Humana

Clinical Trainer (Medicaid)

Illinois, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Job Summary

Employment Type: Full time

Become a part of our caring community and help us put health first. The Clinical Trainer (Learning Facilitation Professional 2) conducts or facilitates training courses for organizational employees or external audiences.

Responsibilities

  • Plans, coordinates, and implements all aspects of training programs for participants throughout the organization, including but not limited to instructor-led and virtual instructor-led training.
  • Selects appropriate materials.
  • Creates an environment that is conducive to learning and exchanging information, engages the learner, and produces the desired outcomes.
  • Monitors training personnel records to ensure that employees have met all company training requirements for company, quality, and regulatory compliance.
  • Analyzes course evaluations to judge the effectiveness of training sessions and to implement suggestions for improvements.
  • Evaluates the relevance of online resources to complement the facilitated experience in the fields as appropriate.
  • Understands own work area professional concepts/standards, regulations, strategies and operating standards.
  • Makes decisions regarding own work approach/priorities and follows direction.
  • Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
  • Supports the Audit and Process Improvement teams by providing feedback to Care Coordinators and/or Service Coordinators; uses audits to guide staff understanding of training that was provided.

Use your skills to make an impact.

Required Qualifications

  • Applicants must reside in one of the following states: Illinois, Florida, Indiana, Kentucky, Louisiana, Ohio, Oklahoma, South Carolina, Virginia and Wisconsin.
  • Education: Bachelor’s degree in social work, psychology, behavioral Health or related field, OR 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.
  • Experience:
    • One (1) or more years of experience successfully working as a Care Manager/Care Coach/Care Coordinator/Service Coordinator in a Medicare or Medicaid market.
    • OR two (2) or more years of professional training experience working in an adult learning environment.
  • Technical Skills: Intermediate level proficiency in Microsoft Office applications including Outlook, PowerPoint, Excel, Zoom and Teams.
  • Communication Skills: Effective communicator, verbally and written.
  • Collaboration: Ability to work collaboratively with internal and external departments and leadership.
  • Travel: Must be able to travel occasionally to the Illinois Market Office located in Schaumburg, IL.

Preferred Qualifications

  • Residency within the state of Illinois.
  • Understanding of curriculum design and adult learning principles.
  • Experience using a wide variety of training tools to effectively facilitate to a wide audience.
  • Experience managing projects or processes.

Additional Information

  • Workstyle: This is a remote position.
  • Travel: Occasionally to our office location in Schaumburg, IL to attend team engagement meetings and regulatory audits.
  • Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Central Standard Time (CST).

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring

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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