Claims Trainer II

Company: Superior HealthPlan
Location: Austin
Posted on: November 14, 2024

Job Description:

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for developing and conducting a variety of training programs and/or auditing tools for line of businesses including Medicaid, Medicare, MMP, DSNP and Ambetter for Texas.

***Candidates must reside in the state of Texas to be considered for the position.***

Responsibilities:

• The Claims Trainer II should understand basic claims billing requirements and reimbursement
• Conduct training needs analyses to determine specific training needs for the Claim's department staff and evaluate effectiveness
• Identify, develop and conduct appropriate training programs, including selecting and designing appropriate training aids
• Facilitate the train the trainer process as it relates to various systems including Amysis
• Research, analyze and recommend external training programs
• Maintain records of training activities and employee progress
• Audit work and coordinate training initiatives to identify, develop and publish corrective actions and educational materials
• Provide feedback on revisions to policy and procedures and work process development
  Education/Experience: Bachelor's degree in related field or equivalent experience. 3+ years of training experience, preferably in a managed care or healthcare setting. Auditing experience preferred.
  
  Pay Range: $54,000.00 - $97,100.00 per year
  Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
  
  Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
  
  Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Keywords: Superior HealthPlan, Cedar Park , Claims Trainer II, Human Resources , Austin, Texas