We are recruiting for a Health Plan Trainer, Denver Health Medical Plan to join our team!
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Department
Managed Care AdministrationJob Summary
Under general supervision reviews, evaluates and conducts training and monitoring programs for Denver Health Medical Plan (DHMP) to ensure the training and monitoring needs of Managed Care are being fulfilled. Coordinate with an array of teams and assess monitoring needs based on training, regulations and operational needs. In alignment with monitoring, develop standard work, policies and training to meet operational requirements. Analyzes existing training program delivery, content, and aids to measure effectiveness and recommend program changes. Develops and recommends methods and materials in order to train staff. Develops, performs and evaluates new hire and ongoing training of DHMP Staff as needed.
Essential Functions:
Work with Managed Care teams to identify operational monitoring needs and develop monitoring plans. (10%)
Work with Managed Care teams to identify operational training needs and develop training plans. (10%)
Conduct operational monitoring on a regular basis and report out on issues identified. (5%)
Form findings in operational monitoring identify additional training needs. (5%)
Documents all identified issues in standard format and provide a regular summary of operation monitoring findings for team leaders. (5%)
Design and conduct training for new hires and ongoing training based on identified needs. (5%)
Identify how operational monitoring and training works between teams in addition to the individual teams. (5%)
Proposes recommendations for continuous improvement within and between Managed Care 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 for all Plan lines of business. (5%)
Develops and executes appropriate communication strategies to ensure workflow success. (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-verbal communication. (5%)
Acts as a role model and leader for team relations within Managed Care. Maintains positive behaviors, attitudes, and commitment to day-to-day activities and work efforts. (5%)
Manages workload in accordance with identified priorities and makes recommendations in modifying deadlines as needed. (5%)
Prioritizes daily workflow to ensure successful completion of activities and non-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 a secure and trusting environment by not sharing information learned on the job, except when necessary in the performance of the job responsibilities or to improve a patient's care (5%)
Education:
Bachelor's Degree Required
Work Experience:
1-3 years Experience in a training, analyst or monitoring position in health care Required and
1-3 years Prior experience working between and with multiple operational areas. Required
Licenses:
Knowledge, Skills and Abilities:
Proficiency with the Microsoft Office Suite
Familiarity with various office equipment
Skill in training delivery
Skill in training development
Advanced research skills
Strong communication skills
Flexible organization skills
Proficiency with the Microsoft Office Suite
Experience with Data Entry Software
Familiarity with various office equipment
Shift
Work Type
Regular
Salary
$58,900.00 - $85,500.00 / yr
Benefits
Competitive pay
Outstanding benefits
Education opportunities
Shared leadership and advancement opportunity
State-of-the-art facilities
Immediate retirement plan matching
Professional clinical advancement program
Participation in evidence-based projects
Public Service Loan Forgiveness (PSLF) eligible employer
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Excellence- We are better every day
Compassion- We care for everyone
Relentlessness- We fight for everyone
Stewardship- We use resources responsibly
Learning- We educate the next generation
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.