QA & Training Manager responsible for quality assurance and training for U.S. healthcare accounts in the Philippines. Leading operational support and client engagement for contact center and claims adjudication teams.
Responsibilities
The QA & Training Manager is responsible for designing, standardizing, and leading quality assurance and training programs across all U.S. healthcare accounts supported by the Philippines and US operations.
Ensure consistent onboarding, certification, quality enforcement, and continuous performance improvement across both contact center and claims adjudication teams.
Work directly with U.S.-based client training and QA teams to ensure calibration, material approval, and alignment to contractual quality standards.
Priority focus on high-risk or underperforming accounts requiring structured turnaround support.
Model operational ownership by actively participating in training delivery, QA auditing, and operational support.
Design and implement standardized onboarding programs for contact center agents and claims adjudicators.
Build structured training curricula, modules, lesson plans, and facilitator guides.
Ensure all accounts follow a consistent enterprise training framework and implement targeted training remediation plans.
Requirements
7+ years' experience in U.S. healthcare operations (contact center and/or claims adjudication).
3+ years in QA and/or Training leadership role.
Strong knowledge of: S. Professional & Institutional claims processing Medicare Advantage and Commercial products Contact center service level environments
Experience building training programs and QA frameworks from the ground up.
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