Healthcare Quality & Training Specialist

CF Outsourcing Solutions; Philippines; On-site; PHP 360,000 - 720,000; Full time

Job summary

CF Outsourcing Solutions in the Philippines seeks a Training Specialist for Care Management Services. The role centers on auditing transactions, calls, and documentation, and developing QA scorecards and tools to improve care operations.

Responsibilities include conducting calibration sessions with operations and training teams, tracking compliance and productivity metrics, and coaching staff to close gaps.

Qualifications

• Bachelor's degree or equivalent preferred in healthcare administration, nursing, business, health information management, or related field.
• 2–3 years of healthcare operations experience.
• 1+ year in QA, auditing, compliance, or performance improvement.
• Experience auditing enrollment, eligibility verification, insurance validation, and care management workflows.
• Experience conducting root cause analysis and calibration sessions.
• Strong analytical and reporting skills.
• Knowledge of HIPAA and confidentiality standards.

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.

Skills

Attention to detail

Critical thinking

Data analysis

Coaching and feedback delivery

Process improvement

Risk identification

Stakeholder management

Strong written communication

Education

Healthcare Administration degree

Nursing degree

Business degree

Health Information Management degree

Related field

Tools

Advanced Excel

Reporting tools

Job description

CF Outsourcing Solutions in the Philippines seeks a Training Specialist for Care Management Services. The role centers on auditing transactions, calls, and documentation, and developing QA scorecards and tools to improve care operations.

Responsibilities include conducting calibration sessions with operations and training teams, tracking compliance and productivity metrics, and coaching staff to close gaps.