Remote Ops-UM Training Specialist

Summary

Join Integra Partners as an Operations UM Training Specialist to design, develop, implement, coordinate, and facilitate the Operations training and development program, specializing in Utilization Management processes.

Responsibilities

• Works with the Manager of Operations Training to develop an end-to-end training roadmap and training calendar
• Develop and maintain the UM training curriculum for both administrative and clinical processes
• Develop and deliver comprehensive training programs for UM clinical staff on writing clear and concise clinical summaries, applying medical necessity criteria effectively, and composing complex denial letters that meet regulatory standards
• Ensure all training materials and methods comply with healthcare regulations and are written at appropriate grade levels for clarity and accessibility
• Stay current with industry standards, regulatory requirements, and best practices in clinical documentation and utilization management and update training documents as required
• Collaborate with leadership to identify training needs and develop strategies to improve overall UM processes
• Develop and maintain a working knowledge of all UM systems and processes, and create system manuals for admin and clinical training
• Ensures execution of training policy across a diverse workforce including diverse locations and skill sets
• Elevate skill levels by effective coordination and presentation of training and development programs
• Assesses training needs, defines training requirements, and develops training plan which contains measurement of success to support Operations
• Design, develop and implement training content using different learning modalities for internal employees and external customers in partnership with internal subject matter experts
• Creates different learner journeys based on job roles, competency levels and training needs
• Create content that addresses skill and knowledge gaps, need for improvement, or change in processes
• Owns, evaluates, and constantly improves the New Hire Orientation
• Collaborates with each of the operational areas to create content for Department specific New Hire Orientations
• Along with business partners, identify individual and team weakness and work with subject matter experts to create and deliver refresher training in partnership with Quality and department leaders
• Conducts training for new hires and refresher training across all levels of the operations areas
• Track training progress, monitor access, and consistently strive to improve effectiveness of training delivered to ensure incorporation of taught skills and techniques into employees work behavior
• Develops and implements effective ways to conduct training and make it fun through workshops, training retreats, gamification etc
• Support the development and implementation of change enablement strategies, processes, and methodologies
• Provides guidance and support for all change enablement initiatives and/or corporate projects that contain aspects of change
• Optimizes key business processes by providing product, technical and compliance knowledge training
• Oversees all lesson plans for each application by ensuring quality assurance checks are in place and that training captures both system and workflow process
• Partner closely with other Application Team leads and ensure training needs are met and executed efficiently
• Updates management and stakeholders during regular meetings on training program status and updates
• Stay abreast of the new trends and tools in employee learning and development
• Other training/development duties and activities assigned as needed