Associate Director Claims Learning
Job Summary
The Associate Director, Documentation & Learning is responsible for shaping strategic learning initiatives and knowledge management practices. This role focuses on documenting, analyzing, and improving claims processing workflows while developing programs to enhance employee skills. You will lead a team to foster a culture of continuous learning and operational efficiency.
Responsibilities
- Develop claims training and documentation strategies
- Create and maintain SOPs and workflow guidelines
- Lead and mentor a high-performing team
- Measure training effectiveness and operational performance
Required Skills
- 7+ years in claims operations/L&D
- 5+ years of people management
- Healthcare billing and contract interpretation
- Process improvement and technical writing
Job Details
Responsibilities:
- Assist in the creation of a holistic claims training and documentation strategy.
- Deliver claims training strategy inclusive of material creation, feedback to trainees, and adjustments to improve retention and application of the claims training.
- Develop and maintain detailed process documentation, including standard operating procedures (SOPs), work instructions, and guidelines related to healthcare claims processing.
- Develop and implement a continuous improvement process for all Claims documentation, training and ongoing refresher trainings as well as curriculum improvements.
- Work with internal stakeholders to ensure consistency and accuracy of claims documentation and training materials.
- Create a system to measure the effectiveness of training programs and knowledge projects in enhancing employee performance.
- Ensure that practices are integrated into daily operations and aligned with business outcomes.
- Build, coach, and lead a team that take tremendous care of our internal and external customers, maintaining or improving culture and employee satisfaction.
- Translate technical or complex information into clear, user-friendly documentation.
- Provide effective direction, mentorship, and influence to achieve departmental goals.
- Stay abreast of industry trends, best practices, and emerging technologies in learning and development.
- Compliance with all applicable laws and regulations.
Requirements:
- 7+ years of experience in a combination of claims operations, learning and development, knowledge management, technical writing or a related field.
- 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once.
- 6+ years of working collaboratively with cross-functional leadership teams.
- 3+ years experience with benefit and contract interpretation or coding in professional/institutional billing requirements.
- 3+ years experience analyzing and improving processes and workflows.
Bonus points:
- Experience in healthcare or highly regulated or related field.
- Operational improvement certification - Green or advanced belt certification.
- Bachelor’s or Master’s degree in related field.
- BSN or Clinical experience.