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5 дней назад

Training Specialist (Clinical Claims)

Формат работы
onsite
Тип работы
fulltime
Английский
b2
Страна
Philippines
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Training Specialist (Clinical Claims) (Healthcare Training): Designing and delivering training programs for clinical claims associates and healthcare professionals with an accent on clinical documentation, claims processing, compliance, and learner performance. Focus on translating complex clinical information into practical learning materials, analyzing training outcomes, and supporting quality improvements across operations.

Location: Taguig, Philippines

Company

hirify.global provides technology, business process, analytics, automation, and cloud engineering services for global brands.

What you will do

  • Facilitate new-hire, cross-training, upskilling, refresher, instructor-led, virtual, and blended learning programs.
  • Design and maintain lesson plans, facilitator guides, assessments, job aids, and other clinical claims training materials.
  • Translate complex clinical, healthcare, claims, and compliance information into learner-friendly content.
  • Monitor trainee progress, evaluate training effectiveness, identify learning gaps, and provide targeted coaching.
  • Partner with Operations, Quality, Clinical Leadership, Workforce, and client stakeholders to address performance challenges and process changes.
  • Track training metrics, certification results, learning retention, and post-training performance outcomes.

Requirements

  • Active Philippine Registered Nurse with an unrestricted US RN License and NCLEX certification is required.
  • Bachelor's degree in Nursing.
  • At least 2 years of recent clinical experience in a hospital, utilization review, case management, disability management, claims, or healthcare operations environment.
  • At least 1 year of experience in training, coaching, facilitation, mentoring, preceptorship, or learning and development.
  • Knowledge of clinical documentation, medical terminology, healthcare delivery systems, and disability or claims processes.
  • Strong English communication, presentation, facilitation, classroom management, data analysis, and Microsoft Office skills; willingness to work shifting schedules.

Nice to have

  • Training certification in Train-the-Trainer, Learning & Development, Instructional Design, or an equivalent area.
  • Experience with disability claims, group benefits, clinical claims review, case management, utilization management, insurance, or healthcare BPO operations.
  • Experience in curriculum design, e-learning development, learning management systems, or similar insurance and benefits accounts.

Culture & Benefits

  • Full-time position supporting clinical claims operations.
  • Work includes collaboration with Operations, Quality, Clinical Leadership, Workforce, and client stakeholders.
  • Training content must remain aligned with healthcare regulations, client requirements, operational policies, and compliance standards.
  • Shifting schedule and support for business requirements are expected.

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