Providence Health & Services Training and Quality Assurance Coordinator 1 in Beaverton, Oregon
Providence St. Joseph Health is calling a Training and Quality Assurance Coordinator 1 to our location in Beaverton, OR.
We are seeking a Training and Quality Assurance Coordinator to look for improvements & efficiency opportunities within Operations in one or more of the areas of claims, customer service and membership accounting. The duties of this professional position will include developing and delivering technical and soft skill training, conducting auditing in claims, customer service and/or membership accounting and providing feedback on performance to Service Specialists. The duties of this position include responsibility for revision and maintenance of Operations documentation and reference materials. This position coordinates the writing, editing, production and publishing of documentation with all electronic interfaces.
In this position you will have the following responsibilities:
Research training topics, develop lesson plans, and write all training curriculum aimed at achieving goals and objectives. Update materials as procedures and policies change so that information presented is accurate in one or more of the areas of Claims, Customer Service and/or Membership Accounting.
Conduct training sessions utilizing workbooks or other written material. Use a supportive teaching style that is effective for the different learning styles of all staff in one or more of the areas of Claims, Customer Service and/ or Membership Accounting.
Develop course assessments and evaluations to continually improve sessions to ensure that trainees are adequately prepared to perform basic job duties and build on team cohesiveness and interpersonal relationships, in one or more of the areas of Claims, Customer Service and/or Membership Accounting.
Provide constructive feedback on trainees; work on continuous employee development and growth opportunities with Managers.
Develop reference material such as procedures, policy documentation, and other supportive material.
Provide recommendations to Managers and employees to maintain high quality performance.
Develop close working relationships with Operation Teams, Managers and other departments to identify training needs and develop ongoing training curriculum with current accepted procedures and practices.
Assist Service Specialists with resolving daily problems with member situations and answering questions.
Contribute toward team cohesiveness and efficiency; participate as a 'team player', supporting co-workers while setting an example of high personal and professional conduct for co-workers and others.
Prioritize and create training calendar based on team requests.
Provide recommendations and observation summaries to the Team Managers on opportunities identified during the service observation/claims auditing processes.
Coordinate with Health Plan departments outside Operations to ensure that new and existing information is incorporated into the Operations documentation.
Prioritize and process special projects, reprocessing projects, non-par provider appeals, and EDI.
Conduct service observations of customer service calls, provide feedback on performance, and coach to excellence.
Required qualifications for this position include:
Bachelor's Degree or equivalent educ/experience
2 years relevant health insurance operations experience
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Education
Req ID: 249284