What are the responsibilities and job description for the Trainer, Medicare Programs/ Job Req 772071640 position at Alameda Alliance?

P RINCIPLE RESPONSIBILITIES :

Under the general direction of the Manager, Marketing, Communications, and Branding, and in conjunction with the Curriculum Designer, Medicare Programs, the Trainer, Medicare Programs is responsible for designing, developing, and delivering comprehensive trainings for the Alliance's Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) product for internal staff and external providers and stakeholders. The incumbent will foster an environment of education, learning, and development across the enterprise, where team members can acquire the knowledge and skills necessary for understanding and performing tasks effectively, while also facilitating their personal and professional growth. In addition, the position will collaborate with business units to understand unique training needs per department and approach the execution with high energy and a positive attitude.

The Trainer, Medicare Programs is expected to remain current with market / industry trends and the competitive product landscape to ensure the training is implemented in a budget conscience, quality, and timely manner. The position will work closely with various departments to identify training needs, create engaging content, and conduct training sessions that align with business objectives.

The Trainer, Medicare Programs will collaborate with Curriculum Designer, Medicare Programs in the designing and development phase of training content. Working closely with senior and departmental leadership, the Trainer, Medicare Programs will ensure effective performance and compliance with State and Federal regulatory requirements for all Medicare Advantage D-SNP training programs.

Principle responsibilities include :

Acts as a subject matter expert (SME) in training for the Alliance and Medicare Advantage D-SNP product that is consistent with the vision and mission of the managed care health plan.
Trains and reports on market research within local, community, State, and Federal levels within the Medicare Advantage industry.
Conducts training needs analyses to determine specific training needs for department staff and evaluates effectiveness, especially in the production departments, which includes :
Claims
Member Service
Provider Services
Appeals & Grievances
Mailroom
Sales
Case Management
Utilization Management
Marketing & Communications
Collaborates with Alliance SMEs to develop and deliver D-SNP training to external provider partners and stakeholders.
Partners with the Alliance leadership team to identify, develop, and conduct appropriate training programs, including selecting and designing appropriate training artifacts.
Leads the creation of the annual trainings, in collaboration with SMEs, of internal and external Model of Care (MOC), Medicare Benefits, and Medicare provider roadshows.
Facilitates the train-the-trainer process as it relates to various systems and departments.
Supports Go-Live activities to include system testing and configuration when necessary, demonstrating trained processed.
Facilitates training sessions to increase employees' knowledge and competence, using visual aids such as videos, slides, graphs, charts, presentations, etc.
Uses participant feedback to enhance the trainer effectiveness and identify areas for development and growth.
Works cross-collaboratively with diverse staff in teams, working groups, members, doctors, elected officials, community partners, and vendors while maintaining and upholding a professional demeanor and representing the Alliance at interviews, special events, official functions, meetings, and when conducting research.
Assists in creating policies, standard operating procedures (SOPs), productivity standards, roadmaps, reporting, and Key Performance Indicators (KPIs) in a timely manner.

ESSENTIAL FUNCTIONS OF THE JOB :

Assumes responsibility and exercises good judgement in making decisions within the scope of authority of the position.

Be proficient in understanding CMS Marketing and Communications Guidelines (MCMGs), Code of Regulations (CFRs), and model documents.

Demonstrates strong organizational, time management, and project management skills and multi- tasking abilities.

Manages small to extra-large level training courses which may require coordination with external partners.

Provides support to the Project Management Office (PMO) and various enterprise-wide activities based on availability.

Organizes and facilitates Medicare training project-related meetings, as necessary.

Works effectively independently as well as part of a team and supports team decisions.

Adapts to changes in requirements / priorities for daily and specialized tasks.

Produces accurate and precise work, detects discrepancies, and resolves discrepancies all while meeting deadlines.

Demonstrates analytical skills and problem-solving skills as well as formulates and communicates recommendations for improvements as needed.

PHYSICAL REQUIREMENTS :

Constant and close visual work at a desk or a computer.

Constant sitting and working at a desk.

Constant data entry using a keyboard and / or mouse.

Frequent use of a telephone headset.

Constant verbal and written communication with staff and other business associates by telephone, correspondence, or in person.

Frequent lifting of folders and other objects weighing between 0 and 30 lbs.

Frequent walking and standing.

Occasional driving of automobiles.

Number of Employees Directly Supervised : 0

Number of Employees Indirectly Supervised : 0

MINIMUM QUALIFICATIONS :

EDUCATION OR TRAINING EQUIVALENT TO :

A Bachelor's degree in related field or equivalent work experience.

MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE :

Minimum of five (5) years of experience in training.

Minimum of three (3) years of experience in the managed care industry with Medicare Advantage related experience preferred.

Audit experience preferred.

Experience in project management, planning, organizing, and / or coordinating experience.

Background in health education, health information, and / or general wellness a plus.

Strong understanding of web platforms, digital advertising, e-mail automation platforms, CRM platforms, Adobe Suite, and MS office.

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE) :

Excellent written, verbal, and interpersonal communication skills, and ability to successfully interact with people at all levels.

Ability to facilitate meetings, manage complex initiatives, and make presentations before groups consisting of management and staff.

Exhibits good task, planning, and implementation skills to ensure work is completed on time and to expected quality levels.

Strong collaboration skills with demonstrated ability to create and foster a collaborative work environment, while maintaining effective, high-performance teams.

Strong organizational skills with the ability to effectively prioritize multiple tasks and meet deadlines.

Ability to lead effectively in a matrixed environment.

Ability to communicate effectively orally and in writing.

Basic knowledge of the business, economic, demographic and political trends and developments affecting healthcare in general.

Experience with project management

Intermediate skills in Microsoft Office Suite including Outlook, Word, Excel, Visio, and PowerPoint.

Ability to manage confidential information with appropriate discretion.

5% to 10% occasional travel required.

Valid CA driver's license, proof of insurance and good driving record.

SALARY RANGE : $110,094.40 - $165,131.20 Annually

The Alliance is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive to have the best qualified person in every job. Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local laws. M / F / Vets / Disabled.

Salary : $110,094 - $165,131

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