Clinical Learning & Development Specialist

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Conducts training and development needs assessment and collaborates with management on implementation plans. Develops, delivers and evaluates cross-functional clinical, non-clinical, and systems training; new employee orientation; and integration of identified quality improvement activities into training curriculum.

This position has the option to work hybrid or fully remote; Ohio residents preferred. Prior Authorization experience or appeals preferred.

Responsibilities

* Delivers and facilitates a variety of training programs (new hire, systems guideline/criteria, core competencies and remedial / refresher training) to clinical, administrative and management.

* Identifies learning objectives, selects, or develops appropriate training programs/classes using various delivery formats including eLearning, instructor led, blended learning, as well as educational materials, training aids and evaluation tools.

* Defines measurable results produced from training programs and evaluates effectiveness of training programs and location including cost/benefit analyses.

* Participates in analyses to determine specific training needs for clinical staff and develops classroom and online training.

* Acts as a resource to department managers. SME and department training staff to identify development needs and identify potential solutions.

* Keeps up to date on new and emerging industry processes, technology, and best practices and shares with management.

* Performs other duties as assigned.

Qualifications

Education and Experience:

• Bachelor's degree in nursing, business or healthcare administration, education, or related field.
• Equivalent education and experience directly related to the role may substitute for a degree.
• 3 years progressive experience in health plan case management or utilization review which includes training and curriculum development.

Professional Certification(s):

• Current, unrestricted license in the state of Ohio in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Independent Social Worker (LISW) or Licensed Social Worker (LSW).
• Certification in Case Management, Training, Project Management or nationally recognized health care certification preferred.

Technical Skills and Knowledge:

• Strong knowledge of clinical management programs and health plan operations.
• Familiarity with regulatory and accreditation standards, and the ability to apply to operational guidelines.
• Intermediate to advanced Microsoft Office and claims management and/or clinical operations systems and online learning authoring skills.
• Foundational knowledge of adult learning principles.
• Knowledge of how to translate business objectives into developmental goals, client solutions and effective training activities.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.