Now is the time to join us!
We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.
Who are you?
Responsible for the overall clinical training and quality assurance aspects of the Utilization Review, Case Management, M2B and Wellness departments.
In this role you will wear many hats, but your knowledge will be essential in the following:
- Creates and maintains formal training curriculum that ensures process best practices, compliance adherence, and quality goals and objectives of the department/processes as assigned by management.
- Conducts training orientation, introduction to process specific training to prepare the Clinical Staff on their assignments as scheduled.
- Deliver effective training in multiple modalities (classroom, virtual, self-learning, 1 on 1) to adult learners of varying experience and skill sets
- Participate in reporting mechanism findings to gauge training efficacy, such as surveys and feedback related to training.
- Maintains formal record of training activities and employee progress (track and trend) and updates the training department leadership on any Clinician that are not meeting expectations.
- Participate in quality audit programs based on training effectiveness analysis as assigned.
- Conducts a sample review quality analysis audit for each clinician on a monthly basis and identify any adherence gaps and training opportunities as assigned.
- Provide training and support in correlation to team member of corrective action plans (as set by management) provide comprehensive follow-up to the Manager
- Maintains high-level of understanding of regulations to support staff education
- Remain current with best practice models and current processes to be able to provide instruction to staff.
- Maintains high-level of cohesiveness within the team and professionalism as a representative of the training department.
- Other related duties as assigned to meet departmental and Company objectives
- Attend and participate in all mandatory department and training meetings as assigned by management.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
What you bring to the Personify Health team:
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:
RN, LCSW or LVN Licensure required
Bachelor’s Degree preferred, or minimum seven years of formal training experience in health care service capacity
Proven successful training practices and techniques, ability to implement principles of adult learning required
UR, CM, DM experience highly preferred
Managed care experience preferred
You also take pride in offering the following Core Skills, Competencies, and Characteristics:
Knowledge of non-clinical practices within a health plan and insurance provider environment
Strong writing skills, including policy and procedure development
Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements
Knowledge of ERISA, Department of Labor, Federal, State, NCQA, preferred
Critical thinking, ease in communicating in formal and informal settings, excellent documentation skills (Excel, Word, email, in-person)
Ability to work independently
Ability to analyze information and convert related activities into a comprehensive work plan
No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!
Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.
In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $64,000 to $80,000. Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.
We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.
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Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.
Application Deadline: Open until position is filled.