Training and Medical Insurance Curriculum Lead in Portsmouth, NH at Public Consulting Group

Date Posted: 7/31/2020

Job Snapshot

Job Description

Overview

About Public Consulting Group

Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit http://www.publicconsultinggroup.com/health/.



Responsibilities

  • Presents formal training on various programs, policies, systems, and procedures for all staff.
  • Provides On-the-Job Training programs for new staff for a variety of services.
  • Writes training packages and all collaborative materials (such as desk guides, PowerPoints, e-learnings, etc.) for staff and external contractor sites and stakeholders.
  • Translates complex policies, procedures and systems into simple, understandable training materials.
  • Conducts remedial/refresher training on updated policies and systems.
  • Helps develop and present training programs for various services.
  • Works on a wide variety of special projects including cross-agency training efforts.
  • Acts as subject matter expert for the third-party administration (TPA) and clients’ policies, procedures and systems.
  • Acts as liaison between employees and management to escalate questions and issues regarding TPA clients’ policies, procedures and systems.
  • Delivers one-to-one mentoring training for staff needing refresher or more intensive learning.
  • Assist with the interviewing and recommendations of new TPA staff.
  • Coordinates training sessions offered by internal and external subject matter experts.
  • Conducts frequent, in-depth learning and development needs assessments by working closely with staff and management teams.
  • Develops desk guides for new initiatives and refresher trainings.
  • Develops, delivers and facilitates professional and organizational development sessions.
  • Keeps current and maintain expertise in following areas: MassHealth (HCR and Traditional and LTSS), Health Connector and Health Safety Net Policies and Systems, Microsoft Office Applications (Word, Excel, and Outlook), Client Plan Documents and Summary Benefit Coverage forms, QicLink and the Trilogy Claims Administrative Handbook.
  • Updates training packages within 14 days of policy and systems changes.



Qualifications

  • Knowledge of group employee health benefit plans
  • Knowledge of State’s Medicaid and/or Health Insurance Exchange eligibility/program.
  • Ability to translate complex policies, procedures and systems into simple, understandable training materials
  • Ability to plan and conduct training sessions.
  • Ability to manage and sustain multiple and complex relationships and ensure that lines of communication are open.
  • Ability to work under significant time pressures to meet unanticipated demands.
  • Ability to work effectively with teams, share information and work collaboratively to solve problems and make decisions.
  • Knowledge of the theories and principles of adult learning.
  • Knowledge of training methods and techniques such as lecture, case study, role playing and programmed instruction.
  • Strong presentation skills, and the ability to prepare software presentations and other visual aids.
  • Ability to supervise participants in a training session and facilitate groups.
  • Knowledge of professional and organizational development.
  • Knowledge of State’s programs, policies and systems.
  • Knowledge of Microsoft Office applications, and ability to develop related training programs and desk guides.

Education: Bachelor's degree preferred or 6+ years' experience

Experience: 5+ years’ experience creating, coordinating, delivering and assessing educational and/or professional development training in a corporate or government setting; minimum 3 years’ experience in a Call Center and Claims environment, Experience assessing individual and group training needs. Experience developing and conducting on-the-job training programs. Knowledge of group employee health benefit plans a plus.

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EEO Statement

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability.  VEVRAA Federal Contractor.

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