Job Information

Providence Training and Quality Assurance Coordinator 1 in Beaverton, Oregon

Description:

Providence is calling a Training and Quality Assurance Coordinator 1 to our location in Beaverton, OR.

We are seeking a Training and Quality Assurance Coordinator 1 to look for improvements & efficiency opportunities within Operations in one or more of the areas of claims, customer service and membership accounting. The duties of this professional position will include developing and delivering technical and soft skill training, conducting auditing in claims, customer service and/or membership accounting and providing feedback on performance to Service Specialists. The duties of this position include responsibility for revision and maintenance of Operations documentation and reference materials. This position coordinates the writing, editing, production and publishing of documentation with all electronic interfaces.

In this position you will have the following responsibilities:

  • Research training topics, develop lesson plans, and write all training curriculum aimed at achieving goals and objectives. Update materials as procedures and policies change so that information presented is accurate in one or more of the areas of Claims, Customer Service and/or Membership Accounting.

  • Conduct training sessions utilizing workbooks or other written material. Use a supportive teaching style that is effective for the different learning styles of all staff in one or more of the areas of Claims, Customer Service and/ or Membership Accounting.

  • Develop course assessments and evaluations to continually improve sessions to ensure that trainees are adequately prepared to perform basic job duties and build on team cohesiveness and interpersonal relationships, in one or more of the areas of Claims, Customer Service and/or Membership Accounting.

  • Provide constructive feedback on trainees; work on continuous employee development and growth opportunities with Managers.

  • Develop reference material such as procedures, policy documentation, and other supportive material.

  • Provide recommendations to Managers and employees to maintain high quality performance.

  • Develop close working relationships with Operation Teams, Managers and other departments to identify training needs and develop ongoing training curriculum with current accepted procedures and practices.

  • Assist Service Specialists with resolving daily problems with member situations and answering questions.

  • Contribute toward team cohesiveness and efficiency; participate as a 'team player', supporting co-workers while setting an example of high personal and professional conduct for co-workers and others.

  • Prioritize and create training calendar based on team requests.

  • Provide recommendations and observation summaries to the Team Managers on opportunities identified during the service observation/claims auditing processes.

  • Coordinate with Health Plan departments outside Operations to ensure that new and existing information is incorporated into the Operations documentation.

  • Prioritize and process special projects, reprocessing projects, non-par provider appeals, and EDI.

  • Conduct service observations of customer service calls, provide feedback on performance, and coach to excellence.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree or equivalent education/experience.

  • 2 years relevant health insurance operations experience.

About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Education

Location: Oregon-Beaverton

Req ID: 348843