Training Manager, Clinical and Retrieval Operations

Job description

Training Manager, Clinical and Retrieval Operations

Remote

As the industry’s pioneering value-based care (VBC) technology platform, Reveleer is purpose-built to solve the most pressing real-world challenges faced by providers and health-plan organizations today. By unifying retrieval, clinical intelligence, risk adjustment, quality improvement, and member management solutions into one intelligent, AI-powered system, Reveleer streamlines fragmented workflows to supercharge productivity, enhance care quality, and optimize performance on high-priority value-based initiatives.

POSITION SUMMARY: The Training Manager leads and supports a team of training specialists responsible for onboarding, continuing education, and customer training across Reveleer’s Clinical and Retrieval lines of business. This role requires deep expertise in HEDIS abstraction, risk adjustment coding, and clinical training program development. The Training Manager will oversee the creation and continuous improvement of learning content, ensure alignment with contractual customer needs, support CEU program development, and provide internal coders with structured professional development opportunities. This role also holds accountability for enforcing training quality standards and mentoring a team of trainers in instructional excellence. Strong leadership, adult learning expertise, and the ability to execute at both a strategic and operational level are essential.

ESSENTIAL FUNCTIONS:

• Lead Training Team: 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.
• Design Contractual & Program-Specific Training: Develop and document training programs tailored to meet the unique needs of individual customers, specific projects, and contractual obligations.
• Develop Clinical Training Programs: Build and maintain comprehensive training for HEDIS measure abstraction, risk adjustment coding, and MRCS platform tools.
• Own Instructional Design Execution: Apply adult learning theory and instructional design best practices (e.g., ADDIE, Bloom’s Taxonomy) to create scalable, high-impact training across multiple modalities.
• Coach and Develop Trainers: Mentor training specialists in content development, delivery techniques, learner engagement, and evaluation strategies.
• Set and Enforce Training Standards: Establish clear standards for training content, delivery, assessment, and feedback across the training team to ensure consistency and instructional quality.
• Create CEU-Eligible Content: Design and oversee the development of continuing education resources for internal coders, including AAPC CEU-eligible material.
• Deliver Targeted Re-education: Identify coder error trends from audits or performance metrics and lead development of focused retraining initiatives.
• Ensure Training Quality & Consistency: Review and approve training materials, ensuring alignment with current business processes, platform updates, and compliance expectations.
• Facilitate High-Impact Training: Personally lead or oversee key training sessions with a focus on engagement, application, and knowledge retention.
• Oversee Training Materials & Job Aids: Ensure all coder and abstractor-facing materials—including job aids, facilitator guides, and reference tools—are accurate, current, and instructionally sound.
• Assess Needs & Evaluate Impact: Conduct training needs analyses and use learner feedback, audit results, and performance data to evaluate effectiveness and continuously improve programs.
• Ensure Audit Readiness: Support HEDIS Medical Record Review Validation audits through preparation and training of abstraction staff.
• Drive Internal Development: Provide structured professional development and learning pathways for Reveleer coders, including skills growth, CEU opportunities, and re-education initiatives.
• Collaborate Cross-Functionally: Partner with Product, QA, and Clinical Operations to align training with evolving tools, workflows, and business strategies.
• Collaborate with Instructional Design: Work closely with the Instructional Designer to convert training needs into scalable, instructionally sound content.
• Adapt to Priorities: Manage multiple concurrent projects while flexing to meet shifting priorities, operational deadlines, and customer requirements.

POSITION REQUIREMENTS:

Clinical Expertise:

• 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)

Learning & Development Expertise:

• 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

WHAT YOU’LL RECEIVE:

• Competitive pay
• Medical, Dental and Vision benefits including HSA/FSA
• 401k with Employer Match
• 100% paid short term and long-term disability insurance
• PTO plan and 10 paid company holidays

SALARY RANGE: $100,000 - $120,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.