Clinical Claims Training Architect

Sutherland Global

Taguig

Hybrid

PHP 420,000 - 780,000

Full time

9 days ago

Application generator

Turn this role into an interview — a resume and cover letter built around what this employer wants.

Get past ATS filters

Job summary

Sutherland Global in the Philippines is seeking a Trainer to design, facilitate, and evaluate training programs for employees supporting an AO Clinical Claim Program. You will ensure clinical and operational teams have the knowledge and skills to assess, process, and support disability and clinical claims while complying with client requirements and healthcare standards.

Reporting to Operations and Quality, you will deliver instructor-led, virtual, and blended sessions, develop materials,

Qualifications

Active Philippine Registered Nurse with US RN License (NCLEX passer).
Bachelor's Degree in Nursing.
Minimum 2 years recent clinical experience in hospital utilization review, case management, disability management, claims, or healthcare operations.
Minimum 1 year experience in training, coaching, facilitation, mentoring, preceptorship, or Learning & Development.

Responsibilities

Deliver instructor-led, virtual, and blended learning sessions for clinical claims associates and healthcare professionals.
Develop, update, and maintain training materials, lesson plans, facilitator guides, assessments, and job aids.
Monitor trainee progress and training effectiveness through assessments and observations.
Ensure all training content aligns with client requirements, healthcare regulations, operational policies, and compliance standards.
Partner with Operations Managers, Clinical Leaders, Quality Analysts, and Workforce teams to identify training needs and support process changes.
Track and report training metrics, certification results, learning effectiveness, and post-training performance outcomes.