Clinical Trainer (Medicaid)

Illinois, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Applicants must reside in Illinois, Florida, Indiana, Kentucky, Louisiana, Ohio, Oklahoma, South Carolina, Virginia, or Wisconsin. A Bachelor's degree in social work, psychology, behavioral health, or a related field is required, or a Registered Nurse (RN) or Licensed Practical Nurse (LPN) with a valid unrestricted license in Illinois, or a Behavioral Health Clinician with a valid unrestricted license in Illinois. One to two years of experience working as a Care Manager, Care Coach, Care Coordinator, or Service Coordinator in a Medicare or Medicaid market, or two or more years of professional training experience in an adult learning environment is necessary. Intermediate proficiency in Microsoft Office applications (Outlook, PowerPoint, Excel, Zoom, Teams), effective communication skills, and the ability to collaborate with internal and external departments are essential. Occasional travel to the Illinois Market Office in Schaumburg, IL is required.

Responsibilities

The Clinical Trainer conducts or facilitates training courses for employees and external audiences, planning, coordinating, and implementing all aspects of training programs, including instructor-led and virtual sessions. They select appropriate materials, create a conducive learning environment, monitor training personnel records for compliance, and analyze course evaluations to improve training effectiveness. The role involves evaluating online resources, understanding professional concepts and regulations, and making decisions regarding work approach. Additionally, they support audit and process improvement teams by providing feedback to Care Coordinators and using audits to guide staff understanding of provided training.

Skills

Training Facilitation

Learning Management

Curriculum Development

Instructional Design

Virtual Training

Adult Learning Principles

Regulatory Compliance

Process Improvement

Behavioral Health

Social Work

Psychology

Nursing

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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