Trainer Health Plan Operations
Kelsey-Seybold Medical Group

Job Info

Overview

Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with over 25 locations and comprises more than 500 physicians providing primary and specialty care in a collaborative manner.

With 55 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.

Kelsey-Seybold Clinic is changing the way health cares.

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.

Qualifications

Trainer Health Plan Operations

Location: Pearland Administration Office

Department: Kelseycare Operations

Job Type: Full Time

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

Education

A.
Bachelor's degree in related field or four years of experience in training or organizational development
B.

Experience
Two (2) 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
B.

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

Licenses

B.

Communication

A.

B.

Special Skills

A.
Proficient in Microsoft Office Products
B.

Working knowledge of Epic Tapestry system
Working knowledge of TriZetto Enrollment Administration Manager (EAM) application

Other

A.
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 B.

WORKING ENVIRONMENT

Office