Sajility: A Comprehensive Interview Preparation Guide to Success

Sagility is a healthcare operations and technology partner that helps U.S. payers and providers improve outcomes, experience, and cost. Formed in 2022 when the former HGS Healthcare business rebranded under new ownership, the company blends clinical expertise, domain-led process excellence, and digital automation to modernize core functions such as claims administration, utilization and care management, payment integrity, risk adjustment, HEDIS/Stars quality initiatives, provider data management, and end‑to‑end revenue cycle management.

Sagility differentiates itself through a human-centered, digital-first approach that integrates analytics, AI, and automation with experienced clinical and operational teams to create measurable value across the member, patient, and provider journeys. With a focus on regulatory rigor and operational resiliency, it supports health plans and health systems through seasonal volume swings, complex compliance requirements, and the transition to value-based care. The company’s solutions are designed to accelerate speed to value while enhancing member engagement, clinical quality performance, and financial sustainability.

This comprehensive guide provides essential insights into 's operations, culture, and recruitment process, equipping readers with the knowledge needed to excel in interviews and understand the company's strategic direction.

1. Company Overview

About Sajility

Sagility is a healthcare-focused business process and technology services company that supports U.S. health plans and provider organizations. Evolving from the HGS Healthcare business in 2022, it delivers domain-led operations, clinical expertise, and digital solutions to strengthen core payer and provider functions.

Its offerings span claims and member operations, payment integrity, risk adjustment and quality programs, clinical services, provider data management, and end-to-end revenue cycle management-aimed at improving experience, quality, and financial performance while maintaining regulatory compliance.

Company History

Trace Sajility's evolution through key periods, highlighting major transformations and growth phases.

• 2000: The predecessor company began providing services to the U.S. healthcare industry.
• 2021: Incorporated as Berkmeer India Private Limited.
• 2022: Formally acquired the healthcare services business of Hinduja Global Solutions (HGS Healthcare).
• 2022: Renamed to Sagility India Private Limited.
• 2022: Officially rebranded as Sagility, emphasizing its focus on healthcare transformation.
• 2024: Acquired remaining subsidiaries from its predecessor company.
• 2024: Converted to a public limited company, renamed Sagility India Limited.
• 2024: Listed on BSE and NSE following its Initial Public Offering (IPO).
• 2025: Completed the acquisition of BroadPath Healthcare Solutions, expanding its U.S. presence.
• 2024: Supported payer clients in processing 105 million claims and 75 million member and provider interactions, marking a strong operational milestone.

Key Milestones in Sajility History

Critical achievements that shaped Sajility's trajectory and market position.

3. Comprehensive Product and Service Offerings

Sajility provides healthcare-focused operations and digital solutions for U.S. payers and providers. Its portfolio spans payer operations (claims, member and provider operations, payment integrity), risk adjustment and quality programs, clinical services, provider data management, and end-to-end provider revenue cycle management, supported by analytics and automation.

1.Payer Solutions

Sagility supports health plans with domain-led operations that strengthen claims accuracy, provider network data integrity, member experience, quality performance, and financial outcomes.

• Claims Administration: End-to-end claims intake, adjudication support, and back-office services designed to improve first-pass accuracy, cycle time, and compliance.
• Payment Integrity: Pre‑ and post‑payment clinical and coding reviews to prevent and recover overpayments, helping reduce medical cost and improve audit readiness.
• Provider Data Management: Data remediation, directory updates, and ongoing stewardship to enhance provider network accuracy and member access to care.

2.Risk Adjustment and Quality

Solutions that help health plans meet regulatory and performance objectives across risk adjustment and quality measurement programs.

• Risk Adjustment Coding and Analytics: Prospective and retrospective coding support, data analytics, and suspected gap identification to strengthen RAF accuracy.
• Chart Retrieval and Abstraction: Medical record retrieval and abstraction services that support compliant documentation, reporting, and audits.
• HEDIS/Stars Support: Member outreach, gap closure programs, and reporting services to improve HEDIS and Medicare Stars performance.

3.Provider Solutions (Revenue Cycle Management)

Sagility delivers end-to-end revenue cycle services that enhance patient experience and provider cash flow while reducing denials and cost-to-collect.

• Patient Access: Scheduling, eligibility and benefits verification, prior authorization, and financial clearance to support clean claims and patient satisfaction.
• Medical Coding and CDI: Facility and professional coding with clinical documentation improvement to support compliant, accurate reimbursement.
• Billing, Denials, and A/R Follow-up: Claims submission, denials management, and accounts receivable follow-up to accelerate reimbursements and reduce write-offs.

4.Clinical Services

Licensed clinicians deliver utilization and care management programs that support appropriate care, quality outcomes, and regulatory compliance.

