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J15B Appeals Delivery Trainer

J15B Appeals Delivery Trainer

BlueCross BlueShield of South CarolinaNashville, TN, US
30+ days ago
Job type
  • Full-time
Job description

Training Coordinator

Responsible for training activities in an assigned area(s). Note : some areas may require varying degrees of emphasis or concentration within this general description.

Location : This position is full-time (40-hours / week) Monday-Friday with a hybrid work schedule. You will work an 8-hour shift scheduled during our normal business hours hybrid work schedule and the work hours are Monday - Friday 8 : 00AM 5 : 00PM Central. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. 26 Century Blvd Suite ST610 Nashville, TN 37214.

SCA Benefit Requirements : BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

What You'll Do :

  • Facilitates varying levels of technical and non-technical training for both new hire and existing staff and / or teams. Effectively manages the training environment to ensure compliance to organizational policies while delivering new employee orientation, job-specific, company-specific, e-learning, and other training solutions. Evaluates learner performance and effectiveness through the administration of varying testing methodologies. Communicates effectively with the applicable customer and / or manager related to both learner and course progression towards meeting expected outcomes.
  • Conduct assessments to identify the performance, skills, knowledge and information required for a desired training program. Design and develop training solutions and materials that meet the intended need and learning outcome(s) for each targeted audience. Enhance and evaluate training effectiveness through the redesign and revision of existing training courses, curricula and materials in order to fill learning gaps identified through various feedback methods. Demonstrate effective communication and collaboration to partner with Subject Matter Experts (SMEs), trainer peers and others to achieve high-quality instructional materials.
  • Provide support to training support areas to include processing work to maintain subject matter knowledge, attend Operations team and Workgroup meetings, partner with areas to identify performance gaps and proactively develop training plan objectives.
  • Maintain / Verify Training Systems access and other administrative functions.

To Qualify for This Position, You'll Need :

  • Required Education : Bachelor's degree
  • Degree Equivalency : Two year degree plus 3 years related training, insurance, or related work experience OR Five years training, insurance, or related work experience.
  • Required Work Experience : One year training, insurance, and / or related work experience required
  • Required Software and Tools : Microsoft Office and standard classroom and office equipment. (PC skills are needed to support the development of training programs and materials). Strong project management skills. Ability to learn corporate and other required systems.
  • Required Licenses and Certificates : Ability to complete area required training certification programs within 1 year and / or ability to receive internal competency verification on area specific curriculum within 1 year (area specific).
  • Required Skills and Abilities :

  • Strong verbal and written communication and human relations skills.
  • Ability to develop strong research, planning and data gathering skills.
  • Ability to design and develop to create outputs in various methods.
  • Strong organizational skills necessary to schedule, prioritize, and complete work assignments.
  • Ability to become an SME for multiple lines of business and job functions.
  • Able to acquire an understanding of the complex technical environment of the organization.
  • Understand Adult learning principles and appropriate learning development methodologies.
  • Ability to deliver training classes to 1 to 50 plus individuals.
  • Dependable, responsible and has the ability to work independently with little to no management intervention.
  • Preferred Qualifications :

  • Medicare J15 (A, B, HHH) experience
  • Familiar with Criterion-Referenced Instruction (CRI) and Instructional Module Design (IMD) principles and methodologies
  • Practical understanding of Lean tools and principles Root Cause Analysis (RCA), Define, Measure, Analyze, Improve, Control (DMAIC), etc.
  • Working knowledge of or the ability to develop highly proficient personal computer skills (PC skills are needed to facilitate training activities and support training curriculum maintenance).
  • Strong time management and organizational skills.
  • Deep understanding of Medicare regulations and guidelines.
  • Our comprehensive benefits package includes the following :

  • 401(k) retirement savings plan with company match
  • Fantastic health plans and free vision coverage
  • Life insurance
  • Paid annual leave the longer you work here, the more you earn
  • Nine paid holidays
  • On-site cafeterias and fitness centers in significant locations
  • Wellness programs and a healthy lifestyle premium discount
  • Tuition assistance
  • Service Recognition
  • What We Can Do for You :

    We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

    What to Expect Next :

    After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

    Equal Employment Opportunity Statement :

    BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

    We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

    If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

    We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information .

    Some states have required notifications. Here's more information .

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