
Executive
1 week ago
**Key Responsibilities**:
**Content Creation**:
- Develop and create comprehensive training materials for TPA services, including training manuals, presentations, and eLearning modules.
- Ensure training content aligns with CMS guidelines and includes industry best practices for handling claims, enrollments, and provider payment processes.
- Customize content to meet the unique needs of onshore and offshore teams, ensuring relevance and accessibility for all learners.
**Training Delivery**:
- Facilitate in-person and virtual training sessions for new hires & existing employees in claims adjudication, member enrollment, customer service, and regulatory compliance.
- Deliver classroom-based training, workshops, and webinars, ensuring interactive and engaging learning experiences.
- Conduct refresher training sessions to ensure ongoing knowledge retention and skill enhancement.
**Upkeep and Updating of Training Content**:
- Regularly update training materials to reflect changes in CMS regulations, new process improvements, and evolving client needs.
- Monitor training effectiveness through feedback surveys, assessments, and performance tracking, and make adjustments as needed.
**Compliance and Certification**:
- Ensure that training materials and programs comply with industry standards, including HIPAA, SOC 2, and CMS requirements.
- Develop and track training certifications for staff to ensure they meet regulatory and operational standards.
**Continuous Improvement**:
- Collect and analyze training feedback to improve training delivery and effectiveness.
- Recommend and implement process improvements in training programs to enhance engagement, retention, and service quality.
**Required Qualifications**:
- Bachelor’s degree in Education, Training, Business Administration, or a related field.
- 5+ years of experience in training or learning and development, with a focus on TPA services or healthcare.
- Strong understanding of CMS regulations, claims processing, and TPA back-office operations.
- Experience in creating and delivering interactive training programs using modern learning technologies (e.g., LMS, eLearning platforms).
- Excellent presentation and facilitation skills, with the ability to engage and motivate learners.
- Strong communication and interpersonal skills for collaborating with teams and stakeholders.
**Preferred Qualifications**:
- Certification in Instructional Design or Training Delivery
- Experience with virtual training tools
- Knowledge of adult learning principles and learning needs analysis.
**Key Competencies**:
- Content Development: Strong skills in developing clear, effective, and engaging training materials.
- Leadership and Facilitation: Proven ability to lead and facilitate training sessions effectively.
- Regulatory Knowledge: Deep understanding of CMS guidelines and industry standards related to TPA services.
- Continuous Improvement: Focused on enhancing training programs to improve learner outcomes and operational efficiency.
- Analytical Thinking: Ability to assess training needs, collect feedback, and make data-driven decisions for content improvement.
**Qualifications**
- Graduate
**Range of Year Experience-Min Year**
- 5
**Range of Year Experience-Max Year**
- 7
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