• Utilization Management (UM): Clinical reviews and authorizations aligned to medical necessity criteria, turnaround times, and audit requirements.
• Care/Case Management: Care coordination and case management services to support members and patients across complex and chronic conditions.
• Nurse Triage and Clinical Review: Telephonic clinical triage and reviews that guide patients to appropriate care settings and reduce avoidable utilization.

5.Member and Patient Engagement

Omnichannel services that improve experience and close gaps across the member and patient journeys.

• Member Services: Benefit inquiries, issue resolution, grievances and appeals handling, and experience improvement programs.
• Enrollment and Benefits Administration: Support for enrollment, eligibility updates, and dependent verification to ensure accurate coverage and communications.
• Patient Outreach and Engagement: Appointment reminders, care gap outreach, and financial counseling to support access, adherence, and satisfaction.

6.Digital, Analytics, and Automation

Digital-first solutions that combine analytics and automation to increase throughput, reduce errors, and accelerate value realization.

• Intelligent Automation: AI- and rules-enabled automation for repetitive, high-volume processes across claims, RCM, and clinical workflows.
• Analytics and Reporting: Operational and clinical analytics that provide visibility, drive continuous improvement, and support regulatory reporting.
• NLP-Assisted Abstraction and Coding: Natural language processing to accelerate chart abstraction and coding, supporting quality and risk programs.

4. Key Competitors of Sajility:

Sagility operates in the healthcare business process and technology services market, competing with large firms that support payers and providers in claims administration, revenue cycle, member engagement, risk adjustment, payment integrity, and analytics. Key competitors include Cognizant, Optum, EXL, Conduent, and WNS, which challenge Sagility on scale, platform capabilities, domain expertise, automation/AI, and end-to-end operational outcomes.

1. Cognizant

Cognizant delivers healthcare technology and operations services for major health plans and provider systems, including claims processing, member and provider services, and revenue-cycle support.

• Overview: Global IT services and digital operations company with a dedicated Healthcare business serving payers, providers, and life sciences organizations.
• Services: Payer operations, claims adjudication, member and provider services, TriZetto platform services, revenue cycle management, analytics, automation, and AI-enabled operations.
• Market Position: Large-scale vendor with deep payer platforms and outsourcing capabilities that competes on end-to-end operations, modernization, and cost-to-serve reduction.

2. Optum

Optum provides health services, technology, and operations to payers and providers, with significant offerings in revenue cycle, analytics, care management support, and payment integrity.

• Overview: Health services and technology business of UnitedHealth Group serving U.S. and international healthcare stakeholders.
• Services: Revenue cycle management, claims and payment integrity, risk adjustment and quality programs, provider data and network services, analytics, and member engagement solutions.
• Market Position: Extensive footprint across payer and provider operations, competing on scale, data assets, and integrated technology-enabled services.

3. EXL

EXL (EXL Service) supports healthcare payers and providers with analytics-led operations, including risk adjustment, quality/HEDIS programs, coding, and care management support.

• Overview: Data analytics and digital operations company with a significant EXL Health business serving U.S. health plans and provider organizations.
• Services: Risk adjustment and quality, clinical coding and audit, payment integrity, care management support, member and provider operations, and advanced analytics/AI.
• Market Position: Established competitor in analytics-driven healthcare operations, focusing on measurable outcomes and compliance for U.S. payers and providers.

4. Conduent

Conduent delivers healthcare payer and provider solutions, including claims administration, member services, care management support, and payment integrity for commercial and government programs.

• Overview: Business process services company with a Healthcare segment serving commercial health plans and public-sector health programs.
• Services: Claims processing and administration, payment integrity and recovery, member engagement, care management support, pharmacy benefits and eligibility services, and analytics.
• Market Position: Competes on large-scale transactional processing and compliance-driven services across payer operations and government health workloads.

5. WNS

WNS provides healthcare BPM services for payers and providers, spanning claims adjudication, provider data management, enrollment, RCM, and analytics-driven operations.

• Overview: Global business process management company with a dedicated Healthcare Services unit serving U.S. payers and provider systems.
• Services: Payer operations (claims, enrollment, member services), provider data management, revenue cycle management, risk adjustment and quality, and analytics/automation.
• Market Position: Competes on domain-specialized healthcare operations and cost-effective delivery with analytics and automation at scale.

5. Career Opportunities at Sajility

Sajility offers diverse career paths across its global operations, providing opportunities for professionals at various stages of their careers. The company's commitment to talent development and inclusive growth creates an environment where individuals can build meaningful and impactful careers.

