UM Training & Quality Coordinator

Acentra; Richmond (VA); On-site; USD 28,000 - 40,000; Full time

Benefits offered by this job

Health plans

Paid time off (PTO)

Retirement savings

Educational assistance

Corporate discounts

Job summary

Acentra Health is seeking a Training and Education Coordinator to support Utilization Management services through development, coordination, and delivery of training programs, QA activities, and educational resources.

Working under the direction of the Executive Director and in collaboration with the Program Director and Quality & Training Director, this role assists with the development of educational resources, conducts quality audits, monitors provider compliance trends, and coordinates

Qualifications

• Bachelor's degree in Healthcare Administration, Education, Public Health, Business Administration, Nursing, or related field
• Minimum of three (3) years of experience in healthcare operations, utilization management, provider relations, training, quality assurance, or related field
• Experience developing, coordinating, or delivering training and educational materials
• Strong organizational, analytical, and problem-solving skills
• Excellent verbal, written, presentation, and interpersonal communication skills
• Proficiency in Microsoft Office applications and virtual meeting platforms

Responsibilities

• Coordinate the development, implementation, and maintenance of provider training and educational programs related to Utilization Management processes, policies, systems, and contractual requirements.
• Create, update, and distribute provider manuals, user guides, job aids, standard operating procedures, and other educational materials.
• Conduct orientation and onboarding activities for new providers and provide ongoing training support for existing providers.
• Coordinate and facilitate provider training sessions, webinars, workshops, and educational meetings.
• Assist with identifying training needs through quality reviews, provider feedback, and performance monitoring.
• Support the Quality & Training Director in developing training curricula and educational strategies to improve provider compliance and performance.
• Conduct routine quality audits of authorization submissions, documentation, and provider adherence to established Utilization Management requirements.
• Review audit findings and assist in identifying trends, gaps, and opportunities for process improvement.
• Support the development and implementation of corrective action plans and targeted educational interventions based on audit results.
• Monitor provider compliance with submission standards and system utilization requirements.
• Maintain audit records, quality tracking tools, and performance reports.
• Assist in evaluating the effectiveness of training programs through quality metrics and audit outcomes.
• Read, understand, and adhere to all corporate policies, including HIPAA Privacy and Security Rules.

Job description

Acentra Health is seeking a Training and Education Coordinator to support Utilization Management services through development, coordination, and delivery of training programs, QA activities, and educational resources.

Working under the direction of the Executive Director and in collaboration with the Program Director and Quality & Training Director, this role assists with the development of educational resources, conducts quality audits, monitors provider compliance trends, and coordinates