Operations Trainer (Remote)
Quick Summary
Provide foundational instruction on ICD-10, CPT, HCPCS, and modifier usage as it relates to claims review and provider disputes.
Evry Health is a next-generation health plan built on the belief that healthcare should be simple, transparent, and centered around the member. We combine cutting-edge technology with compassionate, high-touch service to deliver a health plan experience that truly works for employers and their employees. Our team is mission-driven, collaborative, and committed to removing the complexity that too often stands between people and the care they need.
The Remote Virtual Claims & Customer Service (Operations) Trainer is responsible for designing, delivering, and continuously improving training programs that equip Evry Health's contact-center and claims operations staff with the knowledge, tools, and confidence needed to perform at the highest level. Operating fully in a remote environment, this role supports new-hire onboarding, ongoing skill development, system proficiency, and regulatory compliance training across both claims processing and customer service functions. The ideal candidate is an engaging virtual facilitator with deep operational expertise in health plan administration and a talent for translating complex processes into clear, actionable learning experiences.
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 (claims and/or customer service); minimum 2-4 years in a training, coaching, or instructional role. Strong preference for background in operations and contact centers.
Working knowledge of claims adjudication, appeals/grievances, EOBs, ICD-10/CPT coding. Texas Insurance Code knowledge is a plus.
Demonstrated expertise in contact-center operations including call quality, and member/provider communication standards (both verbal and written).
Proven ability to engage and manage remote audiences via Zoom, Microsoft Teams, or equivalent video-conferencing platforms.
Experience with Salesforce, Vonage, and/or comparable CRM, telephony, and health plan platforms.
Exceptional written and verbal communication skills; ability to translate complex regulatory and clinical content into plain-language training.
Strong project-management skills with the ability to manage multiple training cohorts, deadlines, and content-revision cycles simultaneously.
- - Certification in instructional design, adult learning (CPLP, ATD), or a related credential.
- - Experience with e-learning authoring tools such as Articulate 360, Rise, or Adobe Captivate.
- - Familiarity with CMS Star Ratings, NCQA, or URAC accreditation standards.
- - Prior experience supporting UAT, system rollouts, or technology implementation projects.
- - Background in employer-sponsored health plan administration/ Commercial health insurance.
- - Experience building and administering knowledge-check assessments with scoring rubrics.
Fully remote; home office with reliable high-speed internet required.
Core hours align with CST/EST business hours
Evry Health-issued laptop, headset, and collaboration tools provided.
Prolonged periods of sitting and working at a computer; virtual facilitation for extended sessions.
Daily interaction with Operations leadership, HR, IT, and vendor partners via virtual channels.
Location & Eligibility
Listing Details
- Posted
- May 29, 2026
- First seen
- May 29, 2026
- Last seen
- June 2, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 80%
- Scored at
- May 29, 2026
Signal breakdown
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