Design & Delivery Consultant IV, Claims Information Training

4 weeks ago


Rancho Cucamonga, United States Kaiser Permanente Full time
Description: Job Summary:
In addition to the responsibilities listed above, this position is also responsible for facilitating classroom, web-based, and one-on-one training; leveraging advanced knowledge of claims processes, policies, workflows, topics, products, software applications, and environments specific to the group/audience being trained. Update and create a training curriculum to incorporate changes/enhancements as needed for audience needs; training on products, processes, contents, and system updates optimization for multiple applications; providing end-user support during system and content go-lives, annual application upgrades, and monitors on an ongoing basis how to improve end-user system proficiency and address end-user system issues; preparing and guiding others on analysis of client business processes and functional application requirements; documenting the validation processes for the development and maintenance of the training environment; providing problem resolution of information systems-related issues and escalates complex concerns from end users/clinical/ training personnel; and evaluating existing application products for feasibility in meeting client requirements and develops recommendations.

Essential Responsibilities:
Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
Supports other groups within or outside the company by: identifying concerns and offering alternative and strategic methods to address concerns while identifying and validating root causes.
Works on design and development of trainings by: creating new moderately complex content (e.g., course curricula, training aids, and other supporting materials), ensuring curriculum accuracy, and providing troubleshooting as needed; coordinating with others to select training methods (e.g., e-learning, in-person, classroom, on-site, just-in-time support, web sessions, blended learning, and conference calls) and programs; developing training objectives for education modules, revising and creating training modules and supporting materials; supporting clients and others prioritize short-term learning goals but mainly focus on supporting long-term learning goals and ensuring objectives are in alignment with business unit goals; and evaluating alternative training techniques, procedures, and/or methods while supporting implementation.
Evaluates programs training needs by: conducting moderately complex needs assessments for training and or performance issues.
Monitors effectiveness of training by: using advanced knowledge to guide others in measuring the effectiveness of training to ensure business needs are met.
Completes work assignmentsand supports completion of projects by: developing, analyzing, and managing increasingly moderately complex program plans which include scope identification and management, schedule, inter-dependencies, and resource forecast.
Further examines how to refine training and delivery by: independently applying research of training norms and industry standards within assigned areas; and driving research efforts in training/education programs to improve stakeholder activities and enhance personnel growth and development.
Responsible for aiding in effective training delivery by: driving training program delivery(s) (e.g., orientation, customer service, and supervisory skills); leading learners understanding by leveraging adult learning principles and identifying issues, troubleshooting when needed; determining next steps based on results from evaluations used to assess the application of skills, knowledge, and training objectives; monitoring and analyzing training results while also providing feedback to other trainers based on training assessment; and serving as a trainer by leading moderately complex training, and using best practices for training modalities (e.g., virtual, in-person classroom). Minimum Qualifications:
Bachelors Degree in Business, Communication, Education, Behavioral Science, or a directly related field AND minimum five (5) years of experience in training delivery, curriculum design, and training development and evaluation, or a directly related field, OR Minimum eight (8) years of experience in training delivery, curriculum design, training development and evaluation, or a directly related field.
Additional Requirements:
Knowledge, Skills, and Abilities (KSAs): Claims Adjudication; Coordination; Internal Communications; Storytelling; Written Communication; Content Development; Knowledge Management; Learning Measurement; Business Relationship Management; Consulting; Relationship Building; Program Development; Quality Assurance Process; Research and Development (R&D); Curriculum Development; Adult Learning Theory; Presentation Skills Preferred Qualifications:Four (4) years of internal and external medical or health care experience.Three (3) years of experience leveraging eLearning development tools and virtual learning technologies.

  • Rancho Cucamonga, United States Kaiser Permanente Full time

    **Job Summary**: **Essential Responsibilities**: - Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides...


  • Rancho Cucamonga, United States Mobile IV Medics Full time

    _**We are looking to hire nurses specifically in or close proximity to Inland Empire. If you do not live in or near this area, this particular job posting is not for you. Please search our other Indeed postings for your desired area.**_ Mobile IV Medics is proudly physician owned and operated, following protocols set forth by our medical director in order...


  • Rancho Cucamonga, United States CorVel Full time

    We are seeking a Sr. WC Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and...


  • Rancho Cucamonga, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionJob DescriptionWe are seeking a Sr. WC Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and...


  • Rancho Cucamonga, United States CorVel Corporation Full time

    We are seeking a Sr. WC Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and...


  • Rancho Cucamonga, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionJob DescriptionWe are seeking a Sr. WC Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and...


  • Rancho Cucamonga, United States Gallagherbassett Full time

    ** Workers Compensation Claims Adjuster** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond...


  • Rancho Cucamonga, United States Gallagherbassett Full time

    ** Workers Compensation Claims Adjuster** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond...


  • Rancho Cucamonga, United States CorVel Corporation Full time

    The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to...


  • Rancho Cucamonga, United States Gallagherbassett Full time

    ** Claims Adjuster Senior General and Auto Liability** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to...


  • Rancho Cucamonga, United States Gallagherbassett Full time

    ** Claims Adjuster Senior General and Auto Liability** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience! The Manager, Claims Processing - Covered California is responsible for oversight and direction of claims and auditing activities of the Covered California (CCA) vendor...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience! The Manager, Claims Processing - Covered California is responsible for oversight and direction of claims and auditing activities of the Covered California...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience! The Manager, Claims Processing - Covered California is responsible for oversight and direction of claims and auditing activities of the Covered California...


  • Rancho Cucamonga, United States ResCare Community Living Full time

    Our Company: ResCare Community Living Overview: **Responsibilities**: - Ensures consumer and guardian participation in development of service plan and personal futures plan - Coordinates development of each person(s) served personal futures plan and coordinates scheduling of team meetings (times, dates, locations, etc.) and informs all team members of...


  • Rancho Cucamonga, United States FC Royce Enterprises, Inc. Full time

    **Benefits**: - Free Coffee - Bonus based on performance - Flexible schedule - Opportunity for advancement - Training & development This full-time Sign Production Specialist/Installer position works under the guidance of a senior team member for aspects of the physical production of signs. Sign assembly includes preparing substrates and using the proper...


  • Rancho Cucamonga, United States GITI TIRE USA LTD Full time

    Job DescriptionJob DescriptionTechnical Customer Service Coordinator - Rancho Cucamonga, CAFull-Time 100% Work On-SiteHourly Rate: $20+/hr.Basic FunctionResponsible for processing and managing the warranty claims reported by key National Accounts; receive and process warranty claims on daily, weekly, or quarterly basis following company warranty policies and...


  • Rancho Cucamonga, United States APOTHECARY BY DESIGN ACQUISITION CO LLC Full time

    Job Summary: Works under the direction of the Senior Manager of Patient Services to coordinate the needs of patients taking complex medications related to their medical condition, disease or illness. Patient Care Coordinators work proactively with our patients, provider offices and clients via the telephone and directly on site to compassionately and...


  • Rancho Cucamonga, United States Res-Care, Inc. Full time

    Our Company ResCare Community Living Overview Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today! Responsibilities * Ensures consumer and guardian participation in...


  • Rancho Cucamonga, United States Res-Care, Inc. Full time

    Our Company ResCare Community Living Overview Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today! Responsibilities * Ensures consumer and guardian participation in...