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Operations Trainer (Remote)

3 days, 5 hours ago
United States
Full-time
Mid Level
Training Manager
Operations
CRM Salesforce
Apply Now
Evry Health

Evry Health

Evry Health is a modern health insurance company that prioritizes delivering great benefits at affordable prices. They offer a unique approach to health insurance by focusing on making members healthier and happier through personalized care from a dedi...

Insurance
11-50
Founded 2017
$7M raised
View All Jobs 6

Description

  • Deliver engaging virtual training sessions for new hires and tenured staff covering product knowledge, soft skills, and systems navigation.
  • Lead structured onboarding programs on products, systems, workflows, policies, and member-centric service standards.
  • Design and facilitate role-play scenarios and simulations for customer interactions, claims inquiries, and escalations.
  • Combine live instructor-led training with e-learning modules, job aids, and recorded learning content.
  • Administer knowledge checks, quizzes, and skills assessments to verify readiness before live deployment.
  • Monitor staff performance after training, identify skill gaps, and implement targeted coaching interventions.
  • Collaborate with Operations leadership to communicate upcoming system or workflow changes clearly and on time.
  • Train staff on claims processing fundamentals, including adjudication, denial, adjustment, dispute, and remediation workflows.
  • Deliver compliance training on Texas Insurance Code Chapter 1467, prompt-pay requirements, IDR processes, and CMS guidelines.
  • Train contact center staff on call-handling standards, member/provider communication, escalation handling, and QA expectations.
  • Develop and maintain SOPs, job aids, desktop procedures, e-learning modules, and quick-reference guides.
  • Upload, organize, and track training completion records in the learning management system.
  • Generate training completion reports, assessment summaries, and gap analyses for Operations leadership.
  • Partner with subject matter experts to capture process knowledge and translate it into standardized, role-specific curriculum.

Requirements

  • Bachelor’s degree in Business, Healthcare Administration, Education, Communication, or a related field, or equivalent work experience.
  • 3–5 years of experience in health plan operations, including claims and/or customer service.
  • Minimum 2–4 years of experience in a training, coaching, or instructional role.
  • Strong preference for experience in operations and contact centers.
  • Working knowledge of claims adjudication, appeals/grievances, EOBs, and ICD-10/CPT coding.
  • Knowledge of Texas Insurance Code Chapter 1467 is a plus.
  • Demonstrated experience in contact-center operations, including call quality and member/provider communication standards.
  • Ability to facilitate remote training using Zoom, Microsoft Teams, or similar video-conferencing platforms.
  • Experience with Salesforce, Vonage, or comparable CRM, telephony, and health plan systems.
  • Exceptional written and verbal communication skills with the ability to translate complex regulatory and clinical content into plain language.
  • Strong project-management and organization skills with the ability to manage multiple training cohorts and content revision cycles.
  • Certification in instructional design, adult learning (CPLP, ATD), or a related credential is preferred.
  • Experience with e-learning authoring tools such as Articulate 360, Rise, or Adobe Captivate is preferred.
  • Familiarity with CMS Star Ratings, NCQA, or URAC accreditation standards is preferred.
  • Prior experience supporting UAT, system rollouts, or technology implementation projects is preferred.
  • Background in employer-sponsored health plan administration or commercial health insurance is preferred.
  • Experience building and administering knowledge-check assessments with scoring rubrics is preferred.
  • Fully remote work setup with a home office and reliable high-speed internet required.
  • Core availability aligned with CST/EST business hours.

Benefits

  • $65,000–$68,000 annual salary.
  • Fully remote work environment.
  • Evry Health-issued laptop, headset, and collaboration tools provided.
  • Core working hours aligned with CST/EST business hours.
  • Opportunity to work on a mission-driven, collaborative team.
  • Daily collaboration with Operations leadership, HR, IT, and vendor partners.

Interested in this position?

Apply directly on the company website

Apply Now

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