Trainer CS & Claims I

Moda Health; Portland (OR); Remote; USD 35,000 - 40,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K Matching

FSA

PTO & Holidays

WFH

Job summary

Moda Health is hiring a Training Specialist for a full-time, work-from-home role in the United States. The position focuses on providing technical training across claims processing, customer service, and systems navigation. You will develop and update training materials, facilitate virtual sessions, and monitor learner performance.

Collaboration with Moda teams and leadership is essential. The role requires a Bachelor's in Education or Healthcare, with experience in adult learning theories and

Qualifications

• Bachelor's degree in Education, Healthcare, or related field; 1 year experience may substitute.
• Experience in claims processing or customer service, or equivalent education.
• Experience using Facets and Moda software preferred.
• Knowledge of adult learning theories and methodologies.
• Virtual or web-based learning environment experience.
• Excellent reading, oral, and written communication skills.
• Strong interpersonal and diplomacy skills; teamwork oriented.
• Ability to learn new information quickly and decide on action.
• Excellent presentation skills across settings.
• Proficient with MS Word, Excel, PowerPoint, OneNote.
• Maintain confidentiality and professional demeanor.
• Work well under pressure in a changing environment.
• Willingness to follow Moda policies.
• Maintain attendance and timeliness per company standards.

Responsibilities

• Perform training needs assessment to support changing business needs.
• Develop and update training materials for employees at all levels.
• Deliver virtual training classes and document learner performance.
• Assist Moda teams on projects as assigned and available.
• Monitor learner performance and provide feedback to stakeholders.
• Maintain high quality and continuous improvement within job scope.
• Collaborate with leadership to ensure training aligns with policies.

Skills

Training delivery

Customer service

Claims processing

Systems navigation

Adult learning theory

Presentation skills

Education

Bachelor's degree in Education/Healthcare

Tools

Facets

Microsoft Word

Microsoft Excel

PowerPoint

OneNote

Job description

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Let’s do great things, together!

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

This position is responsible for providing technical training and guidance to new and current employees. Functional areas of training may include claims processing, customer service, systems navigation, or special projects. Core responsibilities include developing and updating all training materials, facilitating virtual training classes, documenting learner performance, and consistently demonstrating professionalism both in and out of the classroom. This position may also assist other Moda teams as assigned and available.

This is a FT WFH role.

Pay Range

$25.58 - $28.78 hourly, DOE.

• Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Benefits

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Primary Functions

• Perform training needs assessment on an ongoing basis, to support regularly changing business needs.
• Develop and update training materials, to support the training of employees at all levels within the company.
• Remain current with policies and procedures of relevant products to be trained and work with leadership to update those policies and procedures as needed.
• Accommodate the various learning needs presented in each learning environment, demonstrating respect for each participant.
• Conduct training evaluations and remain open to constructive feedback from all stakeholders.
• Monitor and evaluate the performance of learners through observation and auditing of work.
• Advise department leadership of any performance issues in the learning environment and work collaboratively with leadership to address these issues appropriately.
• Participate in or manage projects as assigned.
• Maintain personal responsibility for quality and continuous improvement within the job scope.
• Adhere to and support the company's mission and culture of caring for others and striving to be better.
• Foster an atmosphere of cooperation among peers, learning participants, and leadership.
• Perform other duties as assigned.

Required Skills, Experience & Education

• Bachelor's degree in Education, Healthcare, or another relevant field. One (1) year of directly related experience may be substituted.
• Demonstrated success in a relevant position (i.e.: claims processor, customer service representative, corporate training), or equivalent education in combination with indirect experience.
• Experience in using Facets and other Moda software preferred.
• Demonstrated knowledge of adult learning theories and methodologies.
• Ability to manage a learning environment supportive of individuals of diverse skill levels, abilities, and experience. The learning environment will primarily be virtual or web based.
• Excellent reading, oral, and written communication skills, and ability to interact courteously, professionally, and patiently with all persons internally and externally.
• Strong interpersonal and diplomacy skills; adept in conflict resolution, group dynamics, and team building.
• Ability to analyze new information quickly and determine an effective and appropriate course of action.
• Excellent presentation skills in a variety of settings.
• Knowledge in using Microsoft Word, Excel, Power Point, and OneNote.
• Ability to maintain confidentiality and project a professional business presence and appearance.
• Ability to work well under pressure in a complex and rapidly changing environment.
• Ability to learn and follow Moda administrative policies.
• Maintain attendance and timeliness in compliance of company standards.

Working Conditions & Contact With Others

• This position collaborates regularly within Claims & CS Training Department, coordinating work with other Moda Departments, Leadership and Stakeholders (IE: Claims Processing, Customer Service, IT, Facilities, Etc.) Directly communicates with Members, Providers, Vendors, and other Insurance Carriers regarding Moda Policies and Member Benefits information.
• Work is performed seated or standing for prolonged periods. Close PC monitor and keyboard work. Constant interaction with others on the phone and in person. Work more than 40 hours per week, including evenings and occasional weekends to meet business need.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations please direct your questions to Kristy Nehler& Danielle Baker via our [e-mail] email.