Clinical Trainer

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

We are seeking a Trainer - Case Management with strong Case Management, Specialty Pharmacy, and clinical education experience. This role requires a combination of clinical expertise, care coordination knowledge, adult learning principles, and performance coaching skills to prepare clinicians to deliver high-quality, patient-centered care for members receiving specialty therapies.

Clinical Trainer

• Facilitate new hire, upskilling, refresher, and ongoing clinical training in classroom, virtual, and blended learning environments.
• Deliver training on Case Management, care coordination, care planning, health coaching, motivational interviewing, medication adherence, transitions of care, chronic disease management, and specialty pharmacy workflows
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• Deliver just-in-time (JIT) training and nesting/OJT support
  , coaching clinicians on client workflows, patient engagement, and care coordination best practices.
• Complete and maintain certification through the client-led Train-the-Trainer program
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• Facilitate clinical simulations, role-play activities, case studies, and clinical decision-making exercises to reinforce learning and competency.
• Prepare and submit training reports, competency scorecards, certification trackers, nesting dashboards, and learner performance reports accurately and on time.
• Develop and maintain training materials, facilitator guides, job aids, assessments, and competency validation tools aligned with client requirements and evidence-based practice.
• Manage training schedules, logistics, LMS records, and learning resources
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• Monitor learner progress through case studies, simulations, documentation reviews, knowledge assessments, call observations, and competency evaluations
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• Provide coaching, feedback, and remediation plans during training and nesting to ensure readiness for independent practice.
• Partner with Operations, Clinical Leadership, Quality, and Client SMEs to ensure training reflects current workflows, quality requirements, and regulatory standards.
• Provide recommendations for curriculum enhancements based on learner feedback, quality trends, regulatory updates, and operational performance.
• Design and deliver refresher and upskilling programs based on client changes, quality findings, compliance requirements, and performance opportunities.
• Stay current with government and commercial payer requirements, CMS regulations, accreditation standards (NCQA, URAC), specialty pharmacy practices, evidence-based care management principles, and adult learning methodologies
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• Support clinical quality improvement initiatives, competency validation programs, and transition-to-production activities
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• Active USRN license (United States Registered Nurse).
• Minimum 5 years of clinical nursing experience
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• Minimum 3 years of Case Management, Care Coordination, Disease Management, or related clinical experience
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• Minimum 2 years of facilitation, adult education, or healthcare training experience
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• Experience in member-facing, telephonic, virtual, or specialty pharmacy care management environments preferred.
• Knowledge of CMS regulations, NCQA, and URAC standards
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• Strong administrative, reporting, documentation, and training management skills
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• Proficiency in Microsoft Office Suite, Learning Management Systems (LMS), EMR/EHR platforms, and care management systems
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• Proven ability to coach learners, validate competencies, and support production readiness
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• Excellent communication and facilitation skills
  , with the ability to translate complex clinical concepts into practical learning experiences.
• Preferred certifications include Certified Case Manager (CCM) or Accredited Case Manager (ACM).

• Strong clinical judgment, case management expertise, and care coordination knowledge
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• Knowledge of specialty pharmacy care models, medication adherence programs, and patient engagement strategies
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• Ability to evaluate clinical competency and validate readiness for independent practice
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• Skilled in coaching, mentoring, remediation planning, and performance feedback
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• Knowledge of Motivational Interviewing, chronic disease management, Social Determinants of Health (SDOH), and evidence-based practice
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• Ability to design and deliver clinical education, refresher training, and competency-based learning programs
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• Proficiency in training documentation, reporting, assessment development, and performance analytics
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• Strong curriculum development and instructional design awareness
  , including recommending content improvements based on learner and operational data.
• Strong communication, facilitation, and…