What are the responsibilities and job description for the Trainer, Health Plan Operations position at Kelsey-Seybold Clinic?
Responsibilities
JOB DESCRIPTION
Incumbent will develop and conduct training programs to support the Operations Department of the Medicare Advantage plan and commercial product lines to ensure that employees have the necessary knowledge and skills to perform their assigned tasks accurately and effectively; collaborate with management to determine staff training needs and provide feedback on trainee performance; create teaching outlines and determine instructional methods; develop testing and evaluation procedures; conduct training sessions covering specific areas such as new employee departmental orientations, developmental training, on-the-job role-specific training, compliance training, ad hoc and refresher training; assess trainees to measure progress and to evaluate effectiveness of training; assist management with the creation and maintenance of policies and procedures for areas of responsibility; and assist with the creation and maintenance of organization knowledge management system
Job Title: Trainer, Health Plan Operations
Location: Pearland Administrative Office
Department: Mem Provd Serv
Job Type: Full Time
Salary Range: $ 64,369 - $79,496 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Qualifications
Education
Required: Bachelor’s degree in related field or four years of experience in training or organizational
development.
Preferred: N/A
Experience
Required: Four (4) years of experience in a health insurance or managed care environment with knowledge of
health care delivery systems.
Working knowledge of state and federal laws and regulations and how they apply to Medicare and
commercial insurance products.
Experience in classroom training and development of curricula and training materials, including trainer and
participant guides, activity guides, and assessments.
Preferred: Prior experience in managed care claims, contact center, or enrollment operations
Government programs background preferred.
Experience with the development and implementation of knowledge management systems and learning
management systems.
License(s)
Required: N/A
Preferred: N/A
Special Skills
Required: Proficient in Microsoft Office Products.
Preferred: Working knowledge of Epic Tapestry system.
Working knowledge of TriZetto Enrollment Administration Manager (EAM) application.
Other
Required: Demonstrated verbal and written communication skills as well as excellent organizational,
presentation, and facilitation skills with attention to detail.
Flexibility to work in a cross-functional, fast-paced environment.
Ability to work independently or in a team environment.
Preferred: N/A
Working Environment: Office
About Us
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
JOB DESCRIPTION
Incumbent will develop and conduct training programs to support the Operations Department of the Medicare Advantage plan and commercial product lines to ensure that employees have the necessary knowledge and skills to perform their assigned tasks accurately and effectively; collaborate with management to determine staff training needs and provide feedback on trainee performance; create teaching outlines and determine instructional methods; develop testing and evaluation procedures; conduct training sessions covering specific areas such as new employee departmental orientations, developmental training, on-the-job role-specific training, compliance training, ad hoc and refresher training; assess trainees to measure progress and to evaluate effectiveness of training; assist management with the creation and maintenance of policies and procedures for areas of responsibility; and assist with the creation and maintenance of organization knowledge management system
Job Title: Trainer, Health Plan Operations
Location: Pearland Administrative Office
Department: Mem Provd Serv
Job Type: Full Time
Salary Range: $ 64,369 - $79,496 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Qualifications
Education
Required: Bachelor’s degree in related field or four years of experience in training or organizational
development.
Preferred: N/A
Experience
Required: Four (4) years of experience in a health insurance or managed care environment with knowledge of
health care delivery systems.
Working knowledge of state and federal laws and regulations and how they apply to Medicare and
commercial insurance products.
Experience in classroom training and development of curricula and training materials, including trainer and
participant guides, activity guides, and assessments.
Preferred: Prior experience in managed care claims, contact center, or enrollment operations
Government programs background preferred.
Experience with the development and implementation of knowledge management systems and learning
management systems.
License(s)
Required: N/A
Preferred: N/A
Special Skills
Required: Proficient in Microsoft Office Products.
Preferred: Working knowledge of Epic Tapestry system.
Working knowledge of TriZetto Enrollment Administration Manager (EAM) application.
Other
Required: Demonstrated verbal and written communication skills as well as excellent organizational,
presentation, and facilitation skills with attention to detail.
Flexibility to work in a cross-functional, fast-paced environment.
Ability to work independently or in a team environment.
Preferred: N/A
Working Environment: Office
About Us
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance
Salary : $64,369 - $79,496
