Job Description

Let\'s do great things, together

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.

To provide training, develop and maintain training material/documentation, and perform quality reviews of policies, procedures, phone techniques and etiquette and system functionality for Provider Configuration and Contracts. Retrain established configuration specialists and contract configuration specialists. Provide ongoing training as needed to ensure documentation and efficient system usage. Produces and updates the department Policies and Procedures Manual (UPM).

\xe2\x80\x8b\xe2\x80\x8b\xe2\x80\x8b\xe2\x80\x8bThis is a Hybrid PST position. We are only offering this position to candidates living in or willing to relocate to OR or WA.

Please follow the link below to apply to this position:
\xe2\x80\x8b\xe2\x80\x8bBenefits:

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

Schedule:

• PST schedule Monday - Friday
• Full-time hours are 7.5 hours a day

Primary Functions:

• Access training needs in development of new training programs.
• Develops courses and modules for use in the training of all levels in the Provider Configuration unit. This includes the development and updating of course content and training materials including but not limited to contract, claims, and phone skill modules. Coordinates to ensure consistency throughout the corporation.
• Presentations are developed and implemented in a clear, user-friendly manner and accommodate various adult learning skills.
• Conducts end of course evaluation and action planning.
• Create and update documentation and resource materials as needed.
• Ensure departmental quality assurance standards are adhered through audit.
• Advise the supervisor of any personnel issues, utilizing proper judgment in accessing any necessary action to be taken.
• Assist in planning, organizing, and directing the activities and workflow of the department.
• Responsible for quality and continuous improvement within the job scope.
• Contributes and supports the corporation\'s quality initiatives by encouraging team and individual contributions toward the corporation\'s quality improvement efforts.
• Interpret contracts and determine action required. Recommend procedure for department. Write up for Users Procedure Manual (UPM).
• Collaborating with other departments, such as Provider Relations, Claims & Customer service departments to identify training needs and coordinating and implementing classes when appropriate.
• Participate in or manage projects as assigned.

Requirements:

• High School diploma or equivalent.
• At least two years\' experience as a Provider Configuration Specialist or Contract Configuration Specialist, consistently exceeding level of performance or equivalent experience in training.
• Ability to instruct, motivate, direct individuals at various skill levels over the phone, face to face and in the classroom environment.
• Demonstrated strong, effective, and diplomatic interpersonal skills with employees of all levels and to participate effectively as a team player.
• Demonstrated analytical skills in identifying technical needs and implementing an effective course of action.
• In depth knowledge of Facets systems and Microsoft Office.
• Demonstrate training skills in small and large groups with good presentation skills.
• Ability to read and interpret contracts and apply Moda Policies and Procedures.
• Excellent problem solving and decision-making skills
• Ability to work well under pressure in a complex and rapidly changing environment.
• Ability to come to work on time and daily.
• Maintain confidentiality and project a professional business appearance.
• Knowledge and understanding of Moda administrative policies affecting claims.
• Excellent written and oral communication.

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.

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.

Pay Range

$22.00 Hourly to $25.25 Hourly

Moda Health