Full Description

Training and QA Optimization Strategist

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY

The Training & QA Optimization Strategist is responsible for designing and executing technical, analytical, and strategic initiatives that enhance the effectiveness, scalability, and innovation of the Training and Quality Assurance departments. This role blends programming, data analytics, and strategic planning to drive operational improvements, support automation, and deliver actionable insights. The strategist owns many training environments, reporting infrastructure, and AI strategy for both departments, and serves as a key enabler of continuous improvement.

DUTIES

1. Build and maintain learner sandbox environments, including programmatic

   • creation and duplication of training cases.
   2. Automate updates to training data fields and test work validation
   • processes.
   3. Generate and validate practice work using tools such as Excel, MS Forms,
   • and custom scripts.

   4. Build automated notifications based on training and/or QA activity.

   5. Create and maintain learner, trainer, and course success metrics using

   • test work outputs.
   6. Develop and manage a comprehensive reporting program for Training
   • department.
   7. Track and analyze metrics such as classroom hours, document updates,
   • learner graduation rates, and feedback scores.
   8. Build dashboards and reporting tools using Excel, Power BI, SQL, Oracle,
   • Python, C#, and Visual Basic.
   9. Ensure data accuracy, consistency, and compliance across all reporting
   • systems.
   10. Interpret data trends to inform decision-making and identify
   • opportunities for improvement.
   11. Own and implement the AI strategy for both departments, identifying
   • opportunities for automation and efficiency.
   12. Use training and QA data to drive workflow improvements and strategic
   • insights.
   13. Develop scalable staffing and cost models to support departmental growth
   • and sustainability.
   14. Lead process improvement initiatives across key workflows in Training
   • and QA.
   15. Benchmark internal practices against industry standards and research
   • external trends to inform strategy.
   16. Conduct cost-benefit analyses to quantify the impact of training and QA
   • initiatives.
   17. Partner with trainers, QA staff, and department leaders to translate
   • insights into actionable improvements.
   18. Support change management efforts by training staff on new tools and
   • processes, gathering feedback, and iterating on solutions.
   19. Facilitate stakeholder engagement and maintain feedback loops to ensure
   • alignment and adoption.
   20. Own and manage multiple training and QA environments, including sandbox
   • setup, data integrity, and system updates.
   21. Maintain reporting infrastructure and ensure tools are optimized for
   • departmental needs.
   22. Assist QA teams with calibration efforts to ensure consistency in
   • scoring and evaluation.
   23. Lead initiatives to streamline QA processes and workflows (e.g., scoring
   • templates, automation of audit sampling, error identification).
   24. Evaluate AI models used in QA processes for performance, bias, and
   • reliability.
   25. Develop and implement new QA scoring methodology, potentially in
   • partnership with an external vendor.
   26. Apply statistical models and concepts to ensure practical, scalable
   • implementation across all QA-audited areas.
   27. Serve as the subject matter expert for the methodology, supporting
   • education and adoption among QA leadership.
   28. Select, develop, and evaluate staff to ensure the efficient operation of
   • department.
   29. Collaborate, coordinate, and communicate across disciplines and
   • departments.

   30. Ensure compliance with HIPAA regulations and requirements.

   31. Demonstrate Company's Core Competencies and values held within.

   32. Please note due to the exposure of PHI sensitive data -- this role is

   • considered to be a High Risk Role.
   33. The position responsibilities outlined above are in no way to be
   • construed as all encompassing. Other duties, responsibilities, and
   • qualifications may be required and/or assigned as necessary.

JOB SCOPE

• The Training & QA Optimization Strategist drives initiatives that improve the
• effectiveness, scalability, and innovation of Training and Quality Assurance
• functions. This role combines programming, data analytics, and strategic
• planning to enhance operations, support automation, and provide actionable
• insights. Key responsibilities include managing training environments,
• maintaining reporting infrastructure, and shaping AI strategy for both
• departments, serving as a critical partner in continuous improvement efforts.

COMPENSATION

The salary range for this position is $110K to $130K.  Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.  This position is also eligible for health insurance, 401k and bonus opportunity.

Qualifications

REQUIREMENTS

• Bachelor's degree preferred; equivalent experience considered.
• 5+ years of experience in training, QA, data analytics, or healthcare operations.
• Proficiency in programming languages (Python, C#, Visual Basic) reporting tools (Power BI, SQL, Oracle) and low code platforms (Power Apps, Power Automate, SharePoint Framework)
• Strong understanding of data governance, automation, and AI applications.
• Basic understanding of statistical models and concepts, with ability to apply them practically in QA methodology and performance analysis
• Experience in strategic planning, process improvement, and cross-functional collaboration.
• Excellent communication, analytical, and problem-solving skills.
• Ability to manage multiple priorities and adapt to changing needs.
• Familiarity with healthcare operations and compliance standards (e.g., HIPAA) preferred.
• Experience with Lean Management principles, Six Sigma, or other structured process improvement methodologies is a plus.
• Required licensures, professional certifications, and/or Board certifications as applicable
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs.  Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous Paid Time Off – accrued based on years of service

*** WA Candidates:** the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service

• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations.  Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.  If you would like more information on your EEO rights under the law, please click here

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APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

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