Health Plan Education Team Lead

The HP Education Team Lead will be responsible for working collaboratively with the Health Plan leadership team, as applicable, to plan for, supervise and evaluate health plan Training and Education for all managed care plans. The Team Lead will partner with all levels of leadership to identify the need for, recommend, develop and/or oversee the development of draft training material, and assist in final sign off any training material or curriculum. This includes training material, resource development, training platform program oversight, etc.

Performance Responsibilities and Standards:

• Leads Collaboration effort with subject matter experts to develop training curriculum, educational programs and modules, selecting appropriate delivery method and delivery of content.
• In collaboration with Department Managers, responsible for managing, planning, organizing, supervising, and coordinating the training and education for all health plans including MLTC, D-SNP, I-SNP, and MAP.
• Leads Collaboration with health plan leaders and other essential personnel to conduct needs analyses, resolve issues, identify and close performance gaps, and facilitate change.
• Demonstrate knowledge of quality improvement processes, i.e., clinical, and operational record audit, utilization review.
• Ensure Trainers teach in an organized and structured manner utilizing adult learning principles and collaboration skills.
• Ensure Training team trains in technical and non-technical business requirements, processes and service-oriented responsibilities.
• Lead effort of developing/updating instructional material for instructor led and online training and education courses
• Lead effort to develop a system and process to objectively measure care management competencies and monitor the quality of the delivery training.
• Takes a lead role in planning for system upgrades/updates and assists in the development of training for end users.
• Fosters an organizational climate reflecting high professional and ethical standards.
• Ensures accountability of staff to maintain accepted standards of care.
• Oversees implementation of plans to meet stated objectives and timelines for department.
• Participate in special projects and perform other duties as required.

Professional competencies, skills and abilities:

Must have knowledge of teaching and training techniques.

Knowledge of curriculum development for adult learners and proficiency in adult education and electronic/computerized training processes preferred.

Must be able to present the subject matter effectively.

Ability to work with many cross functional teams.

Ability to work and communicate in a challenging environment.

Knowledgeable about community resources available to assist populations and staff with managing populations in the community and long-term care settings.

Demonstrated willingness to seek resources and expand knowledge

Possess independent learning skills and employ various learning methodologies including self-study, mentoring, classroom, and group education

Maintains knowledge of instructional technologies by attending workshops; reviewing professional publications; establishing personal networks; participating in professional societies.

Proficiency in the use of Microsoft Office , Internet, and various software programs for communication, and various audio-visual equipment and software programs.

Working knowledge of EMR systems.

Strong oral presentation and written communication skills

Strong organizational, prioritizing and delegation skills required as well as strong interpersonal and relationship skills required.

Knowledge of HIPAA and state regulations for managed care.

Requirements:

Bachelors degree in nursing, masters degree preferred and at least 2-3 years of experience in managed care or a related area with prior experience in training or education.

Ability to work proactively and independently

Excellent communication and telephone skills.

Must be able to work in a fast pace environment with excellent problem-solving skills.

Computer knowledge required (Microsoft Office Suite).

Organized and highly motivated; ability to multi-task.

Exceptional customer service, planning and organizational skills required.

Attention to detail is a must with great accuracy and follow through.

Physical Requirements:

Ability to sit or stand 90% of the day.

Speaking/visual/hearing ability sufficient to comprehend and express written/verbal communication.

Frequent sitting, standing, walking

Extended periods of computer use

Ability to express self verbally and in writing.

Compensation & Benefits

Competitive Salary [This position is an S04 exempt position with a min-max rate of: $82,435-$95,588/annually] with:

• $15,000 sign-on bonus
• Retention bonuses
• 401k with generous Employer match
• Medical, Dental, Vision plans
• Tuition Reimbursement for BSN after 6 months of employment
• Exceptional work/life balance - no rotating shifts, holidays or weekends
• Partially funded HSA
• Employee Recognition Platform
• Paid Time Off, Holidays, and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Much More!

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About Nascentia Health:

Nascentia Health is leading the way in home care, post-acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.

Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.

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Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre-hire drug screen