Health Plans Educator, Member Services

Health Plans Educator, Member Services at VNS Health Overview

Plans, manages, and evaluates business operations orientation and ongoing education and training programs for staff across the Enterprise. Collaborates with regional/program leadership in the delivery of new hire and ongoing business operations education and competency development. Develops new and modifies existing curriculum and training materials to ensure all business operations training and educational needs are met. Recommends and implements approved changes to ensure effective business operations education and training support for field operations.

Partners internally to ensure that business operations education and training is aligned with current clinical standards, guidelines, relevant statutes, rules and regulations. Facilitates VNS Health consistency of dissemination of standardized business operations education policies, procedures and programs. Works under general direction.

• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
• Referral bonus opportunities

• Manages and delivers VNS Health-wide and program specific business operations education programs designed to foster effective service delivery through implementation of performance improvement activities.
• Collaborates with staff in the development of an annual training calendar to ensure a coordinated approach to ongoing programs.
• Manages implementation of business operations staff development programs such as orientation, training and other learning activities. Ensures that development and delivery of programs meet the strategic objectives of VNS Health or specific programs.
• Utilizes adult learning principles and evidence-based training techniques to ensure knowledge retention and application.
• Ensures all business operations education programs are in accordance with VNS Health policies and procedures.
• Reviews VNS Health-wide and program specific educational program outcomes and program evaluations to determine areas for improvement and makes recommendations for change and/or new programs for business operations education as appropriate. Presents improvement strategies to department leadership.
• Trains and/or oversees training of new and current staff in VNS Health/program philosophy, policy, standards, procedures, documentation, and efficient, productive, cost-effective work processes.
• Monitors and evaluates performance of newly hired staff and staff referred on for remedial or additional training. Counsels, disciplines, terminates or extends probation for staff based on performance during introductory, probationary or training period.
• Designs new and modifies existing educational curriculum and training materials to ensure staff has current knowledge and competencies to meet program contractual and regulatory compliance.
• Conducts educational needs assessment in collaboration with operations staff to identify learning needs among staff. Analyzes and utilizes assessment data to plan for program educational sessions. Develops education programs such as workshops and/or group learning activities; follows up to ensure programs are effectively implemented.
• Identifies performance issues and develops performance improvement plans for tenured employees in collaboration with management. Evaluates competency and performance in conjunction with program management.
• Reviews and evaluates business operations orientation and ongoing educational program outcomes to determine areas for improvement and recommends changes to current orientation program as appropriate. Participates in the development of revised programs and/or materials.
• Communicates ongoing e-learning opportunities.…