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Provider Education Trainer

MetroPlusHealth
New York, NY Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 4/24/2025

Position Overview

Responsible for providing provider onboarding, training for claims and billing procedures, contract compliance, Product, medical management, and pharmacy issues. Promotes provider compliance with local / state / region / federal regulations through provider forums and training opportunities, inclusive of behavioral health network.

Job Description

  • Provide provider onboarding along with any on-going trainings either at provider sites or remotely.
  • Organize training schedules, tracking attendees, setting up classroom and practicum trainings, finalizing the training content and handouts, etc.
  • Supports and maintains current provider network through customer service including training, credentialing assistance, claims resolution and advocacy.
  • Develops and provides a standard orientation package for newly contracted providers.
  • Promotes technology and skills development to improve provider business practices.
  • Implement processes for documenting and monitoring training program for provider compliance and program effectiveness.
  • Ensure contract compliance and identify areas for improvement.
  • Participate in cross functional teams to solve system issues.
  • Other duties as required and assigned by management.

Minimum Qualifications

  • Bachelors’ Degree required, preferably in health care administration, marketing, or a related area of study; and
  • 3-5 years’ of experience in a managed care or provider organization; or
  • A satisfactory equivalent combination of training, education, and experience performing provider training / education or work in a related field
  • Experience in behavioral health field, preferred.
  • Ability to travel within the MetroPlusHealth service area to meet with providers and their representatives
  • Working knowledge of and proficiency with Windows-based PC systems and Microsoft Word, Outlook, Excel, and PowerPoint
  • Salary : $50,000 - $60,101

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