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Mid-level, metro role with common L&D title but healthcare specialization yields moderate competition.
Requires US healthcare payer processes and HIPAA knowledge, making cross-industry transfers difficult.
Explicit 5–7 years, US payer domain expertise, HIPAA, and training requirements create high shortlisting strictness.
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Lead and facilitate training programs for new hire onboarding and continuous improvement of Service Operations staff to ensure performance, quality, and compliance standards.
Develop, maintain, and refine training materials and job aids aligned with new products, process changes, and organizational initiatives.
Conduct quality audits, provide coaching based on audit findings, and deliver performance reporting to senior leadership to drive competency and operational readiness.
5 to 7 years of experience in US Healthcare Payer processes including medical billing, claims, or prior authorization.
3+ years of experience developing and delivering training curricula in a healthcare environment, preferably with knowledge of Adult Learning Theory.
Bachelor's degree or equivalent experience preferred.
Knowledge of HIPAA regulations and patient privacy practices.
Experienced in healthcare BPO/KPO or payer/provider operations with strong operational knowledge of US healthcare processes.
Capable of managing multiple projects independently and collaborating with cross-functional teams including Operations, Product, Clinical, and Client Services.
Skilled in analyzing training and quality data to identify gaps and recommend improvements, influencing adoption of best practices across the organization.