Health Plan Trainer and Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement.)

Must live in Colorado. This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week.

About the Role

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. Coordinates with an array of teams and assesses monitoring needs based on training, regulations, and operational needs. In alignment with monitoring, develops 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 to train staff. Develops, performs, and evaluates new hire and ongoing training of DHMP staff as needed.

Responsibilities

• 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 to identify additional training needs (5%)
• Document all identified issues in standard format and provide a regular summary of operational 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 individual teams (5%)
• Propose recommendations for continuous improvement within and between Managed Care teams (5%)
• Maintain knowledge of current regulatory standards, internal policies, and procedures and ensure compliance at all times (5%)
• Maintain knowledge and information on contract terms and benefit plans for all Plan lines of business (5%)
• Develop and execute appropriate communication strategies to ensure workflow success (5%)
• Promote positive interpersonal relationships with fellow employees, providers, physicians, patients, health plan members, and visitors (5%)
• Consistently display courteous and respectful verbal and non-verbal communication (5%)
• Act as a role model and leader for team relations within Managed Care. Maintain positive behaviors, attitudes, and commitment to day-to-day activities and work efforts (5%)
• Manage workload in accordance with identified priorities and make recommendations in modifying deadlines as needed (5%)
• Prioritize daily workflow to ensure successful completion of activities and non-project oriented commitments (5%)
• Identify and notify all potential or suspected issues involving fraud, waste, and abuse to the Director of Managed Care Compliance (5%)
• Ensure confidentiality of patient information by creating and maintaining a secure and trusting environment (5%)

Requirements

• Bachelor's Degree required
• 1-3 years experience in a training, analyst, or monitoring position in health care required
• 1-3 years prior experience working between and with multiple operational areas required

Skills

• 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
• Experience with Data Entry Software

Pay

$66,400.00 - $99,600.00 / yr

Benefits

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer-paid disability and life insurance
• Comprehensive well-being programs including on-site employee fitness center and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC)
• 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

About Denver Health

Denver Health is an integrated, high-quality academic healthcare 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, the Public Health Institute at Denver Health, Denver Health Medical Plan, and Denver Health Foundation. As Colorado’s primary and essential safety-net healthcare system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year. Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.