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AI Summary

The Training and Education Coordinator develops and implements provider training programs and quality assurance activities to support Utilization Management services. This role conducts audits, monitors compliance trends, and collaborates with leadership to improve operational performance and service excellence.
Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

 

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.


Job Summary and Responsibilities

Acentra Health is looking for an Provider Relations Coordinator to join our growing team.


Job Summary:

 

The Training and Education Coordinator supports the success of Utilization Management (UM) Services through the development, coordination, and implementation of training and educational programs and quality assurance activities. Working under the direction of the Executive Director and in collaboration with the Program Director and Quality & Training Director, this position assists with the development of educational resources, conducts quality audits, monitors provider compliance trends, and coordinates training activities designed to improve operational performance and adherence to Utilization Management policies and procedures.

This role serves as a key resource for education and quality improvement efforts, helping identify opportunities for enhancement through ongoing review, analysis, and training interventions that support compliance, consistency, and service excellence.

 

Responsibilities:

 

Training and Educational Development

  • Coordinate the development, implementation, and maintenance of provider training and educational programs related to Utilization Management processes, policies, systems, and contractual requirements.
  • Create, update, and distribute provider manuals, user guides, job aids, standard operating procedures, and other educational materials.
  • Conduct orientation and onboarding activities for new providers and provide ongoing training support for existing providers.
  • Coordinate and facilitate provider training sessions, webinars, workshops, and educational meetings.
  • Assist with identifying training needs through quality reviews, provider feedback, and performance monitoring.
  • Support the Quality & Training Director in developing training curricula and educational strategies to improve provider compliance and performance.

Quality Assurance and Auditing

  • Conduct routine quality audits of authorization submissions, documentation, and provider adherence to established Utilization Management requirements.
  • Review audit findings and assist in identifying trends, gaps, and opportunities for process improvement.
  • Support the development and implementation of corrective action plans and targeted educational interventions based on audit results.
  • Monitor provider compliance with submission standards and system utilization requirements.
  • Maintain audit records, quality tracking tools, and performance reports.
  • Assist in evaluating the effectiveness of training programs through quality metrics and audit outcomes.

Program Support and Collaboration

  • Work closely with the Executive Director, Program Director, and Quality & Training Director to support organizational quality improvement initiatives.
  • Collaborate with clinical and operational teams to ensure consistent communication and application of Utilization Management processes.
  • Coordinate provider satisfaction surveys and assist with analysis of feedback and improvement opportunities.
  • Provide technical assistance and guidance to providers regarding authorization processes and use of the organization's technology platforms.
  • Support stakeholder meetings, provider forums, and educational outreach efforts.
  • Manage provider communication channels, including shared email inboxes and educational distribution lists.

Compliance and Reporting

  • Ensure training materials and quality assurance activities align with contractual requirements, organizational policies, and regulatory standards.
  • Assist with the preparation of reports, dashboards, and presentations related to provider education, audit findings, and quality initiatives.
  • Maintain accurate documentation of training participation, audit results, and corrective action activities.

Read, understand, and adhere to all corporate policies, including HIPAA Privacy and Security Rules.

 

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.


Qualifications

Required Qualifications

  • Bachelor's degree in Healthcare Administration, Education, Public Health, Business Administration, Nursing, or a related field; or an equivalent combination of education and experience.
  • Minimum of three (3) years of experience in healthcare operations, utilization management, provider relations, training, quality assurance, or a related field.
  • Experience developing, coordinating, or delivering training and educational materials.
  • Strong organizational, analytical, and problem-solving skills.
  • Excellent verbal, written, presentation, and interpersonal communication skills.
  • Proficiency in Microsoft Office applications and virtual meeting platforms.

Preferred Qualifications

  • Experience within Utilization Management, Managed Care, Medicaid, Medicare, or healthcare operations.
  • Familiarity with adult learning principles and training development techniques.
  • Experience reviewing documentation for compliance with established standards and contractual requirements.
  • Knowledge of NCQA, URAC, CMS, or other healthcare regulatory and accreditation requirements.
  • Strong data analysis and reporting capabilities.
  • Ability to manage multiple projects, priorities, and deadlines in a fast-paced environment.
  • Demonstrated ability to work collaboratively with leadership, providers, and cross-functional teams.

Why us?

 

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

 

We do this through our people.

 

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

 

Benefits

 

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

 

Thank You!

 

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

 

~ The Acentra Health Talent Acquisition Team

 

Visit us at https://careers.acentra.com/jobs

 

EEO AA M/F/Vet/Disability

 

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

 

 

Experience in Lieu of Degree

 

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

 

Compensation

 

 

The pay range for this position is listed below. 

 

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”


Pay Range

Starting from USD $24.69/Hr.

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