Note: The job is a remote job and is open to candidates in USA. Acentra Health provides technology, services, and clinical expertise to support better health outcomes and public-sector healthcare solutions. The Training & Education Coordinator develops and coordinates provider training programs, conducts Utilization Management quality audits, monitors compliance trends, and supports quality improvement initiatives. The role also provides technical assistance, manages provider communications, and prepares related reports and educational materials.
Responsibilities
- Coordinate the development, implementation, and maintenance of provider training and educational programs related to Utilization Management processes, policies, systems, and contractual requirements
- Create, update, and distribute provider manuals, user guides, job aids, standard operating procedures, and other educational materials
- Conduct orientation and onboarding activities for new providers and provide ongoing training support for existing providers
- Coordinate and facilitate provider training sessions, webinars, workshops, and educational meetings
- Assist with identifying training needs through quality reviews, provider feedback, and performance monitoring
- Support the Quality & Training Director in developing training curricula and educational strategies to improve provider compliance and performance
- Conduct routine quality audits of authorization submissions, documentation, and provider adherence to established Utilization Management requirements
- Review audit findings and assist in identifying trends, gaps, and opportunities for process improvement
- Support the development and implementation of corrective action plans and targeted educational interventions based on audit results
- Monitor provider compliance with submission standards and system utilization requirements
- Maintain audit records, quality tracking tools, and performance reports
- Assist in evaluating the effectiveness of training programs through quality metrics and audit outcomes
- Work closely with the Executive Director, Program Director, and Quality & Training Director to support organizational quality improvement initiatives
- Collaborate with clinical and operational teams to ensure consistent communication and application of Utilization Management processes
- Coordinate provider satisfaction surveys and assist with analysis of feedback and improvement opportunities
- Provide technical assistance and guidance to providers regarding authorization processes and use of the organization's technology platforms
- Support stakeholder meetings, provider forums, and educational outreach efforts
- Manage provider communication channels, including shared email inboxes and educational distribution lists
- Ensure training materials and quality assurance activities align with contractual requirements, organizational policies, and regulatory standards
- Assist with the preparation of reports, dashboards, and presentations related to provider education, audit findings, and quality initiatives
- Maintain accurate documentation of training participation, audit results, and corrective action activities
- Read, understand, and adhere to all corporate policies, including HIPAA Privacy and Security Rules
Skills
- Bachelor's degree in Healthcare Administration, Education, Public Health, Business Administration, Nursing, or a related field; or an equivalent combination of education and experience
- Experience developing, coordinating, or delivering training and educational materials
- Strong organizational, analytical, and problem-solving skills
- Excellent verbal, written, presentation, and interpersonal communication skills
- Proficiency in Microsoft Office applications and virtual meeting platforms
- For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education
- As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree
- In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree
- Experience within Utilization Management, Managed Care, Medicaid, Medicare, or healthcare operations
- Familiarity with adult learning principles and training development techniques
- Experience reviewing documentation for compliance with established standards and contractual requirements
- Knowledge of NCQA, URAC, CMS, or other healthcare regulatory and accreditation requirements
- Strong data analysis and reporting capabilities
- Ability to manage multiple projects, priorities, and deadlines in a fast-paced environment
- Demonstrated ability to work collaboratively with leadership, providers, and cross-functional teams
Benefits
- Comprehensive health plans
- Paid time off
- Retirement savings
- Corporate wellness
- Educational assistance
- Corporate discounts
- Remote within the United States
Company Overview