Claims Trainer

Claims Trainer

Lead I - BPM

Who we are:

UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers - and better outcomes for our communities.

We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.

You Are:

UST HealthProof is looking for a highly energetic and collaborative Claims Operations Trainer who is responsible for the development, implementation and management of training and business process improvement initiatives of HealthProof customers. The Claims Trainer will develop, implement and manage IKA System learning and development programs for HealthProof customers who have or are in the process of implementing IKA applications. Work collaboratively to facilitate the design, development and implementation of policies, procedures and practices related to business operations using IKA.

The Opportunity:

• Help clients define business problems requiring business process improvements and training
• Deliver training recommendations to clients after analyzing the business/technology ecosystem of the client
• Design curriculum that reflects the configuration and business processes of operations based on IKA System
• Identify best practices for IKA-related workflow and business processes.
• Recommend accelerators, reusable assets etc. as required.
• Shortlist potential opportunities and execute consulting engagements focused on IKA process mapping, training and standard operating procedure development.
• Engage with client stakeholders during advisory engagements.
• Develop the HealthProof brand with the client

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What you need:

• Bachelor's degree and/or equivalent experience
• 3 years of overall experience in training for claims operations end users, project management, and system/process implementation, with at least 2 years of Medicare Advantage claims experience
• Minimum of three years of hands-on experience with IKA System
• Excellent interpersonal and communication skills
• The ability to adapt quickly to a fast-paced environment.
• Excellent written and oral communication skills.
• The ability to understand speak technology.
• Thorough understanding of agile software development methodologies
• Ability to coach the team to reach their full potential.
• Ability to gel with the team well and build a self-organized and highly energetic team.
• Overall Experience level: 3 years of claims processing and/or MA Claims SME experience. Experience in business requirement definition, training, project management, and IKA System/process implementation.
• Management consulting and health plan operations experience preferred.

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by applicable law, UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Remote

Compensation Range: $50,000-$70,000

Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits.

What we believe:

We're proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we've been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.

Humility:

We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

Humanity:

Through business, we will better the lives of those less fortunate than ourselves.

Integrity:

We honor our commitments and act with responsibility in all our relationships.

Equal Employment Opportunity Statement

UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

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