Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst

🚀 Join EXL as a Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) / Patient -Driven Payment Model (PDPM) Trainer & Quality Analyst – 100% Remote! 🌎

Are you passionate about clinical training, coding quality, and driving excellence in post-acute care? Do you thrive on empowering others through education and making a measurable impact? If so, we’ve got the perfect opportunity for you!

EXL is on the lookout for a dynamic SNF/RUG/PDPM Trainer & Quality Analyst to join our growing remote team in the U.S. This is a dual-impact role where your clinical expertise and love for teaching will shape the performance and accuracy of our healthcare audit teams. You’ll play a pivotal role in developing world-class training programs while also ensuring quality through expert audits and feedback.

Why Join Us?

✅ 100% Remote – Work from anywhere in the U.S.
✅ Be a Leader – Own training strategies and quality initiatives
✅ Impact Lives – Help healthcare teams provide better patient outcomes
✅ Work with the Best – Join a supportive, collaborative, and innovative team at EXL

🌟 What You’ll Do

Clinical Training Excellence

• Mentor and inspire SNF/RUG/PDPM auditors through 1:1 and group training sessions
• Develop and maintain engaging training materials, online modules, and interactive guides
• Evaluate training effectiveness, identify knowledge gaps, and implement creative solutions
• Conduct employee assessments and track growth over time
• Provide timely, constructive coaching to boost performance and compliance

Audit & Clinical Review

• Perform medical record audits to verify documentation accuracy and service alignment
• Ensure audits are consistent, clearly documented, and findings are well-articulated
• Compile detailed reports and maintain audit logs

Performance & Team Development

• Drive productivity, quality, and internal savings goals
• Respond proactively to communications and collaborate across teams
• Participate in team meetings, brainstorms, and calibration sessions
• Identify and report issues affecting audit processes or provider performance

Continuous Learning & Innovation

• Stay up to date with CMS guidelines and reimbursement models
• Contribute to continuous improvement efforts by attending trainings and sharing insights
• Bring new ideas to the table to evolve training and auditing processes

✅ What You’ll Bring

• RN, LPN, or LVN license (active and in good standing)
• 5+ years of experience with MDS processes and completion
• Strong background in SNF, RUG, PDPM, and Medicaid 48 grouper reimbursement
• Previous experience in corporate training, clinical auditing, or utilization review
• RAC-CT certification (active, or willing to recertify)
• Deep understanding of HIPPS billing codes, MDS 3.0 coding rules, and case management
• Proficiency with Excel, PowerPoint, Word, Outlook, and Encoder tools (Optum, TrueCode, 3M, Webstrat)
• Excellent communication, time management, and decision-making skills
• Self-starter mentality with a passion for teaching and continuous learning

What We Offer:

✨ A fast-paced, innovative environment with a team of industry-leading experts.
✨ Hands-on experience with top-tier clients in the healthcare industry.
✨ Mentorship and career development programs to help you grow professionally.
✨ A strong culture of collaboration, support, and inclusivity.
✨ Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

Ready to Make a Difference?

If you're driven by education, precision, and healthcare excellence, we’d love to connect with you. Apply today and become part of a forward-thinking, mission-driven team where your knowledge powers performance.

EXL Health – Where Expertise Meets Opportunity.