Medical Training and Compliance Expert

1 week ago


Tallahassee, United States Centene Corporation Full time

Transform the health of our communities, one person at a time, as a Clinical Training Specialist at Centene Corporation.

**Job Summary:**

We are seeking a highly skilled Clinical Training Specialist to join our team. As a Clinical Training Specialist, you will be responsible for developing and conducting training programs and auditing tools for our Payment Integrity department.

**Key Responsibilities:**

  • Conduct training needs analyses to determine specific training needs for clinical staff.
  • Identify, select, or develop appropriate training programs, including the selection or design of training aids.
  • Evaluate the effectiveness of training programs and locations, including cost/benefit analyses.
  • Research, analyze, and recommend external training programs.
  • Maintain records of training activities and employee progress.
  • Assist with revisions to policy and procedure and/or work process development.
  • Conduct auditing of work performed by clinical staff and present findings and recommendations for areas of improvement to management.
  • Under minimal supervision, be responsible for all aspects of difficult projects that are broad in nature and require originality and/or ingenuity.

**Preferred Qualifications:**

  • Coding experience (Certified Professional Coder).
  • Prior training experience in a virtual environment.

**Requirements:**

  • Associates or Bachelor's degree in Nursing or equivalent experience.
  • 4+ years of nursing, training, or auditing experience in a managed care or healthcare setting.
  • Amisys, Cenpas, Lyric/Mckesson, Xcelys, and CCMS software experience highly preferred.
  • RN or LPN license.

**Compensation and Benefits:**

We offer a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules.

**Equal Opportunity Employer:**

Centene Corporation is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.



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