Denverhealth · DenverPrepare for this interview
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We are recruiting for a mission-driven Health Plan Trainer and Analyst - Denver Health Medical Plan (* Weekly Hybrid Schedule Requirement *) to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey. Our Values Respect | Belonging | Accountability | Transparency Department Managed Care Administration Job 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 * This is a hybrid role with a weekly in-office requirement in Denver, Colorado Shift Days (United States of America) Work Type Regular Salary $66,400.00 - $99,600.00 / yr
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