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

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