Clinical Training & Compliance Coach (Remote/Hybrid)
Blue Cross Blue Shield of Arizona
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Job summary
Blue Cross Blue Shield of Arizona is seeking a Clinical Trainer and Auditor to develop, deliver, and evaluate clinical education for health plan operations. You will support NCQA accreditation, new-hire onboarding, annual training, and CMS/AHCCCS compliance programs.
The role requires partnership with the Training and Workforce Development team to ensure staff readiness and ongoing professional growth. Full-time hybrid work in Arizona with a focus on accuracy and regulatory adherence.
Qualifications
- 3 years’ experience in clinical care.
- 2 years of work experience in a managed care setting.
- Prior experience with NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review.
- Prior audit experience.
Responsibilities
- Consult with clinical operations leaders to identify training needs.
- Develops curriculum and revises as appropriate.
- Plan, coordinate, deliver, and evaluate clinical training programs.
- Deliver onboarding, annual training, and compliance education.
- Coach staff and serve as SME on NCQA/CMS/AHCCCS requirements.
- Provide online and conference-call training for remote employees.
- Monitor training effectiveness and report outcomes.
- Maintain knowledge of medical coverage guidelines and policies.
Skills
Education
Tools
Job description
Blue Cross Blue Shield of Arizona is seeking a Clinical Trainer and Auditor to develop, deliver, and evaluate clinical education for health plan operations. You will support NCQA accreditation, new-hire onboarding, annual training, and CMS/AHCCCS compliance programs.
The role requires partnership with the Training and Workforce Development team to ensure staff readiness and ongoing professional growth. Full-time hybrid work in Arizona with a focus on accuracy and regulatory adherence.
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