Training Manager, Clinical and Retrieval Operations

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Requirements:

• RN or LPN degree required
• Coding certification required (e.g., CPC, CRC, CCS-P, or equivalent)
• Minimum of 5 years of experience in HEDIS abstraction and Risk Adjustment coding
• Minimum of 3 years of experience managing HEDIS abstraction in a health plan or medical record review vendor setting
• In-depth knowledge of medical coding systems including ICD-10 and HCC risk adjustment models, and their application to accurate clinical documentation and abstraction
• Strong understanding of MRCS tools and documentation workflows
• Experience preparing for and participating in HEDIS Medical Record Review Validation audits
• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)
• Demonstrated expertise in adult learning principles, including knowledge acquisition, motivation theory, cognitive load, and behavior change strategies
• Deep knowledge of instructional design methodologies (e.g., ADDIE, SAM), with the ability to develop training that drives knowledge transfer and performance improvement
• Proven ability to mentor and evaluate trainers in facilitation, instructional quality, and learner engagement
• Hands-on experience creating blended learning solutions including facilitator guides, eLearning modules, job aids, assessments, and simulations
• Experience applying learning evaluation models (e.g., Kirkpatrick Levels 1–4) to assess and improve training effectiveness
• Proficiency with instructional tools such as Articulate Rise/Storyline, Camtasia, and LMS platforms
• Ability to lead and manage the full training lifecycle—from needs analysis through design, delivery, and continuous improvement
• Excellent written, verbal, and presentation skills, with the ability to communicate complex clinical and instructional concepts clearly
• Strong project and stakeholder management skills; able to juggle multiple priorities and deliver results in a fast-paced, evolving environment

Responsibilities:

• Provide strategic leadership and day-to-day management of training specialists supporting onboarding, customer education, and internal clinical training; responsible for performance management, coaching, and professional development.
• Develop and document training programs tailored to meet the unique needs of individual customers, specific projects, and contractual obligations.
• Build and maintain comprehensive training for HEDIS measure abstraction, risk adjustment coding, and MRCS platform tools.
• Apply adult learning theory and instructional design best practices (e.g., ADDIE, Bloom’s Taxonomy) to create scalable, high-impact training across multiple modalities.
• Mentor training specialists in content development, delivery techniques, learner engagement, and evaluation strategies.
• Establish clear standards for training content, delivery, assessment, and feedback across the training team to ensure consistency and instructional quality.
• Design and oversee the development of continuing education resources for internal coders, including AAPC CEU-eligible material.
• Identify coder error trends from audits or performance metrics and lead development of focused retraining initiatives.
• Review and approve training materials, ensuring alignment with current business processes, platform updates, and compliance expectations.
• Personally lead or oversee key training sessions with a focus on engagement, application, and knowledge retention.
• Ensure all coder and abstractor-facing materials—including job aids, facilitator guides, and reference tools—are accurate, current, and instructionally sound.
• Conduct training needs analyses and use learner feedback, audit results, and performance data to evaluate effectiveness and continuously improve programs.
• Support HEDIS Medical Record Review Validation audits through preparation and training of abstraction staff.
• Provide structured professional development and learning pathways for Reveleer coders, including skills growth, CEU opportunities, and re-education initiatives.
• Partner with Product, QA, and Clinical Operations to align training with evolving tools, workflows, and business strategies.
• Work closely with the Instructional Designer to convert training needs into scalable, instructionally sound content.
• Manage multiple concurrent projects while flexing to meet shifting priorities, operational deadlines, and customer requirements.