Health Plan Trainer and Analyst - Denver Health Medical Plan (* Weekly Hybrid Schedule Requirement *)

We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey.

Our Values

Respect | Belonging | Accountability | Transparency

Department

Job Summary

Under general supervision reviews, evaluates and conducts training and monitoring programs for Denver Health Medical Plan (DHMP) to ensure the training and monitoring needs of Managed Care are being fulfilled. Coordinate with an array of teams and assess monitoring needs based on training, regulations and operational needs. In alignment with monitoring, develop standard work, policies and training to meet operational requirements. Analyzes existing training program delivery, content, and aids to measure effectiveness and recommend program changes. Develops and recommends methods and materials in order to train staff. Develops, performs and evaluates new hire and ongoing training of DHMP Staff as needed.

Essential Functions:

• Work with Managed Care teams to identify operational monitoring needs and develop monitoring plans. (10%)
• Work with Managed Care teams to identify operational training needs and develop training plans. (10%)
• Conduct operational monitoring on a regular basis and report out on issues identified. (5%)
• Form findings in operational monitoring identify additional training needs. (5%)
• Documents all identified issues in standard format and provide a regular summary of operation monitoring findings for team leaders. (5%)
• Design and conduct training for new hires and ongoing training based on identified needs. (5%)
• Identify how operational monitoring and training works between teams in addition to the individual teams. (5%)
• Proposes recommendations for continuous improvement within and between Managed Care teams. (5%)
• Maintains knowledge of current regulatory standards, internal policies, and procedures and ensures compliance at all times. (5%)
• Maintains knowledge and information on contract terms and benefit plans for all Plan lines of business. (5%)
• Develops and executes appropriate communication strategies to ensure workflow success. (5%)
• Promotes positive interpersonal relationships with fellow employees, providers, physicians, patients, health plan members and visitors. (5%)
• Consistently displays courteous and respectful verbal and non-verbal communication. (5%)
• Acts as a role model and leader for team relations within Managed Care. Maintains positive behaviors, attitudes, and commitment to day-to-day activities and work efforts. (5%)
• Manages workload in accordance with identified priorities and makes recommendations in modifying deadlines as needed. (5%)
• Prioritizes daily workflow to ensure successful completion of activities and non-project oriented commitments. (5%)
• Identifies and notifies all potential or suspected issues involving fraud, waste, and abuse to the Director of Managed Care Compliance. (5%)
• Ensures confidentiality of patient information by creating and maintaining a secure and trusting environment by not sharing information learned on the job, except when necessary in the performance of the job responsibilities or to improve a patient's care (5%)

Education:

• Bachelor's Degree required

Work Experience:

• 1-3 years experience in a training, analyst or monitoring position in health care required AND
• 1-3 years prior experience working between and with multiple operational areas required

Licenses:
Knowledge, Skills and Abilities:

• Proficiency with the Microsoft Office Suite
• Familiarity with various office equipment
• Skill in training delivery
• Skill in training development
• Advanced research skills
• Strong communication skills
• Flexible organization skills
• Proficiency with the Microsoft Office Suite
• Experience with Data Entry Software
• Familiarity with various office equipment

Shift

Work Type

Salary

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you're joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays

• 100% paid parental leave up to 6 weeks

• Immediate eligibility for retirement plans with employer contribution up to 9.5%

• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center

• Free RTD EcoPass (public transportation)

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado's primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.