Description : Job Summary :

In addition to the responsibilities listed above, this position is also responsible for facilitating classroom, web-based, and one-on-one training;

leveraging advanced knowledge of claims processes, policies, workflows, topics, products, software applications, and environments specific to the group / audience being trained.

• Update and create a training curriculum to incorporate changes / enhancements as needed for audience needs; training on products, processes, contents, and system updates optimization for multiple applications;
• providing end-user support during system and content go-lives, annual application upgrades, and monitors on an ongoing basis how to improve end-user system proficiency and address end-user system issues;
• preparing and guiding others on analysis of client business processes and functional application requirements; documenting the validation processes for the development and maintenance of the training environment;
• providing problem resolution of information systems-related issues and escalates complex concerns from end users / clinical / training personnel;

and evaluating existing application products for feasibility in meeting client requirements and develops recommendations.

Essential Responsibilities :

• builds relationships with cross-functional / external stakeholders and customers. Listens to, seeks, and addresses performance feedback;
• proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses;
• leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities;

adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes.

Facilitates team collaboration to support a business outcome.

• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions;
• encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and / or externally to achieve effective business decisions;

provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results.

Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines.

Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.

• Supports other groups within or outside the company by : identifying concerns and offering alternative and strategic methods to address concerns while identifying and validating root causes.
• Works on design and development of trainings by : creating new moderately complex content (e.g., course curricula, training aids, and other supporting materials), ensuring curriculum accuracy, and providing troubleshooting as needed;
• coordinating with others to select training methods (e.g., e-learning, in-person, classroom, on-site, just-in-time support, web sessions, blended learning, and conference calls) and programs;
• developing training objectives for education modules, revising and creating training modules and supporting materials; supporting clients and others prioritize short-term learning goals but mainly focus on supporting long-term learning goals and ensuring objectives are in alignment with business unit goals;

and evaluating alternative training techniques, procedures, and / or methods while supporting implementation.

• Evaluates programs training needs by : conducting moderately complex needs assessments for training and or performance issues.
• Monitors effectiveness of training by : using advanced knowledge to guide others in measuring the effectiveness of training to ensure business needs are met.
• Completes work assignmentsand supports completion of projects by : developing, analyzing, and managing increasingly moderately complex program plans which include scope identification and management, schedule, inter-dependencies, and resource forecast.
• Further examines how to refine training and delivery by : independently applying research of training norms and industry standards within assigned areas;

and driving research efforts in training / education programs to improve stakeholder activities and enhance personnel growth and development.

• Responsible for aiding in effective training delivery by : driving training program delivery(s) (e.g., orientation, customer service, and supervisory skills);
• leading learners understanding by leveraging adult learning principles and identifying issues, troubleshooting when needed;
• determining next steps based on results from evaluations used to assess the application of skills, knowledge, and training objectives;

monitoring and analyzing training results while also providing feedback to other trainers based on training assessment; and serving as a trainer by leading moderately complex training, and using best practices for training modalities (e.

g., virtual, in-person classroom).

Minimum Qualifications :

Bachelors Degree in Business, Communication, Education, Behavioral Science, or a directly related field AND minimum five (5) years of experience in training delivery, curriculum design, and training development and evaluation, or a directly related field, OR Minimum eight (8) years of experience in training delivery, curriculum design, training development and evaluation, or a directly related field.

Additional Requirements :

• Knowledge, Skills, and Abilities (KSAs) : Claims Adjudication; Coordination; Internal Communications; Storytelling; Written Communication;
• Content Development; Knowledge Management; Learning Measurement; Business Relationship Management; Consulting; Relationship Building;

Program Development; Quality Assurance Process; Research and Development (R&D); Curriculum Development; Adult Learning Theory; Presentation Skills

Preferred Qualifications :

• Four (4) years of internal and external medical or health care experience.
• Three (3) years of experience leveraging eLearning development tools and virtual learning technologies.

Last updated : 2024-05-07