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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This role will have a focus on claims training and operational support. This positions also: Holds accountability for leading and training new claims team members through the onboarding experience, from initial orientation and training to individual education on job expectations as well as team priorities and responsibilities. Holds accountability for training existing claims team members in upskilling, refresher and error coaching. Designs, develops and delivers curriculum and training sessions to designated audiences of learners. Executes both routine and non-routine business support tasks for the Training Delivery area under limited supervision, referring deviations from standard practices to managers. Follows area protocols, standards, and policies to provide effective and timely support. This is an Individual Contributor role.
Job Responsibility:
Lead claims training sessions for designated audiences
Revise and customize the curriculum to reflect the unique geographic, product, and/or audience variations
Leads various training development activities and team responsibilities to ensure learning environments are conducive to learning and quality outcomes
Assess the effectiveness of training programs during and at designated intervals after delivery
Collect and share curricula and training event feedback from program participants
Participate in the development effort to enhance the curricula and training events based on that feedback
Develop and conduct follow-up assessments to determine the effectiveness and, when appropriate, ROI of training programs
Generate communications regarding workflow and system updates
Provide SME level support to claims team members for pricing related questions
Troubleshoot system data issues and work with internal partners to resolve
Provide first level quality error review and provide coaching on errors as needed
Requirements:
2-3 years of experience in and understanding of medical claims and adjustment processing
1-2 years of proven experience in training delivery and facilitation
Strong PC skills and proficiency in MS Office
ability to learn new systems quickly
Excellent written and verbal communication skills
Ability to convey complex information in a clear and concise manner
High school diploma or equivalent required
Nice to have:
Demonstrates strong facilitation skills
Applies innovative, creative, “out of the box” thinking to problems
Strong analytical, influence, conflict resolution, problem solving, negotiation and project management skills
Excellent oral and written communication, interpersonal and presentation skills
Proactively and quickly learns new systems, tools or content areas to achieve results
Technologically literate – familiar with IT focused frameworks, systems and methodology
Embraces change, ability to see opportunities for change, to capitalize on them and implement them when appropriate, process improvement mindset
Assumes responsibility for personal and professional development
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)