Development Specialist - OON

Development Specialist

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. 

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! 

JOB SUMMARY This role teaches, coaches, trains and provides ongoing day to day support to all team members inside and outside of the classroom, which includes both new and existing employees. The incumbent assists management in review and analysis of training results and quality analysis (QA) trends in order to improve overall performance within the department. Incumbent is responsible for some department communications pertaining to both new and updates to existing P&P.

Compensation

The salary range for this position is $22.00-$24.00 hourly.  Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.  This position is also eligible for health insurance, 401k and bonus opportunity.  

  JOB ROLES AND RESPONSIBILITIES
1. Act as department On the Job Trainer (OJT) for incoming new hire classes. Acts as a coach team members to ensure optimal quality, consistency, and performance. Closely monitor the performance of less experienced team members to ensure standards for quality are continuously met.
2. Collaborate with training and department leadership specific to the training agenda. Provide input on enhancements and curriculum as appropriate.
3. Ensure content of the training agenda and classroom activities are accurate and up-to-date.
4. Respond to process questions from team members and training as necessary.
5. Impart technical knowledge to staff that will aide in performance of their roles.
6. Provide staff with coaching to achieve performance results.
7. Aid in the management of team members professional growth through collaboration with department leadership to identify individual training needs concerning performance, productivity,quality and the assurance that training goals are met. May include Phone Call Monitoring and Claim/Service Case Quality review.
8. Prepare reports through collection, analysis, and summarization of information and trends when requested by department leadership.
9. Periodically participate in the execution of all duties performed by staffto include but not limited to: phone calls, inventory, sup / work queue, rosters, escalations.
10. Utilize expertise in the execution of training to all levels of department staff as necessary.
11. Identify ways to improve current processes, procedures, environment and policies and communicate to management as appropriate.
12. Collaborate, coordinate, and communicate across disciplines and departments.
13. Ensure compliance with HIPAA regulations and requirements.
14. Demonstrate Company's Core Competencies and values held within.
15. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
16. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Qualifications JOB REQUIREMENTS (Education, Experience, and Training) * Minimum GED or high school diploma coupled with 2 years' experience in Negotiation / Support services or healthcare/customer service outside role involving leadership/training.
* Required licensures, professional certifications, and/or Board certifications as applicable
* Knowledge of phone techniques
* Knowledge of medical and claim terminology is desired
* Knowledge of healthcare/managed care industry, types of services and general business processes is desired
* Communication (written, verbal, listening), organizational, problem solving, leadership, customer service, interpersonal, follow up and data entry skills
* Ability to train, coach and support all team members both inside and outside of a classroom setting
* Ability to maintain confidentiality
* Ability to use and interpret multiple systems for claims research, contract interpretation, fee schedule rates, provider network status, application and nomination guidance and data integrity.
* Ability to work, effectively handle multiple tasks, prioritize and manage time in a fast paced call center environment
* Ability to identify problem issues and determine the appropriate course of action/redirection within department guidelines required to resolve issues
* Ability to work independently as well as part of a team
* Ability to resolve issues of conflict in a tactful and professional manner and to effectively diffuse irate callers
* Ability to use software, hardware and peripherals related to job responsibilities including MS Office Suites, database software, etc.
* Ability to train, coach and support all team members both inside and outside of a classroom setting
* Ability to maintain confidentiality
* Ability to travel
* Ability to abide by scheduled hours of work with regular and consistent attendance.
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.  

Benefits

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs.  Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities. 

Your Benefits Will Include:

• Medical, dental and vision coverage with low deductible & copay 
• Life insurance 
• Short and long-term disability 
• Paid Parental Leave 
• 401(k) + match 
• Employee Stock Purchase Plan 
• Generous Paid Time Off – accrued based on years of service  
• WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service 
• 10 paid company holidays 
• Tuition reimbursement 
• Flexible Spending Account 
• Employee Assistance Program 
• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits. 

Eeo Statement

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations.  Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.  If you would like more information on your EEO rights under the law, please click here. 

Application Deadline

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted. 

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