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Evolent Health Instructional Specialist (Claims/Provider Data Management) in Boston, Massachusetts

Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

Why We’re Worth the Application:

  • We continue to grow year over year.

  • Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts (https://www.evolenthealth.com/diversity) .

  • Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index making us a best place to work for LGBTQ+ equality.

  • Named to Parity.org’s 2020 list of the best companies for women to advance (https://www.evolenthealth.com/about-us/press-releases/8579/evolent-health-named-to-parity.org%E2%80%99s-best-companies-for-women-to-advance-list-2021) .

  • Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.

  • Published an annual DE&I report (https://dev.evolenthealth.com/sites/default/files-public/Evolent%20Health%202020%20DE%26I%20Annual%20Report.pdf) to share our progress on how we’re building an equitable workplace.

What You’ll Be Doing:

What You’ll Be Doing:

Under the supervision of the Sr. Director/Director of Health Plan Services (HPS) Training & Development, the Instructional Specialist will develop and assist in the development of training materials, exercises and structured activities designed to develop exceptional operational team members. The Instructional Specialist will facilitate in person and virtual classes as well as be responsible for the evaluation of training effectiveness, identification of knowledge gaps, recommendation of training solutions to address identified training opportunities, collaboration with leadership to determine desired results and creation of action plans to produce them. The Instructional Specialist is also accountable to support departmental and organizational initiatives.

Responsibilities:

  • Facilitate instructor-led classroom and virtual training using a variety of training methods, tools, and software programs

  • Develop and maintain training materials, workflow documents, Standard Operating/Desktop Procedures, and job aids

  • Periodical review of operational departmental policies and procedures (P&P)

  • Assist operational team to update P&P documents

  • Communicate P&P updates and changes department wide

  • Collaborate with operational leadership to review evidence of adherence to procedural controls and ensure individuals responsible for non-adherence are re-trained when necessary

  • Ensure Department Policies and Procedures and Desktop Procedures are cross referenced to one another where applicable

  • Partner with department leads to identify required training by role and experience level

  • Communicate process changes that have broad impact across the training team

  • Train new and existing employees in their role functions

  • Create instructor-led training agendas

  • Provide feedback on training program content and supporting documentation

  • Utilize assessments and evaluation tools to gauge trainee knowledge and skill gaps

  • Provide weekly customized coaching and feedback sessions for each trainee

  • Report progress of training classes and trainees to the operational leadership team

  • Analyze reports to track trending performance and to identify opportunities for improvement

  • Evaluate training effectiveness by auditing trainee work-product

  • Provide feedback and solutions to achieve predetermined benchmarks and goals

  • Maintain administrative documentation including but not limited to training agendas, attendance sheets and assessment scores to demonstrate trainee compliance with department requirements

  • Work with the operational leadership team to identify error trends, monitor productivity, and support the quality standards program for all trainees and staff

  • Work with the Market team to facilitate end-user client training when necessary

The Skills You Need (required):

  • Strong written and verbal communication

  • Knowledge of adult learning principles and methodologies

  • Proficiency with Microsoft Office

  • Demonstrated ability to manage group discussion and dialogue

  • Ability to conduct effective and engaging presentations in a variety of delivery settings

  • Comfort using a variety of communication methods

The Experience You Need:

  • Minimum 3 years’ experience in the healthcare industry

  • Minimum 1-year leading presentations for both small and large groups

  • Minimum 1-year training content development

  • Maintenance of electronic document management solutions like SharePoint

Finishing Touches (Preferred):

  • Advance knowledge of TPAs, ACOs, MCOs, Population Health and/or Value Based Care

  • Knowledge and experience with Medicaid, Medicare, Medicare Advantage, Commercial, HMO or Indemnity insurance

  • Training and Development Certification

Technical Requirements:

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and federal law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home. Certain jobs require face-to-face interaction with our providers and patients in client facilities or homes. Employees working in such roles will be required to meet our vaccine requirements without exception or exemption.

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Compensation Range: The minimum salary for this position is $, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.

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