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Acentra Health

Modernizes public healthcare with claims solutions

Instructional Design and Trainer - Clinical Trainer and Operational Support

Corporate & Technical Training +1Posted on Nov 9
Full-timeUnited States$67.2k - $84k /yrIn-person

About the Job

Requirements

  • An active, unrestricted LPN, RN, or LCSW license in at least one U.S. state, with the ability to obtain additional licenses as business or contract needs require.
  • Extensive experience working with Medicaid programs and utilization management in a health plan, managed care, provider, government, or vendor environment.
  • Demonstrated clinical experience creating, interpreting, or applying utilization management policies, clinical criteria, and contract-specific requirements.
  • Experience developing or delivering training, job aids, procedures, or other education for clinical staff.
  • Ability to understand and communicate clinical, operational, regulatory, system, and contract requirements accurately.
  • Strong facilitation, presentation, writing, organization, and problem-solving skills.
  • Ability to tailor training and support to different audiences, learning needs, clinical disciplines, and contract requirements.
  • Demonstrated ability to create clear, concise, and user-friendly job aids and learning materials.
  • Ability to manage multiple priorities, meet deadlines, and independently organize work across multiple initiatives.
  • Strong collaboration skills and ability to build effective working relationships with clinical and operational stakeholders.
  • Ability to identify gaps, assess operational impact, recommend practical solutions, and escalate risks appropriately.
  • Working knowledge of clinical documentation, quality processes, health care systems, and common productivity or workflow tools.
  • Ability to maintain a positive, professional, and service-oriented approach when supporting staff and leaders.

Responsibilities

  • Develop, update, and maintain job aids, reference guides, process documents, checklists, presentations, and other learning materials for clinical staff.
  • Create training content related to utilization management, case management, and assessments, including clinical workflows, documentation standards, systems, contract requirements, and escalation processes.
  • Support onboarding and orientation for new clinical staff by coordinating training activities, preparing materials, reinforcing role expectations, and helping new employees apply knowledge in day-to-day operations.
  • Deliver or co-facilitate contract-specific training for staff working in utilization management, case management, and assessment programs.
  • Partner with operational leaders, clinical subject-matter experts, quality teams, implementation teams, and other stakeholders to identify training needs and ensure materials reflect current policies, workflows, and client requirements.
  • Translate complex clinical, regulatory, system, and contract information into clear, practical guidance for clinical staff with varying levels of experience.
  • Provide operational support during implementations, workflow changes, system enhancements, new program launches, and other initiatives that affect clinical staff or service delivery.
  • Assist with readiness activities, including training plans, schedules, attendance tracking, knowledge checks, competency validation, and follow-up support.
  • Review staff questions, workflow concerns, and training feedback to identify opportunities for clarification, process improvement, and additional education.
  • Support the development and maintenance of standardized training materials while incorporating state-specific and contract-specific requirements as needed.
  • Collaborate with quality and operational teams to reinforce documentation accuracy, clinical decision-making standards, productivity expectations, and compliance requirements.
  • Participate in meetings, workgroups, workflow design sessions, system demonstrations, and other activities necessary to maintain current knowledge of assigned programs.
  • Use sound clinical judgment and Medicaid program knowledge to identify potential operational risks and escalate issues to the appropriate leader.
  • Maintain appropriate confidentiality and comply with all corporate policies, including HIPAA and its Privacy and Security Rules.
  • Read, understand, and adhere to all corporate policies, including policies related to HIPAA and its Privacy and Security Rules.

Desired Qualifications

  • Preferred experience in case management and/or clinical assessments.
  • A bachelor's degree in nursing, health care administration, education, or a related field is preferred; equivalent education and experience may be considered.

About the Company

Acentra Health

Modernizes public healthcare with claims solutions

Acentra Health helps public-sector health programs run better by combining deep knowledge of government health programs with clinical expertise and technology. It designs and delivers software and services for claims, encounter, and provider data to improve processing efficiency and reduce costs, while offering care-management and quality-oversight services that focus on clinically informed decision making. Its products connect providers, payers, and government agencies to streamline workflows and oversight across state and federal programs. The company differentiates itself through its blend of public-sector know-how, clinical focus, and technology, accelerated by the backing of Carlyle, with a goal of delivering measurable outcomes for priority populations. Overall, Acentra Health aims to improve health outcomes, increase program efficiency, and lower costs for government healthcare programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
McLean, VA
Founded
2023

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