Clinical Training Manager | Healthcare BPO

Access Healthcare Services Manila, Inc.; Pasay; On-site; PHP 900,000 - 1,300,000; Full time

Job summary

Access Healthcare Services Manila, Inc. is seeking a Clinical Training Manager to design, implement, and manage clinical training programs for healthcare professionals within a BPO environment.

The role ensures staff are trained, compliant, and performance-ready to support payer, provider, utilization management, and care management services. The ideal candidate combines clinical expertise with training leadership, instructional design, and healthcare compliance knowledge, and will lead

Qualifications

• Active PHRN license
• 5+ years training experience in Clinical healthcare BPO
• Strong knowledge of payer operations and clinical workflows
• Familiarity with InterQual, MGC, LCD and NCD guidelines
• Excellent presentation and facilitation skills

Responsibilities

• Design and implement clinical training programs across payer, provider, utilization management and care management functions
• Lead onboarding, refresher, upskilling, and remediation training for clinical staff
• Mentor clinical trainers and subject matter experts
• Develop curricula for utilization management, care management, prior authorization, appeals and quality review
• Ensure training reflects CMS/NCQA/URAC guidelines and client-specific requirements
• Track training effectiveness and impact on quality scores and compliance
• Collaborate with Quality, Compliance and Operations to update content
• Support client implementations and new program launches with tailored training solutions
• Align training delivery with SLAs and client expectations

Skills

Clinical training leadership

Instructional design

Healthcare compliance

Payer operations knowledge

CMS/NCQA/URAC familiarity

Education

PHRN license

Job description

The Clinical Training Manager is responsible for designing, implementing, and managing clinical training programs for healthcare professionals within a BPO environment. This role ensures clinical staff are fully trained, compliant, and performance-ready to support payer, provider, utilization management, care management, and clinical support services.

The ideal candidate combines strong clinical expertise with training leadership, instructional design, and healthcare compliance knowledge.

Key Responsibilities

Training Strategy & Leadership

• Develop and execute clinical training strategies aligned with client requirements, regulatory standards, and business goals

• Lead onboarding, refresher, upskilling, and remediation training programs for clinical staff

• Manage and mentor clinical trainers and subject matter experts

Curriculum & Content Development

• Design and maintain training curricula for utilization management, care management, prior authorization, appeals, quality review, and related functions

• Ensure training materials reflect current CMS, NCQA, URAC, state, and client-specific guidelines

• Collaborate with SMEs, Quality, Compliance, and Operations teams to update content

Compliance & Quality

• Ensure training programs meet regulatory, accreditation, and audit requirements

• Support internal and external audits by providing training documentation and evidence

• Track training effectiveness and impact on quality scores, productivity, and compliance

Performance Measurement

• Establish KPIs to measure training effectiveness and learner readiness

• Analyze performance data to identify training gaps and continuous improvement opportunities

• Partner with Operations and Quality teams to drive corrective action plans

Client & Stakeholder Collaboration

• Support client implementations and new program launches with tailored training solutions

• Participate in client meetings as a training subject matter expert

• Align training delivery with SLAs and client expectations

Required Qualifications

• Must have active PHRN license

• At least 5 years of training experience in Clinical healthcare BPO

• Strong knowledge of payer operations, utilization management, clinical denials, clinical workflows, etc.

• Knowledge in InterQual, MGC, LCD and NCD guidelines

• Excellent presentation, facilitation, and communication skills