Leads the design of the training program for the Provider Relations (PR) Department’s provider
demographic database and the provider data master (PDM) system in consultation with PR
Supervisors and Managers. Develops training materials and guides. Trains new PR staff and
facilitates ongoing training. Performs auditing activities and recommends training topics for staff
based on audit results. Performs all activities related to auditing, tracking, and documenting staff
performance of operational processes with an emphasis on ensuring provider data and other work
output is accurate. Produces audit reports to identify trends for training opportunities.

• Develops training program courses and schedules training sessions in collaboration
  with PR Supervisor/Managers.
  
• Conducts training and/or works with other subject matter experts to prepare and
  conduct trainings for both new staff and ongoing staff development.
  
• Creates effective written training materials and tools to support learning.
  
• Writes and/or provides input on operational desk procedures.
  
• Monitors progress of trainees through one-on-one observation and audit results.
  
• Provides feedback to Supervisors and Managers on staff performance relating to
  accuracy of work and ability to apply lessons.
  
• Audits PR Department database systems and procedures.
  
• Audits all key operational functions to ensure accuracy levels are maintained,
  including but not limited to:
  o Contracted and non-contracted provider changes in all databases/systems
  o Providers Not on File (PNOF’s)
  o Provider Directory changes
• Prepares reports of staff results and distributes to staff’s immediate
  supervisor/manager.
  
• Prepares team audit results trending reports for the Director and recommends training
  sessions based on trends.
  
• Participates in process improvement activities.
  
• May provide back-up coverage for telephone inquiries using ACD telephone system.
  
• Back-up to other positions as required.
  
• Other duties as assigned

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$40.94 - $51.18

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.