Job Profiles and Departments

Explore the wide range of professional opportunities available across Sajility's organizational structure:

• Clinical Operations (Utilization and Care Management): Roles include registered nurses, licensed practical/vocational nurses, and clinical reviewers focused on utilization management, prior authorization, case management, and quality review. Responsibilities span medical necessity assessments, evidence-based guideline application, and coordination with providers and health plans. Skills include clinical judgment, knowledge of UM/CM protocols, and familiarity with industry guidelines. Career progression typically moves from clinical specialist to team lead, supervisor, and clinical operations manager roles.
• Revenue Cycle Management (Coding, Billing, A/R): Opportunities cover medical coders, charge entry, billing, denials management, and accounts receivable follow-up for provider groups and health systems. Professionals apply coding standards, manage claims, reduce denials, and optimize reimbursement cycles. Required skills include ICD-10-CM, CPT/HCPCS proficiency, denial analytics, and payer policy understanding. Growth paths lead to senior coder, RCM team lead, quality auditor, trainer, and operations manager.
• Member and Provider Experience (Contact Center Operations): Customer experience associates, claims and benefits specialists, and provider support advisors manage inbound/outbound interactions, benefits inquiries, claims status, and prior authorization support. Core skills include healthcare domain knowledge, empathetic communication, problem solving, and omnichannel tools proficiency. Advancement opportunities include quality coach, trainer, workforce management, team leader, and operations leadership.
• Data, Analytics, and Quality: Data analysts, reporting specialists, business intelligence developers, and quality auditors support operational performance, risk adjustment and quality programs, and continuous improvement. Responsibilities include KPI design, dashboarding, root-cause analysis, and compliance monitoring. Desired skills encompass SQL/BI tools, statistical analysis, process excellence, and healthcare data standards. Career paths extend to senior analyst, quality manager, analytics lead, and transformation roles.
• Technology, Automation, and AI: Automation engineers, RPA developers, AI/ML engineers, solution architects, and product owners build digital solutions that streamline claims, coding, utilization management, and engagement workflows. Skills include process discovery, bot development, API integration, cloud platforms, and model lifecycle management. Progression includes senior engineer, platform lead, product manager, and enterprise solution architect.
• Corporate and Client Services: Functions include information security and compliance, privacy, HR, recruitment, finance, legal, procurement, sales, solutioning, and client account management. Responsibilities focus on governance, HIPAA-compliant operations, talent programs, commercial growth, and client delivery oversight. Career growth spans specialist to business partner/manager, and into regional or global leadership roles.

Growth and Development Opportunities

Sajility invests significantly in employee development through structured programs and initiatives:

• Role-based Learning and Upskilling: Employees gain access to job-aligned training for healthcare domain, process, and tools, including continuous learning pathways that strengthen clinical, RCM, customer experience, and analytics capabilities.
• Leadership Development: Progressive leadership tracks prepare high-performing talent for team lead, manager, and program leadership roles through coaching, people-management training, and performance-driven development plans.
• Cross-functional Exposure: Opportunities to collaborate across operations, analytics, technology, and client services provide broader business context, enabling movement into transformation, solutioning, or account governance roles.
• Innovation and Continuous Improvement: Teams practice structured problem solving and process excellence to drive measurable outcomes in quality, turnaround time, and cost-to-serve, with recognition for implemented improvements.
• Inclusive Culture and Wellbeing: An emphasis on inclusion, fair opportunity, and employee wellbeing supports sustainable careers, with mechanisms for feedback, recognition, and work-life balance.

6. Future Outlook and Strategic Plans

This section presents Sajility's official strategic direction based on investor presentations, press releases, and sustainability reports. All information is sourced from verified company communications and reflects confirmed initiatives and goals.

Sajility's future strategy is structured around key focus areas designed to align with global market trends and industry evolution:

1. Digital-first Healthcare Operations

Sagility focuses on digitally transforming payer and provider operations by integrating automation, analytics, and AI into core workflows such as claims, utilization management, member and provider experience, risk adjustment, quality programs, and revenue cycle. The company emphasizes platform-led delivery, interoperability across data sources, and outcome-based models that improve accuracy, turnaround time, and cost-to-serve while enhancing experience. Its roadmap prioritizes intelligent triage, self-service, and assisted decisioning to reduce administrative burden and enable clinicians and service teams to focus on high-value work. Cloud enablement, secure data management, and scalable architectures underpin this transformation agenda.

• Expansion of AI- and automation-enabled solutions across claims, coding, utilization management, and member engagement
• Enhancement of omnichannel and self-service capabilities to improve first-contact resolution and experience
• Modernization of delivery platforms with cloud-native components and interoperable data pipelines
• Operational performance targets focused on faster cycle times, higher quality, and measurable cost efficiencies

2. Sustainability and ESG Goals

Sagility’s ESG focus centers on responsible healthcare operations, data privacy and security, and people-centered practices. The company embeds governance and compliance into service delivery and advances workforce wellbeing and inclusion to support long-term value creation. Environmental stewardship and community engagement remain ongoing areas of attention within its operating footprint.

