Training Manager, Clinical and Retrieval Operations

Summary

Join Reveleer as a Training Manager, leading a team of training specialists in onboarding, continuing education, and customer training across Clinical and Retrieval lines of business. You will leverage your deep expertise in HEDIS abstraction, risk adjustment coding, and clinical training program development to oversee the creation and improvement of learning content. This role demands strong leadership, adult learning expertise, and strategic and operational execution. Responsibilities include designing training programs, developing clinical training, coaching trainers, setting training standards, creating CEU-eligible content, and ensuring training quality. You will also collaborate cross-functionally and adapt to changing priorities. The position requires clinical expertise, including coding certifications and extensive experience in HEDIS abstraction and risk adjustment coding. Strong learning and development expertise, including instructional design and adult learning principles, is also essential.

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

• 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

Benefits

• 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