SME-Learning & Development

About the role

This hybrid role as a subject matter expert in learning and development focuses on creating and delivering training solutions for claims adjudication and health care compliance within provider and payer environments. The position supports night shift operations enabling global coverage while ensuring accurate claims handling regulatory alignment and continuous capability building across multiple functional teams.

What you'll do

• Design comprehensive training programs that build strong capability in claims adjudication processes for provider and payer operations while aligning with current…
• Develop detailed learning content that simplifies complex health care claim rules and workflows so that new and existing team members can perform adjudication tasks with…
• Deliver engaging virtual and classroom training sessions during night shift hours to support hybrid team members and ensure consistent knowledge transfer across locations
• Conduct targeted training needs analysis by collaborating with operations and quality teams to identify skill gaps in claims adjudication and prioritize high impact…
• Monitor learner performance data and quality audit outcomes to refine course materials and ensure that training directly improves claim resolution accuracy and…

What you need

• Learning and development
• Claims processing
• Data privacy
• Internal audit