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Senior Trainer and Auditor (Clinical)

Company: Health Net, Inc.
Location: El Paso
Posted on: December 4, 2019

Job Description:

Description: Position Purpose: The Senior Trainer and Auditor will develop, conduct, administer and analyze clinical training programs, conduct audits of clinical systems entry and/or processes, and assist in development of audit tools. Position will cover El Paso, San Antonio, McAllen, Dallas and Austin and will travel up to 40% of the time. * Develop and conduct clinical education courses, including case management education and training for new employees * Develop and maintain complex audit processes and audit tools related to authorizations, appeals, quality, case management, inter-rater reliability and data entry * Audit established guidelines (e.g. Interqual) for medical necessity * Analyze training needs and identify, select or develop appropriate training programs including training aids and materials * Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors in data and reporting, and present findings and recommendations for improvement to management * Train audit staff in the use of audit tools and identification of patterns or trends that require additional training or corrective action * Evaluate effectiveness of training programs including cost/benefit analyses * Research, analyze, and recommend internal/external training programs * Maintain records of training activities and employee progress * Assist with revisions to Policy and Procedure and/or work process development * Participate in Quality and Advisory committees) or provider education meetings * Travel up to 40% within assigned territory

Keywords: Health Net, Inc., El Paso , Senior Trainer and Auditor (Clinical), Accounting, Auditing , El Paso, Texas

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