We are recruiting for a Health Plan Trainer, Denver Health Medical Plan tojoin our team!
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DepartmentManaged Care Administration
Job Summary
Under general supervision reviews, evaluates and conducts training andmonitoring programs for Denver Health Medical Plan (DHMP) to ensure thetraining and monitoring needs of Managed Care are being fulfilled. Coordinatewith an array of teams and assess monitoring needs based on training,regulations and operational needs. In alignment with monitoring, developstandard work, policies and training to meet operational requirements.Analyzes existing training program delivery, content, and aids to measureeffectiveness and recommend program changes. Develops and recommends methodsand materials in order to train staff. Develops, performs and evaluates newhire and ongoing training of DHMP Staff as needed.
Essential Functions:
Work with Managed Care teams to identify operational monitoring needs anddevelop monitoring plans. (10%)Work with Managed Care teams to identify operational training needs anddevelop training plans. (10%)Conduct operational monitoring on a regular basis and report out on issuesidentified. (5%)Form findings in operational monitoring identify additional training needs.(5%)Documents all identified issues in standard format and provide a regularsummary of operation monitoring findings for team leaders. (5%)Design and conduct training for new hires and ongoing training based onidentified needs. (5%)Identify how operational monitoring and training works between teams inaddition to the individual teams. (5%)Proposes recommendations for continuous improvement within and between ManagedCare teams. (5%)Maintains knowledge of current regulatory standards, internal policies,and procedures and ensures compliance at all times. (5%)Maintains knowledge and information on contract terms and benefit plans forall Plan lines of business. (5%)Develops and executes appropriate communication strategies to ensure workflowsuccess. (5%)Promotes positive interpersonal relationships with fellow employees,providers, physicians, patients, health plan members and visitors. (5%)Consistently displays courteous and respectful verbal and non-verbalcommunication. (5%)Acts as a role model and leader for team relations within Managed Care.Maintains positive behaviors, attitudes, and commitment to day-to-dayactivities and work efforts. (5%)Manages workload in accordance with identified priorities and makesrecommendations in modifying deadlines as needed. (5%)Prioritizes daily workflow to ensure successful completion of activities andnon-project oriented commitments. (5%)Identifies and notifies all potential or suspected issues involving fraud,waste, and abuse to the Director of Managed Care Compliance. (5%)Ensures confidentiality of patient information by creating and maintaining asecure and trusting environment by not sharing information learned on thejob, except when necessary in the performance of the job responsibilities orto improve a patient's care (5%)Education:
Bachelor's Degree RequiredWork Experience:
1-3 years Experience in a training, analyst or monitoring position in healthcare Required and1-3 years Prior experience working between and with multiple operationalareas. RequiredLicenses:
Knowledge, Skills and Abilities:
Proficiency with the Microsoft Office SuiteFamiliarity with various office equipmentSkill in training deliverySkill in training developmentAdvanced research skillsStrong communication skillsFlexible organization skillsProficiency with the Microsoft Office SuiteExperience with Dat Entry SoftwareFamiliarity with... For full info follow application link.
"Denver Health is committed to provide equal treatment and equal employmentopportunities to all applicantsand employees. Denver Health is an Equal Opportunity Employer and does notdiscriminate against any employee orapplicant for employment because of race, color, sex, age, nationalorigin, religion, sexual orientation, gender identity,status as a veteran, and basis of disability or any other federal, stateor local protected class."