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Quality Improvement Training Specialist Job Details

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Company:  WellCare Health Plans, Inc.
Job Code:  0902243
Categories:  For-Profit Senior Services
Job Role:  Trainer / Educator
Region/Province:  Florida (FL)
City:  FL-Tampa
Job Description:  !*!WellCare Health Plans, Inc. (NYSE: WCG) provides managed care services exclusively for government-sponsored health care programs, focusing on Medicare and Medicaid. A 2008 Fortune 500 Company headquartered in Tampa, Florida, WellCare offers a variety of health plans for families, children and the aged, blind and disabled, as well as prescription drug plans. The Company employs approximately 3,800 associates and services nearly 2.4 million members nationwide as of June 30, 2009.

At WellCare, we strive to be the leader in government-sponsored health care programs. Our actions must consistently demonstrate a high level of integrity that earns the trust of those we serve, and all of our associates must be responsible for the commitments we make and the results we deliver. To accomplish this, we must hire and develop the best possible talent, and create a fulfilling environment for our associates where diversity is valued, achievements are recognized and people of all backgrounds and talents are encouraged to grow.
The Health Services Training Specialist provides the Health Services Utilization Management department with future assessment, instructional design, facilitation, teaching, monitoring educational programs and performance improvement.  

 

Essential Functions:


  • Trains, facilitates and assesses training programs for the Health Services Utilization Management department.

  • Assesses designs and develops instructional materials including training manuals, teaching aids, self-paced study and performance evaluation tools, in conjunction with the training department.

  • Conducts research for needs assessments and provides written complete detailed recommendations to Training Director of Health Services.

  • Manages group dynamics through the use of "learner focused" environment and adult accelerated learning methods.

  • Develops and conducts audits to identify training needs and opportunities for performance improvement for health services utilization management department.

  • Reviews all programs assigned and continuously ensure they meet the rigorous standards that are set forth by WellCare health services department.

  • Produces professional presentations and training materials using MS Word, PowerPoint and other desktop publishing software.

  • Revises existing training materials and programs based on audit results, questionnaires, changing procedures and feedback from internal/ external customers, subject matter experts, program sponsors and trainers.

  • Coordinates and organizes enrollment of students, assemble necessary program materials, decoration/setup of classroom, shopping for supplies, catering and other functions to enhance the training process.

  • Assists Health Services Training Director with tasks as required.

  • Assess the "job fit" of students during training and immediately report non-progress directly to Training Director of Health Services.

  • Performs special projects as needed.

Education/Experience:



  • Registered Nurse



  • Formal training in adult learning principles preferred (college level classes, or advanced certification training.)  



  • 5 years clinical practice in a hospital, clinic or other provider setting.  



  • 2 years in managed care or case management role. 



  • Experience with Government Programs, Medicare and Medicaid preferred. 



  • 1-2 years experience making presentations to groups of 5 or more. 



  • Prefer direct training experience with member services, claims, customer service, call center and/or health management organization. 



  • Experience in the following areas/competencies is advantageous:  Claims / Member Services / Health Services / Call Center / Sales / Provider Relations Training and development / Corporate University/ HMO, managed healthcare or Insurance professional/ Curriculum development specialist/ Team leader for groups of 25 or more/ Online training / Computer based learning professional/ Public speaker / seminar leader



Licenses/Certifications:


  • Registered Nurse, licensed in Florida


Computer Skills:



  • Proficient in Microsoft Office including Word, PowerPoint and Outlook.  

  • Ability to learn company approved software and other industry software in order to perform job duties 


Other:


  • Travel (as needed by Director of Training) to other WellCare locations not limited to Florida, New York and Connecticut for training business

Post Date:  11/12/2009
 

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