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Open nowFirst seen 2 days ago

Training Specialist

CF Outsourcing Solutions35 open roles

Where
Quezon City, Metro Manila, Philippines
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Your applicationOpen nowTraining SpecialistCF Outsourcing Solutions · Quezon City, Metro Manila, Philippines
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The clock on this job

Early applications get read.

11.8% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.4%3 days
  3. 11.8%7 days
  4. 18.6%14 days
  5. 35.6%30 days
  6. 45.1%60 days
This job: first seen 2 days ago

The posting

Training Specialist Qualifications

Department: Care Management Services (CMS)

Education

  • Bachelor's degree in Healthcare Administration, Nursing, Business, Health Information Management, or related field preferred.

Experience

  • Minimum 2 to 3 years of healthcare operations experience.
  • At least 1 year of Quality Assurance, Auditing, Compliance, or Performance Improvement experience.
  • Experience auditing Enrollment, Eligibility Verification, Insurance Validation, and Care Management workflows.
  • Experience conducting root cause analysis and calibration sessions.

Technical Knowledge

  • Knowledge of:Medicare and Medicaid guidelines Commercial insurance verification standards Healthcare documentation requirements Care Management workflows HIPAA and confidentiality standards
  • Strong analytical and reporting skills.

Core Competencies

  • Attention to detail
  • Critical thinking
  • Data analysis
  • Coaching and feedback delivery
  • Process improvement
  • Risk identification
  • Stakeholder management
  • Strong written communication

Key Responsibilities

  • Audit transactions, calls, cases, and documentation.
  • Perform quality reviews against SOPs and client standards.
  • Conduct calibration sessions with operations and training teams.
  • Identify trends and performance risks.
  • Provide coaching recommendations.
  • Develop QA scorecards and audit tools.
  • Track compliance and productivity metrics.
  • Partner with Operations leadership to improve quality outcomes.

Preferred Metrics Experience

  • Quality scores
  • Audit accuracy rates
  • Compliance adherence
  • Error reduction trends
  • Corrective action effectiveness
  • Process improvement initiatives

Preferred Leadership-Level Competencies

Required

  • Healthcare BPO or Healthcare Operations experience
  • Strong understanding of Enrollment & Eligibility functions
  • Knowledge of Care Management Services workflows
  • Advanced Excel and reporting skills
  • Project management capabilities
  • Experience creating and maintaining SOPs

Preferred

  • Lean Six Sigma Yellow Belt or Green Belt
  • Certified Professional in Healthcare Quality (CPHQ)
  • Certified Trainer designation
  • Experience building quality and training programs from the ground up
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