Credentialing Trainer - Internal Applicants Only
Credentialing Trainer - Internal Applicants Only
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Job Description
Lets do great things together!
Founded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Lets be better together.
Job Summary:
The Credentialing Trainer is responsible for developing delivering and maintaining comprehensive documentation and training programs for all job functions within the Credentialing team including Credentialing Specialists Admin Assistants and Delegation/Compliance staff. This role ensures efficient system usage adherence to policies and procedures and continuous improvement of departmental quality standards. This is a FT hybrid position based in Portland Oregon.
Pay Range
$25.08 $28.21 hourly (depending on experience)
*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page linked below to be considered for this position.
Dental Vision Pharmacy Life & Disability
Requirements:
- Bachelors degree or equivalent specializing in health or business.
- Minimum two (2) years experience as a Credentialing Specialist or Credentialing Coordinator.
- Ability to type at least 50 wpm and demonstrate tenkey proficiency of 135 kspm net on a computer keyboard.
- Strong organizational and time management skills.
- Ability to work under pressure meet deadlines produce a high volume of work and adapt to shifting priorities working both independently and in a team environment.
- Strong problemsolving skills attention to detail and ability to retain information.
- Proficiency in Microsoft Office applications with the ability to learn internal computer systems. Working knowledge of Crystal Reports desired.
- Working knowledge of NCQA CMS and OHA or other state credentialing standards preferred.
- Excellent verbal written and interpersonal communication skills.
- Ability to maintain confidentiality and project a professional business image.
- Ability to come in to work on time and on a daily basis.
Primary Functions:
- Develop and maintain training materials including course content documentation and resource materials for the Credentialing team.
- Conduct training needs assessments and develop new training programs to address identified gaps.
- Deliver training on policies procedures phone techniques etiquette and system functionality for the Credentialing team.
- Work with the Credentialing Auditor to track errors and trends providing feedback and suggestions for improvement to management and staff.
- Collaborate with the Credentialing Supervisor and other departments (e.g. Provider Relations Customer Service Provider Configuration) to identify training needs and implement appropriate classes.
- Implement a blended learning approach combining inperson or virtual workshops online modules and onthejob training.
- Provide direct feedback to new staff on expectations results and areas for improvements throughout the training process.
- Incorporate feedback systems and regular evaluations to refine and improve training programs.
- Performs other duties as assigned.
Working Conditions & Contact with Others
Office environment with extensive close PC and keyboard use constant sitting and frequent phone communication. Must be able to navigate multiple computer screens. A reliable highspeed hardwired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek including evenings and occasional weekends to meet business need.
- Internally with Provider Relations Provider Configuration Sales Claims and Customer Service. Externally with vendors providers health professionals and physician offices IPA Delegates Rented Networks Hospitals and Licensing boards.
Together we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race religion color age sex sexual orientation national origin marital status disability veteran status or any other status protected by law. This is applicable to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absences compensation and training.
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our email.
#INTONLY
Employment Type
Full-Time
