Clinical Utilization Review Trainer & Quality Coach

Dane Street; United States; Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

401k plan with company match

Apple equipment and media stipend

Job summary

A leading health services company in the United States seeks a Group Health Training and Auditing Specialist to oversee training and development for new hires while ensuring quality performance metrics. This role requires an RN or LPN license and offers a comprehensive benefits package including medical coverage, 401k matching, and more. Ideal candidates will have strong clinical operations knowledge and excellent communication skills, supporting the improvement of both employee performance and client outcomes.

Qualifications

• Strong background in clinical operations, training, or quality assurance.
• Experience navigating CMS requirements and health plan criteria.
• Excellent communication, coaching, and mentoring skills.

Responsibilities

• Onboard and train all new QA hires.
• Collaborate on operational reports and identify training opportunities.
• Lead bi-weekly review meetings and provide backup support.

Skills

Clinical operations knowledge

Training experience

Communication skills

Analytical skills

Rationale writing

Client collaboration

Google Suite proficiency

Education

RN or LPN license

Job description

A leading health services company in the United States seeks a Group Health Training and Auditing Specialist to oversee training and development for new hires while ensuring quality performance metrics. This role requires an RN or LPN license and offers a comprehensive benefits package including medical coverage, 401k matching, and more. Ideal candidates will have strong clinical operations knowledge and excellent communication skills, supporting the improvement of both employee performance and client outcomes.