Support Staff Trainer/Auditor

Req #:

2861

Job ID:

14349

Job Location:

New York, NY

Zip Code:

10041

Category:

Office and Administrative Support

Agency:

Elderplan

Status:

Regular Full-Time

Office:

Salary:

$68,838.31 - $82,605.97 per year

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?:

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

 

Benefits include:

• Sign-on Bonuses OR Student Loan Assistance for clinical staff
• FREE Online RN to BSN and MSN degree programs!
• Tuition Reimbursement for all full and part-time staff
• Dependent Tuition Reimbursement for clinical staff!
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

The Trainer/Auditor is responsible for quality assurance, accuracy and overall integrity of the Utilization Management records and documentation completed by Support staff. This role is to provide training and auditing support to Directors, Managers and Supervisors; to ensure that all documentation and reporting requirements are prepared and maintained in a professional and well-coordinated manner. The Support Staff Trainer and Auditor is responsible to complete all training for the Placement and Utilization Support and Managed Care Coordinator positions. The Trainer/Auditor will provide new staff with a comprehensive training program; inclusive of all training materials, policies, and workflows/job aides. The Trainer/Auditor will document progress and milestones in the training program and report to the staff’s assigned Supervisor. The Trainer/Auditor will also complete ongoing audits of Support Staff, analyze collected audit data, identify trends for staff re-training and implement corrective action plans in collaboration with unit Supervisors/Management team.

Qualifications:

• Baccalaureate Degree preferred, 2 to 3 years’ experience in healthcare
• Minimum of two (2) years of working in utilization management support experience required. Managed Care experience preferred
• Excellent analytical skills, interpretation of data
• Strong critical thinking skills
• Knowledge of Medicare and Medicaid regulations
• Ability to set priorities and to handle multiple assignments
• Working knowledge of audit techniques and methodologies
• Working knowledge of State and Federal regulations
• Travels to perform business partners training

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