Demo

Trainer, Health Plan Operations

KS Management Services, LLC
Pearland, TX Full Time
POSTED ON 1/29/2025
AVAILABLE BEFORE 3/28/2025

Responsibilities

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

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