Health Plan Trainer and Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement.)
About The Position
We are recruiting for a mission-driven Health Plan Trainer and Analyst - Denver Health Medical Plan to join our team! At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week. Under general supervision, this role 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. The role coordinates with an array of teams and assesses monitoring needs based on training, regulations, and operational needs. In alignment with monitoring, the role develops standard work, policies, and training to meet operational requirements. It analyzes existing training program delivery, content, and aids to measure effectiveness and recommend program changes. The role develops and recommends methods and materials in order to train staff and develops, performs, and evaluates new hire and ongoing training of DHMP Staff as needed.
Requirements
- Must Live in Colorado
- 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
- 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
Responsibilities
- Work with Managed Care teams to identify operational monitoring needs and develop monitoring plans.
- Work with Managed Care teams to identify operational training needs and develop training plans.
- Conduct operational monitoring on a regular basis and report out on issues identified.
- Form findings in operational monitoring identify additional training needs.
- Documents all identified issues in standard format and provide a regular summary of operation monitoring findings for team leaders.
- Design and conduct training for new hires and ongoing training based on identified needs.
- Identify how operational monitoring and training works between teams in addition to the individual teams.
- Proposes recommendations for continuous improvement within and between Managed Care teams.
- Maintains knowledge of current regulatory standards, internal policies, and procedures and ensures compliance at all times.
- Maintains knowledge and information on contract terms and benefit plans for all Plan lines of business.
- Develops and executes appropriate communication strategies to ensure workflow success.
- Promotes positive interpersonal relationships with fellow employees, providers, physicians, patients, health plan members and visitors.
- Consistently displays courteous and respectful verbal and non-verbal communication.
- Acts as a role model and leader for team relations within Managed Care. Maintains positive behaviors, attitudes, and commitment to day-to-day activities and work efforts.
- Manages workload in accordance with identified priorities and makes recommendations in modifying deadlines as needed.
- Prioritizes daily workflow to ensure successful completion of activities and non-project oriented commitments.
- Identifies and notifies all potential or suspected issues involving fraud, waste, and abuse to the Director of Managed Care Compliance.
- Ensures confidentiality of patient information by creating and maintaining a secure and trusting environment by not sharing information learned on the job, except when necessary in the performance of the job responsibilities or to improve a patient’s care.
Benefits
- Generous paid time off
- Fully paid parental leave
- Exceptional retirement contributions
- Comprehensive health coverage
- Nationally recognized well-being programs
- Tuition assistance
- Career advancement pathways
- Professional development
- Meaningful financial advantages
- Loan forgiveness eligibility
- Employer contributions
- 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 located on Denver Health main campus 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) that support internal career growth and advancement pathways
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
