Operations Trainer (Healthcare)

TL;DR

Operations Trainer (Healthcare): Designing and delivering training programs for contact-center and claims operations staff with an accent on virtual facilitation and regulatory compliance. Focus on translating complex health plan processes into actionable learning experiences and ensuring staff proficiency in claims adjudication.

Location: Remote (US). Core hours must align with CST/EST business hours

Company

hirify.global is a next-generation health plan combining technology with compassionate service to simplify healthcare for employers and employees.

What you will do

• Deliver interactive virtual training sessions via Microsoft Teams for new-hire onboarding and ongoing skill development.
• Develop curricula for claims processing, including adjudication, regulatory compliance (Texas Insurance Code), and coding basics (ICD-10, CPT).
• Coach staff on contact center standards, empathetic communication, and escalation handling for complex cases.
• Create and maintain SOPs, job aids, e-learning modules, and knowledge-check assessments.
• Partner with SMEs to translate operational nuances into detailed role-specific training materials.
• Monitor staff performance to identify training gaps and deploy targeted interventions.

Requirements

• Bachelor's degree in Business, Healthcare Administration, Education, or equivalent experience.
• 3-5 years of experience in health plan operations and 2-4 years in a training or coaching role.
• Working knowledge of claims adjudication, appeals, grievances, and ICD-10/CPT coding.
• Expertise in contact-center operations and virtual facilitation via Zoom or Microsoft Teams.
• Experience with Salesforce, Vonage, or comparable CRM and telephony platforms.
• Must align with CST/EST business hours

Nice to have

• Certification in instructional design or adult learning (CPLP, ATD).
• Experience with e-learning authoring tools such as Articulate 360, Rise, or Adobe Captivate.
• Familiarity with CMS Star Ratings, NCQA, or URAC accreditation standards.
• Background in employer-sponsored health plan administration.

Culture & Benefits

• Fully remote work environment.
• Company-issued laptop, headset, and collaboration tools provided.
• Mission-driven and collaborative team culture focused on member-centric service.
• Flexible tools for virtual interaction and professional growth.