3. Market Expansion

Sagility continues to deepen its presence with U.S. health plans and providers while scaling adjacent offerings that address cost, quality, and experience. Priority areas include risk adjustment and quality, payment integrity, customer experience operations, and digitally enabled revenue cycle services. The strategy emphasizes long-term client partnerships, expansion within existing accounts, and disciplined entry into complementary service lines where Sagility’s domain, analytics, and automation capabilities deliver differentiated value.

• Deeper engagement with payer and provider clients, expanding scope across lines of business and service towers
• Buildout of adjacent services in payment integrity, risk adjustment, and quality programs
• Selective capacity expansion aligned to client demand and digital delivery models
• Targeted penetration of new customer segments through outcome-based solutions

4. Innovation and R&D

Innovation at Sagility is oriented toward solving high-friction administrative and clinical support processes with AI, automation, and analytics. Productized accelerators, reusable components, and domain-tuned models are applied to decision support, document understanding, and exception handling across the healthcare value chain. Continuous feedback from operations and clients informs the product backlog, ensuring enhancements translate to measurable operational outcomes and compliance-ready solutions.

• Investment in reusable AI/automation accelerators for claims, coding, and clinical review
• Iterative product enhancement cycles tied to client outcomes and compliance requirements
• Co-creation with clients to validate use cases and speed solution adoption
• Focus on defensible IP through domain-tuned workflows and solution frameworks

5. Talent and Workforce Strategy

Sagility’s people strategy prioritizes healthcare domain expertise, clinical capability, and digital skills. The company recruits and develops talent across clinical operations, revenue cycle, analytics, and technology while fostering an inclusive culture that supports learning, recognition, and mobility. A structured focus on capability-building in automation, analytics, and data governance equips teams to deliver high-quality, compliant outcomes for clients.

• Ongoing hiring across clinical operations, RCM, customer experience, analytics, and technology roles
• Programs that strengthen inclusion, engagement, and manager effectiveness
• Upskilling in automation, analytics, data, and platform tools to support digital delivery
• Talent mobility that enables progression from frontline roles into leadership and specialist tracks

6. Financial Performance and Operational Discipline

Sagility emphasizes sustainable growth through platform-led services, disciplined cost management, and outcome-based commercial models. Investment is prioritized toward capabilities that drive measurable client value-automation, analytics, clinical depth, and secure delivery-while operational excellence programs improve productivity and quality. The company maintains a balanced approach to growth and efficiency to support resilient performance across market cycles.

• Focus on profitable growth through value-based and managed services constructs
• Prioritized investment in digital capabilities and delivery scalability
• Continuous improvement and cost-optimization programs across operations

7. Latest News & Updates about Sajility

Stay informed about Sajility's recent developments, announcements, and industry recognition through curated news coverage.

8. Conclusion

Sajility specializes in healthcare operations services for payers and providers, combining clinical expertise with digital capabilities in automation, analytics, and AI to improve quality, speed, and experience. The company’s strategy emphasizes platform-led delivery, secure and compliant operations, and outcome-based engagement models that reduce administrative burden and support better member and patient outcomes. With a focus on market-relevant service lines-such as utilization management, member and provider experience, risk adjustment and quality, payment integrity, and revenue cycle-Sagility is positioned to help clients navigate industry change while achieving measurable operational improvements.

For candidates, Sagility presents career paths across clinical operations, revenue cycle, customer experience, analytics, technology, and corporate functions. The organization values healthcare domain depth, problem solving, and a digital-first mindset, offering learning, leadership exposure, and cross-functional opportunities. Professionals seeking to apply clinical and operational skills at scale-while working with modern tools and data-driven processes-will find a purpose-led environment focused on delivering tangible outcomes for health plans, providers, and the members and patients they serve.

Key Takeaways for Aspiring Sajility Candidates

• Research and Preparation: Thoroughly understand Sajility's business model, recent developments, and strategic initiatives. Stay updated on industry trends and the company's competitive positioning to demonstrate genuine interest and knowledge during interviews.
• Cultural Alignment: Familiarize yourself with Sajility's values, mission, and corporate culture. Prepare examples from your experience that demonstrate alignment with these principles and showcase how you can contribute to the company's objectives.
• Technical Competency: Develop relevant skills and knowledge specific to your target role at Sajility. Understand the technical requirements and industry standards that apply to your area of interest within the organization.
• Industry Awareness: Stay informed about broader industry trends, challenges, and opportunities that affect Sajility's business. This knowledge will help you engage in meaningful discussions about the company's strategic direction and market position.