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Health Plan Trainer, Denver Health Medical Plan CO

Company: Denver Health
Location: Denver
Posted on: February 10, 2024

Job Description:

We are recruiting for a Health Plan Trainer, Denver Health Medical Plan to join our team!
We are here for life's journey.
Where is your life journey taking you?

Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:

Humanity in action, Triumph in hardship, Transformation in health.

Department

Managed Care Administration*Remote Opportunity. Must Be a Colorado Resident.*

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

*Remote Opportunity. Must Be a Colorado Resident.*

Shift

Work Type

RegularSalary

$60,314.00 - $87,695.00 / yrBenefits

Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans


Free RTD EcoPass (public transportation)


On-site employee fitness center and wellness classes


Childcare discount programs & exclusive perks on large brands, travel, and more


Tuition reimbursement & assistance


Education & development opportunities including career pathways and coaching


Professional clinical advancement program & shared governance


Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program


National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer



Our Values

Respect


Belonging


Accountability


Transparency



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).


Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit: https://www.denverhealth.org/for-professionals/careers/diversity-and-inclusion

Keywords: Denver Health, Denver , Health Plan Trainer, Denver Health Medical Plan CO, Human Resources , Denver, Colorado

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