Apixio · 1 day ago
Director, Quality & Training -Subrogation
TRG HeadQuarters - La Grange, KY 40031
Full-time
Hybrid
Lead/Staff, Director/Executive
$110K/yr - $130K/yr
5+ years expMachinify is a leading healthcare intelligence company specializing in payment solutions for health plans. The Quality & Training Director will provide strategic leadership for quality assurance and training functions within the Subrogation Division, ensuring compliance and operational effectiveness while fostering team culture and employee development.
AnalyticsArtificial Intelligence (AI)Health CareInformation Technology
Responsibilities
Foster and sustain a high-morale, positive team culture
Develop, implement, and maintain a comprehensive quality assurance framework for all Subrogation processes, including Recovery, Enrichment, Research & Creation, and Streamline Recovery units
Establish quality scorecards, auditing methodologies, and calibration practices to ensure consistency and compliance
Conduct regular audits of case handling, documentation accuracy, system utilization, communication standards, and adherence to state/federal regulatory requirements
Identify trends, performance gaps, and risks; provide root-cause analysis and partner with Operations to implement corrective actions
Lead quality calibration sessions with supervisors, managers, and trainers to ensure standardized expectations
Prepare and communicate quality reports, dashboards, and insights to leadership
Lead the creation, delivery, and maintenance of new-hire remote training programs for all Subrogation roles
Oversee ongoing training initiatives, curriculum updates, and skill-building workshops for tenured employees and leaders
Partner with subject matter experts (SMEs) to develop job aides, playbooks, workflows, and standard operating procedures
Create structured remote onboarding plans to improve new-hire readiness, retention, and time-to-proficiency
Develop leadership training specific to subrogation processes, coaching techniques, and quality management
Identify and cultivate future leaders by providing mentoring, skill development, and consistent feedback
Monitor operational KPIs and use data to recommend process improvements that support productivity, accuracy, and employee engagement
Collaborate with IT, Systems, and Process Improvement teams on enhancements to workflows, templates, job aides, and automation opportunities
Lead change management efforts when introducing new processes, tools, technologies, or policy updates
Work closely with supervisors and managers to strengthen coaching practices that support quality improvement
Provide coaching, guidance, and recommendations for performance improvement plans related to quality outcomes
Facilitate regular performance reviews and provide insights on employee skill gaps and development priorities
Review and report on monthly/yearly client SLAs
Encourage staff to meet goals and embrace change while driving a positive culture
Serve as a member of the Subrogation leadership team, contributing to strategic planning, capacity forecasting, and organizational design
Maintain strong partnerships with HR Business Partners to align training, quality, performance, and engagement strategies
Ensure all training and quality programs support compliance with client contractual obligations and industry regulations
Represent the Quality & Training function during client meetings, audits, and business reviews as needed
Maintain accurate and up-to-date documentation of all quality standards, training curricula, and audit results
Ensure training and quality programs adhere to regulatory requirements, confidentiality expectations, and internal policies
Qualification
Required
Bachelor's degree in Business, Training & Development, Quality Management, or related field
5+ years of experience in Subrogation, Claims, Recovery, or similar insurance/contact-center environment
3+ years of experience in training, quality assurance, or leadership roles
Strong knowledge of subrogation workflows, claims systems, recovery regulations, and productivity metrics
Proven experience developing and delivering remote training programs
Excellent analytical, coaching, communication, and presentation skills
Proficiency with QA tools, LMS systems, reporting platforms, and Microsoft Office Suite
Benefits
PTO, Paid Holidays, and Volunteer Days
Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
Tuition Reimbursement
Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
Remote and hybrid work options
Company
Apixio
Connected Care Platform at the intersection of health plans and providers
201-500 employees
Funding
Current Stage
Late StageTotal Funding
$42.86MKey Investors
SSM PartnersBain Capital Ventures
2023-05-03Private Equity
2023-05-03Acquired
2016-05-24Series D· $19.3M
Leadership Team
Sachin Patel
Chief Executive Officer
John Schneider
CTO
Recent News
2025-09-06
Company data provided by crunchbase