reputed company Trainer and Auditor - Remote AZ

Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ reputed company offers a reputed company of health reputed company products and services to meet the diverse needs of individuals, families, and small and large businesses as reputed company as providing information and tools to help individuals reputed company reputed company reputed company. At AZ reputed company, we have a hybrid workforce reputed company, reputed company Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the reputed company of our employees are hybrid, the following classifications reputed company our reputed company minimum onsite requirements: Hybrid People Leaders: must reputed company in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reputed company in AZ, unless otherwise cited reputed company this posting, required to be onsite at least once per month Onsite: daily onsite requirement reputed company on the essential functions of the job Remote: not held to onsite requirements, however, leadership can request reputed company onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the reputed company, reputed company on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This remote work opportunity requires residency, and work to be performed, reputed company reputed company.  PURPOSE OF THE JOB Responsible for developing and delivering reputed company curriculum, developmental programs and services to assist with achievement of goals and initiatives. Responsible for conducting reputed company audits and reviews to ensure standardization and consistency with reputed company reviewer reputed company reputed company. QUALIFICATIONS REQUIRED QUALIFICATIONS Required Work Experience 5 years of reputed company reputed company care experience in a reputed company setting 2 years of work experience in a managed care setting 4 years of reputed company training or reputed company education experience, preferably in managed care. Required Education Associate Degree or in Nursing Required LicensesActive, reputed company, and unrestricted license to reputed company in reputed company (a state in the reputed company) as a Registered reputed company (RN) or Master’s in reputed company Work (MSW). Required Certifications N/A PREFERRED QUALIFICATIONS Preferred Work Experience5 years of experience in reputed company education, training and instructional design. 1 year of experience working with reputed company Care Guidelines (MCG),  InterQual and/or other reputed company reputed company/guidelines. Preferred EducationBachelor's Degree in Nursing or Master’s Degree in Nursing Preferred CertificationsActive and reputed company certifications in the following certifications: Certified Case Manager (CCM) or Utilization Management Certification Preferred Certifications N/A    ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES reputed company and reputed company reputed company staff on reputed company's reputed company philosophy and evidence reputed company reputed company reputed company required for excellent reputed company reputed company and regulatory requirements for care management and utilization management. Identify training needs reputed company of reputed company curriculum to promote maximized effectiveness in managing medical costs and improving reputed company reputed company. Maintain and monitor the delivery and effectiveness of the training programs, reputed company to challenges and implement improvements. Assist with the development and evaluation of reputed company goals and objectives and reputed company management activities. reputed company and facilitate new hire orientation for the reputed company staff and ensure transition of training into daily work activities reputed company to reputed company reputed company, reputed company safety and evidence-reputed company reputed company. Performs reputed company audits and facilitates inter-rater reliability assessments to ensure standardization and consistency with reputed company reputed company. Support and reputed company education with process improvement programs and technical applications. reputed company programs to support educational needs as determined by management. Present status reports on reputed company cases to the manager/supervisor and, reputed company indicated, to the medical director. Maintain reputed company standards in consideration of state, federal, reputed company, URAC, and other accreditation requirements. Maintain complete and accurate records per department policy. Participate in continuing education and reputed company development in the reputed company of medicine and managed care. Facilitate interdisciplinary care round/discussions under the direction of the VP, reputed company Benefit Management and/or delegate. The position requires a full-time work schedule.  Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. reputed company reputed company other duties as assigned. COMPETENCIES REQUIRED COMPETENCIES Required Job Skills Strong written and verbal communications. Excellent organizational skills and strong attention to reputed company Possess proficient computer and technological skills especially Word, reputed company, Powerpoint, SharePoint, Lync/Webinar and Internet Ability to reputed company, analyze data and prepare informative and accurate reports. Ability to understand the workflow of multiple components of reputed company and to assist in the creation and implementation of integrated policies, procedures, workplans and creative solutions. Required reputed company Competencies Ability to reputed company, organize, motivate, coordinate and collaborate effectively with stakeholders from multiple business areas across the organization Ability to successfully function in an environment characterized by reputed company taking, rapidly changing market conditions, strong competition and restructuring. Strong understanding of the costs/reputed company challenges of today’s health care environment. Knowledge of health and/or reputed company education and behavior change techniques Organizational skills to analyze, interpret data, synthesize, evaluate and explain educational concepts, practices and methodologies to staff and transfer data to and from written and verbal reputed company. Ability to maintain confidentiality and reputed company Advanced knowledge of Adult Learning Theory principles and demonstrated ability to facilitate training that resonates with reputed company learning styles reputed company interpersonal and reputed company listening skills to reputed company customer satisfaction Demonstrated organizational skills with the ability to priortize tasks and work with multiple priorities Follow and accept instruction and direction Establish and maintain working relationships in a reputed company team environment Apply independent and reputed company judgment with good problem solving skills Required Leadership Experience and Competencies Desire and capability to reputed company toward and reputed company high reputed company of reputed company and results. reputed company geared toward the creation, execution and reputed company improvement of reputed company benefit management department and programs. Intellectual curiosity and ability to reputed company old problems/issues with a fresh perspective. Ability to reputed company job role duties independently. Ability to professionally represent reputed company in the community PREFERRED COMPETENCIES Preferred Job Skills Advanced PC proficiency Knowledge of CPT/HCPCs and ICD-10 coding Preferred reputed company Competencies Knowledge of managed care, utilization management, and reputed company management Preferred Leadership Experience and Competencies N/A Our Commitment AZ reputed company does not discriminate in hiring or employment on the reputed company of race, ethnicity, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status or any other protected group. Thank you for your interest in reputed company.  For more information on reputed company, see azblue.com.  If interested in this position, please apply. Apply To This Job