Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Mod[...]

EXL Health; United States; Remote; USD 75,000 - 90,000; Full time

Job summary

An established industry player is seeking a passionate Trainer & Quality Analyst to enhance clinical training and quality in post-acute care. This dual-impact role allows you to mentor and inspire healthcare auditors while ensuring accuracy through expert audits. Join a supportive, innovative team dedicated to improving patient outcomes and driving excellence in healthcare. This fully remote position offers a dynamic environment where your expertise will make a meaningful impact. If you are driven by education and healthcare excellence, this is your chance to shine.

Benefits

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Qualifications

• 5+ years of experience in clinical training and auditing.
• Strong understanding of MDS coding and reimbursement models.
• Ability to develop engaging training materials.

Responsibilities

• Mentor SNF/RUG/PDPM auditors through training sessions.
• Perform medical record audits and compile detailed reports.
• Drive productivity and quality goals across teams.

Skills

MDS processes

SNF

RUG

PDPM

Medicaid reimbursement

Clinical auditing

Utilization review

Communication skills

Time management

Decision-making skills

Education

RN, LPN, or LVN license

RAC-CT certification

Tools

Excel

PowerPoint

Word

Outlook

Encoder tools (Optum, TrueCode, 3M, Webstrat)

Job description

Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst

Join to apply for the Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst role at EXL Health

Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst

5 days ago Be among the first 25 applicants

Join to apply for the Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst role at EXL Health

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This range is provided by EXL Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$75,000.00/yr - $90,000.00/yr

Direct message the job poster from EXL Health

Talent Acquisition Recruiting and HR Assistant at EXL Health

Join EXL as a Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst – 100% Remote!

Are you passionate about clinical training, coding quality, and driving excellence in post-acute care? Do you thrive on empowering others through education and making a measurable impact? If so, we’ve got the perfect opportunity for you!

EXL is on the lookout for a dynamic SNF/RUG/PDPM Trainer & Quality Analyst to join our growing remote team in the U.S. This is a dual-impact role where your clinical expertise and love for teaching will shape the performance and accuracy of our healthcare audit teams. You’ll play a pivotal role in developing world-class training programs while also ensuring quality through expert audits and feedback.

Why Join Us?

100% Remote – Work from anywhere in the U.S.

Be a Leader – Own training strategies and quality initiatives

Impact Lives – Help healthcare teams provide better patient outcomes

Work with the Best – Join a supportive, collaborative, and innovative team at EXL

What You’ll Do

Clinical Training Excellence

• Mentor and inspire SNF/RUG/PDPM auditors through 1:1 and group training sessions
• Develop and maintain engaging training materials, online modules, and interactive guides
• Evaluate training effectiveness, identify knowledge gaps, and implement creative solutions
• Conduct employee assessments and track growth over time
• Provide timely, constructive coaching to boost performance and compliance

Audit & Clinical Review

• Perform medical record audits to verify documentation accuracy and service alignment
• Ensure audits are consistent, clearly documented, and findings are well-articulated
• Compile detailed reports and maintain audit logs

Performance & Team Development

• Drive productivity, quality, and internal savings goals
• Respond proactively to communications and collaborate across teams
• Participate in team meetings, brainstorms, and calibration sessions
• Identify and report issues affecting audit processes or provider performance
• Stay up to date with CMS guidelines and reimbursement models
• Contribute to continuous improvement efforts by attending trainings and sharing insights
• Bring new ideas to the table to evolve training and auditing processes

What You’ll Bring

• RN, LPN, or LVN license (active and in good standing)
• 5+ years of experience with MDS processes and completion
• Strong background in SNF, RUG, PDPM, and Medicaid 48 grouper reimbursement
• Previous experience in corporate training, clinical auditing, or utilization review
• RAC-CT certification (active, or willing to recertify)
• Deep understanding of HIPPS billing codes, MDS 3.0 coding rules, and case management
• Proficiency with Excel, PowerPoint, Word, Outlook, and Encoder tools (Optum, TrueCode, 3M, Webstrat)
• Excellent communication, time management, and decision-making skills
• Self-starter mentality with a passion for teaching and continuous learning

What We Offer:

A fast-paced, innovative environment with a team of industry-leading experts.

Hands-on experience with top-tier clients in the healthcare industry.

Mentorship and career development programs to help you grow professionally.

A strong culture of collaboration, support, and inclusivity.

Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

Ready to Make a Difference?

If you're driven by education, precision, and healthcare excellence, we’d love to connect with you. Apply today and become part of a forward-thinking, mission-driven team where your knowledge powers performance.

EXL Health – Where Expertise Meets Opportunity.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

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