-Market (GTM)**
- Contribute to and shape GTM strategies aligned with market trends and competitive positioning.
- Partner with sales and finance teams to develop commercially viable and competitive pricing models.
- Support RFP responses, proposals, client pitches, and marketing initiatives.
- Drive internal alignment to scale and replicate successful solution offerings.
- *4\. Cross\-Functional Collaboration**
- Build strong partnerships across operations, HR, L\&D, technology, and client stakeholders.
- Align on delivery models, timelines, implementation strategies, and ROI expectations.
- Identify capability gaps and drive continuous improvement in solution development and execution.
- *5\. Governance, Analytics \& Performance Management**
- Establish robust governance frameworks, reporting structures, and quality benchmarks.
- Drive data\-led decision\-making through continuous performance evaluation and insights.
- Monitor solution effectiveness, delivery quality, and business outcomes to ensure sustained value realization.
- *6\. Commercial \& Solution Ownership**
- Develop comprehensive cost models and pricing constructs (FTE\-based, transaction\-based, outcome\-based, PMPM, and managed services).
- Define delivery strategy including location planning, resource modeling, and financial estimates.
- Collaborate with finance, legal, and delivery teams to finalize solution constructs and contracts.
- Drive executive alignment and secure approvals for proposed solutions.
- Strong business acumen with a focus on outcomes, profitability, and client value
- Deep understanding of global delivery and offshore models
- High level of customer\-centricity and executive presence
- Strong analytical, problem\-solving, and communication skills, with exposure to AI\-driven reporting, dashboards, and presentations.
- Proven ability to influence stakeholders and close large, complex deals
- Innovative mindset with a focus on digital transformation and automation
BangaloreIndia