Let’s do great things, together

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary
Provides training, develops, and maintains documentation for Membership Accounting.  Retrains established Membership Accounting specialists when needed and provides ongoing training to Membership Accounting specialists on new procedures and regulations. This is a full-time hybrid position based in Portland, Oregon. 
​​

Pay Range
$22.88 - $25.74 hourly, DOE. 
*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position

• https://j.brt.mv/jb.do?reqGK=27758254&refresh=true

Benefits:

1. Medical, Dental, Pharmacy, and Vision Coverage 
2. 401K
3. FSA
4. PTO and Paid Holidays

Required Skills, Experience, & Education:

1. High School diploma or equivalent required.
2. 1-2 years training experience in a health insurance environment, preferably in a Membership Accounting role (billing, eligibility & reconciliation) department preferred.
3. Ability to instruct, motivate, and direct individuals at various skill levels, face to face and in the classroom environment.
4. Demonstrate strong, effective, and diplomatic interpersonal skills with employees of all levels and participate effectively as a team player.
5. Demonstrate analytic skills in identifying technical needs and implementing an effective course of action.
6. Demonstrate training skills both in a small group and large group setting with excellent presentation skills.
7. Knowledge of Word, Excel, and ability to navigate web-based programs.
8. Excellent reading, verbal, and written communication skills, and the ability to interact professionally, patiently, and courteously with others.
9. Good analytical, problem solving, decision making, and organizational, and detail-oriented skills with ability to shift priorities.
10. Good organizational ability to work under pressure, to handle a variety of functions and meet deadlines.
11. Ability to come to work on time on a daily basis.  Maintain attendance above company standards.
12. Maintain confidentiality and project a professional presence and appearance.
13. Ability to read and interpret policy contracts and incorporate language in to UPM’s.
14. Ability to understand State and Federal legislation affecting eligibility and billing administration (CMS, FFM, CCO/DCO, etc.) over multiple states.
15. Ability to take a concept and independently develop and create a training plan, workflows, and procedures that can be understood by trainees of all skill and experience levels.

Primary Functions:

1. Responsible for department product (Medicare, Medicaid, Individual, Group and BHS) training for new hires, ongoing refresher training an annual training. 
2. Develops courses and modules for use in the training of all levels of Membership Accounting Specialists.  This includes the development and updating of course content and training materials.  Coordinates to ensure consistency throughout the company.
3. Monitor performance expectations and results for new hires, provide coaching when necessary and facilitate weekly 1:1 meetings.
4. Develops and implements presentations in a clear, user friendly manner and accommodates various adult learning styles.
5. Conducts end of course evaluations and action planning.
6. Creates and updates documentation, department procedures and resource materials as needed and/or necessary.
7. Advises the Supervisor of any personnel issues, utilizing proper judgement in assessing any necessary action to be taken.
8. Assists in the planning, organizing, and directing the activities and workflow of the department.
9. Participates in or manages projects as assigned.
10. Fosters and atmosphere of team spirit and portrays an outgoing and positive attitude with peers, Moda and BHS Leadership, Customers and/or trainees at all times.
11. Collaborates with other departments to identify training needs, coordinates and implements classes when appropriate.
12. Responsible for ensuring department specific HPMS, CCO, FFM, or any State and/or Federal information is reviewed, discussed, documented, implemented, audited, and trained based on the guidance.
13. Responsible for ensuring all Medicare, Medicaid, FFM, BHS, Group, etc. related Policies and Procedures are accurate, up to date, and reviewed, at minimum, annually.
14. Interpret contracts, new regulations, CMS memo’s, COBRA rules, etc. and determine actions required.  Recommend procedures for department, write UPM’s.