Job description
Join A7 Recruitment as a USRN Training Specialist (Non-Voice) and unlock a rewarding career in a dynamic healthcare BPO environment. This full-time role targets US Registered Nurses who excel in clinical training, quality assurance, and learner-centric instruction. You will lead non-voice Utilization Review (UR) training programs, craft impactful training materials, and elevate the performance of UR teams in a fast-paced operation based in Taguig City, Metro Manila. A competitive sign-on bonus is offered to eligible candidates, reflecting our commitment to attracting top clinical educators.
As a key member of our training and operations team, you will blend clinical expertise with instructional design to onboard new hires, upskill seasoned staff, and ensure ongoing compliance with payer policies, CMS guidelines, and HIPAA requirements. You will collaborate with QA, clinical operations, and leadership to produce practical, outcomes-driven training that translates into stronger audit results, improved patient care, and robust data privacy protections.
This role provides a clear pathway for professional growth within healthcare training and UR operations, with opportunities to influence training strategy, quality standards, and coaching approaches across the organization.
Responsibility
- Deliver engaging UR training sessions for non-voice channels, including chat and email support, to ensure understanding of Utilization Review processes and documentation standards.
- Develop, update, and maintain training materials, SOPs, checklists, and job aids aligned with UR guidelines and regulatory requirements.
- Assess trainees through hands-on activities, simulations, and post-training evaluations to ensure competency and compliance.
- Monitor training effectiveness using metrics such as audit findings, quality scores, and time-to-proficiency; implement data-driven improvements.
- Collaborate with QA, operations, and HR to identify knowledge gaps and implement remediation plans for performance gaps and regulatory changes.
- Provide ongoing coaching and mentorship to UR teams, emphasizing accuracy, privacy, and patient care standards.
- Stay current with healthcare regulations, payer policies, and product updates; refresh training content accordingly to maintain alignment with industry best practices.
Qualification
- Current, active US Registered Nurse (USRN) license.
- Minimum 1 year of Utilization Review or related healthcare auditing experience in a BPO/CPO setting.
- Teaching, training, or instructional design experience is preferred.
- Strong knowledge of UR processes, clinical documentation, payer policies, and regulatory guidelines (CMS, HIPAA).
- Excellent communication, presentation, and coaching skills; ability to engage diverse learner groups.
- Proficiency in Microsoft Office and familiarity with learning management systems (LMS); ability to deliver effective non-voice training.
- Detail-oriented, data-driven, and capable of thriving in a fast-paced, process-driven environment.
- Willingness to work non-voice shifts and adapt to schedule requirements.