Provider Training & Education Lead (Medicaid)

 

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Humana Healthy Horizons is seeking a Provider Training & Education Lead (Contract Tools, Education, Process Lead) who will be responsible for executing upon provider education and training strategies for Humana Healthy Horizons in order to drive best in class provider experience. They will develop annual review provider manuals and training materials, orientation, and billing guides. They will manage a repository of topical trainings and lead in the creation of new trainings as needed, as well as create standardized provider communication templates that Medicaid markets can utilize. The Provider Training & Education Lead(Contract Tools, Education, Process Lead) will support Medicaid provider learning needs, provides input for course content, writes effective learning objectives and coordinates performance assessments to measure training effectiveness specific to Medicaid. This role will be an independent contributor to start, and will demand strong interpersonal skills to manage projects, varying from moderate to complex, with partners across Humana.

Responsibilities

• Contributes to and executes upon provider education and training strategy to drive best in class provider experience.
• Develops and annually reviews provider manuals, orientation, and annual training materials, and billing guides, including materials specific to behavioral health and Long-Term Services and Supports (LTSS) providers.
• Manages topical provider training library and conducts regular reviews of library to ensure course materials are current and relevant to training needs.
• Partners with subject matter experts to provide content for and input on new topical trainings.
• Produces standardized templates and processes for Humana Healthy Horizons provider communications, such as newsletters, bulletins, and onboarding materials.
• Regularly meets with Humana Healthy Horizons Medicaid markets to understand their provider training and education needs to ensure aligned segment strategy and approach.
• Consults with business segments within Humana on how to tailor existing trainings to Medicaid.

Required Qualifications

• Bachelor's Degree.
• 3 or more years of provider training and education experience working for health plans or in a related healthcare field.
• 2 or more years of experience driving projects of moderate to large scale to completion with positive results.
• Demonstrated experience building templates, standard documentation, policy and protocol, case studies, and disseminating best in class knowledge.
• Excellent written and oral communication, as well as interpersonal skills.
• Exceptional time management and ability to manage multiple priorities in a fast-paced environment.
• Experience operating in a matrixed environment and coordinating across various departments.

Work at Home/Remote Requirements

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Preferred Qualifications

• Experience with Medicaid policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, dispute resolution.
• Understanding of learning design principles and ideally proven application of those principles to create captivating provider training and educational materials.

Additional information

• Workstyle: Remote
• Travel: Up to 10% to various states.
• Core Work Hours: Eastern Standard Time (EST)
• Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov)

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Not Specified
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