Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click here.

Job Summary

The Clinical Training Specialist is responsible for the development, implementation, and execution of a wide range of clinical, regulatory and operational training programs, including orientation and annual competency. This individual will work with numerous internal departments to ensure that cross-functional alignment directs positive outcomes for departmental business and strategic goals. This position requires solid clinical skills and critical thinking and is instrumental in understanding the daily workflow of the various roles within Health Care Services, including utilization management and appeals and grievances to develop workflows, job aids, and policies. This position requires strong technological and presentation skills.

Key Responsibilities/Duties – what you will be doing

- Develop, implement, and maintain department training and competency plan. - Work in conjunction with team managers and subject matter experts to develop and change plan to meet department needs

- Responsible for new hire orientation training plan(s) and materials which will support and foster ongoing mentorship for new staff to be successful in their roles

- Create and maintain course outlines, objectives, lesson plans, presentation materials, job aides, practice exercises, evaluation tools and competency assessments for modules in the curriculum. Modules include instruction on:

Basic system navigation for clinical and non-clinical systems
Utilization management decision making and regulatory adherence for clinicians and non-clinicians
Regulatory requirements from CMS, the Commonwealth, and NCQA
Business process workflows in support of departmental or corporate projects

- Deliver VILT training to Health Care Services department personnel providing interactive learning experiences utilizing adult learning techniques and multimedia presentations

- Maintain educational calendar and works with staff preceptors

- Identify and document program scope, timelines, goals, operational and outcome success measures

- Oversee and facilitate clinical in-service opportunities for CEU and CCM credits

Develop, research, and implement evidence-based assessment content

Qualifications – what you need to perform the job

EDUCATION, CERTIFICATION AND LICENSURE:

Registered Nurse with a valid license required
Bachelor of Science in Nursing or Master’s Degree preferred

EXPERIENCE (minimum years required):

Minimum of 5 years of clinical nursing experience
Knowledge of utilization management and/or appeals and grievances practices highly desirable
Experience in professional education, staff development, or training environment highly desirable

SKILL REQUIREMENTS:

Ability to address multiple issues of complexity during workday
Initiative, sound judgement and ability to work under pressure and meet deadlines
Working knowledge of virtual training development and facilitation tools
Proficient in Computer Skills (Microsoft Office)
Strong written and verbal communication skills
Ability to work independently and cooperatively to develop strong working relationships with internal and external contacts
Excellent teaching skills in individual and group setting including coaching and motivational interviewing skills
Strong business writing skills

Compensation & Total Rewards Overview

As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

Medical, dental and vision coverage
Retirement plans
Paid time off
Employer-paid life and disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/

Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org