Clinical Training & Design Specialist (Medicaid Programs)

Acentra; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Acentra Health is seeking an Instructional Design and Trainer Mid (Clinical Trainer and Operational Support) to join our Integrated Health Solutions team. The role develops practical job aids, learning materials, and contract-specific training for clinical staff working in utilization management, case management, and assessments.

You will support onboarding, ensure consistent application of workflows, and help teams deliver timely, member-centered services for Medicaid populations while

Qualifications

• Active, unrestricted RN license in at least one U.S. state.
• Experience with Medicaid programs and utilization management in a health plan, managed care, provider, government, or vendor environment.
• Experience creating, interpreting, or applying utilization management policies, clinical criteria, and contract-specific requirements.
• Experience developing or delivering training, job aids, procedures, or other education for clinical staff.
• Ability to understand and communicate clinical, operational, regulatory, system, and contract requirements accurately.
• Preferred experience in case management and/or clinical assessments.

Responsibilities

• Develop, update, and maintain job aids, reference guides, process documents, checklists, presentations, and other learning materials for clinical staff.
• Create training content related to utilization management, case management, and assessments, including clinical workflows, documentation standards, systems, contract requirements, and escalation processes.
• Support onboarding and orientation for new clinical staff by coordinating training activities, preparing materials, reinforcing role expectations, and helping new employees apply knowledge in day-to-day operations.
• Deliver or co-facilitate contract-specific training for staff working in utilization management, case management, and assessment programs.
• Partner with operational leaders, clinical subject-matter experts, quality teams, implementation teams, and other stakeholders to identify training needs and ensure materials reflect current policies, workflows, and client requirements.
• Translate complex clinical, regulatory, system, and contract information into clear, practical guidance for clinical staff with varying levels of experience.
• Provide operational support during implementations, workflow changes, system enhancements, new program launches, and other initiatives that affect clinical staff or service delivery.
• Assist with readiness activities, including training plans, schedules, attendance tracking, knowledge checks, competency validation, and follow-up support.
• Review staff questions, workflow concerns, and training feedback to identify opportunities for clarification, process improvement, and additional education.
• Support the development and maintenance of standardized training materials while incorporating state-specific and contract-specific requirements as needed.
• Collaborate with quality and operational teams to reinforce documentation accuracy, clinical decision-making standards, productivity expectations, and compliance requirements.
• Participate in meetings, workgroups, workflow design sessions, system demonstrations, and other activities necessary to maintain current knowledge of assigned programs.
• Use sound clinical judgment and Medicaid program knowledge to identify potential operational risks and elevate issues to the appropriate leader.
• Maintain appropriate confidentiality and comply with all corporate policies, including HIPAA and its Privacy and Security Rules.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Skills

Facilitation

Presentation

Writing

Organization

Problem solving

Collaboration

Education

Bachelor’s degree in nursing

Job description

Acentra Health is seeking an Instructional Design and Trainer Mid (Clinical Trainer and Operational Support) to join our Integrated Health Solutions team. The role develops practical job aids, learning materials, and contract-specific training for clinical staff working in utilization management, case management, and assessments.

You will support onboarding, ensure consistent application of workflows, and help teams deliver timely, member-centered services for Medicaid populations while