Education and Training Specialist - CLAIMS PROCESSING

Providence Health Plan Group; California (MO); On-site; USD 84,841,000 - 129,832,000; Full time

Benefits offered by this job

Health benefits

401(k) matching

Paid time off

Job summary

Providence seeks a Learning & Development professional to lead claims training programs, develop curricula, and deliver staff education to improve quality and performance within the Claims Department.

The role includes coordinating training resources, onboarding new hires, and evaluating outcomes, aligning training with Providence's mission and NSS goals.

Qualifications

• Bachelor's Degree or equivalent education/experience.
• 5 years of in-depth knowledge of claims operations, HMO products, and managed care processes.
• Proficiency with MS Office (Word, PowerPoint, Excel).
• Experience in design, development and facilitation of educational programs; computer-based learning a plus.

Responsibilities

• Develop and deliver claims training programs to improve quality and production.
• Coordinate, plan, prepare, schedule, deliver and evaluate staff education, manuals and materials.
• Assist with orientation and integration of new employees in the Claims Department.

Skills

Training delivery

MS Office

Education program design

Education

Bachelor's Degree or equivalent

Tools

MS Office Suite

Job description

Description

Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Coordinate, plan, prepare, schedule, deliver, and evaluate staff education, manuals, and materials. Assist with the orientation, education and integration of new employees in the Claims Department.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications

• Bachelor's Degree -or- equivalent educ/experience
• Any combination of experience or equivalent background:
• 5 years experience of acquired in-depth technical knowledge of functional area i.e., claims operations, HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc.
• Proficiency and experience in using multimedia training resources and MS Office applications such as Word, PowerPoint and Excel, etc.
• Experience in design, development and facilitation of educational programs in a corporate setting a plus. Ability to create computer-based learning programs a plus.

Why Join Providence

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in‑class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100‑year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well‑being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID

450440
Company: Providence Jobs
Job Category: Learning & Development
Job Function: Human Resources
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES
Address: CA Mission Hills 11165 N Sepulveda Blvd
Work Location: Facey Sepulveda Annex-Mission Hills
Workplace Type: On-site
Pay Range: $29.62 - $45.31
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.