Offer summary

Qualifications:

Bachelor's degree or equivalent work experience required., 2 years of training experience, preferably in healthcare or social services., Strong verbal and written communication skills., Intermediate proficiency in Microsoft Suite products..

Key responsabilities:

Develop and deliver training programs and materials for staff.

Facilitate onboarding for new hires and conduct quarterly training refreshers.

Perform audits and analyze case impacts to ensure compliance and improve processes.

Collaborate with Data Analyst for data gathering and reporting metrics.

Job description

TRAINING & QUALITY AUDITOR

Position Summary

This position will participate in the conceptualization, development, and execution of training programs. Deliver engaging, informative, and motivating training activities. Collaborate with internal departments to implement quarterly "refreshers." Additionally, perform quality and risk management evaluation and analysis, regulatory and compliance responsibilities through collaboration with the Data Analyst.

Essential Functions

Develop course content, core competencies, evaluation tools, and materials for training activities
Manage quarterly updates of reference materials for proprietary strategies and other assigned areas
Proposes and implements recommendations for improved processes including the identification of training requirements, training gap analysis, and employee needs assessment/s
Designs, delivers and responds to development requests from other departments
Organize and facilitate the onboarding of department new hires
Facilitates, and reviews audit results from all department teams; audits consist of any entry made related to a member
Identify and analyze case impacts for Allied Care Medical Management Reporting to ensure content represents overall member engagement to further enhance client retention and assist in marketing to new business
Perform audits of department-related claims, specifically CVS Caremark, limited distribution drug arrangements, transplant, and miscellaneous claims processed by the Enhanced Case Management Advocate to ensure appropriate payment is made
Identifies department-wide trends and offers suggestions for improvement and or additional areas of focus
Collaborate with Data Analyst in data gathering, analysis, and reporting metrics as needed
Collaborate with Data Analyst to identify enhancements that will improve processes and support future business needs
Other duties as assigned

EDUCATION

Bachelors degree or equivalent work experience required.

Experience & Skills

2 years of training experience required, preferably in healthcare or social service industry
Comfortable with medical terminology
Strong verbal and written communication skills
Ability to collaborate with internal and external stakeholders
Intermediate level experience with Microsoft Suite products, including Office, Word, Excel, Access and Power Point
Ability to function well in a high-paced and at times stressful environment

POSITION COMPETENCIES

Job Knowledge
Time Management
Accountability
Communication
Initiative
Customer Focus

PHYSICAL DEMANDS

This is a standard desk role – long periods of sitting and working on a computer are required.

WORK ENVIRONMENT

Remote

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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