Job Title: DHCS Certified Master Trainer
Location: Pleasanton CA
Job Type: Full-time
Job Description:
- Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders.
- Listens responds to seeks and addresses performance feedback; provides actionable feedback to others including upward feedback to leadership and mentors junior team members.
- Practices self-leadership; creates and executes plans to capitalise on strengths and improve opportunity areas; influences team members within the assigned team or unit.
- Adapts to competing demands and new responsibilities; adapts to and learns from change challenges and feedback. Models team collaboration within and across teams.
- Conducts or oversees business-specific projects by applying deep expertise in the subject area; promotes adherence to all procedures and policies.
- Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks as appropriate; monitors progress and results.
- Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organisational goals.
- Recognises and capitalises on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
- Serves as the subject matter expert for regulations projects/committees and internal stakeholders by: providing consultation on the interpretation and interaction of current policies and how they interact with the current climate and potential changes to regulations and legislation.
- Serving as a technical advisor on committees and projects to drive the development of policies or procedures for regulations and auditing processes.
- Developing complex content and delivering tailored educational programs to align organizational policies and procedures with regulatory requirements and anticipating and weighing practical/technical considerations in addressing issues and coordinating with the appropriate stakeholders to develop resolutions.
- Develops data management and reporting processes by: entering complex practitioner/provider data and conducting data cleaning as needed; and entering analysing and independently drafting and reviewing action plans/recommendations required data into appropriate databases.
- Ensures licensing and accreditation by: independently reviewing and guiding others to review requirements for new existing and expanding facilities/services to aid in the achievement of compliance with state federal and accrediting standards.
- Consulting with other departments to ensure certification for complex cases and independently conducting a widely impactful and detailed gap analysis and mentoring others to identify service renewals and planning to ensure services are compliant.
- Identifies and recommends improvements to processes of responding to regulatory audits and survey preparedness efforts by: independently enacting complex reporting keeping current on regulatory requirements and guiding others to do the same in preparation for surveys (e.g. NCQA Joint Commission AAAHC).
- Serving as liaison between external evaluators vendors and senior stakeholders to facilitate on-site visits and evaluations; independently conducting reviewing and evaluating upon site visit criteria and performing site visits as appropriate to ensure survey readiness.
- Delivering requested complex audit documentation information and reports; assessing the workflow of auditing surveys to identify gaps in completion and reporting focusing on high vulnerability areas.
- Facilitating educational forums conducting routine audits and leading mock surveys within departments to ensure auditing and survey preparedness tracking trending and facilitating the development of high-impact corrective action plans (CAP) as necessary in collaboration with applicable departments to assure site visit compliance.
- Leading the collaborations with other departments (e.g. Revenue Cycle) gathering documents and data to support the timely completion of the annual state/federal/regulatory body reporting as required.