TriWest Healthcare Alliance ยท 4 hours ago
Claims Content Specialist
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Responsibilities
Collaborates with department leaders, subject matter experts, and other internal partners to gather information and thoroughly understand existing processes or requirements, as well as upcoming changes.
Coordinates with Corporate Communications to follow established policies for the approvals of internal and external communications.
Maintains a clear understanding of Government contracts, as they relate to Claims processing.
Attends project and contract modification meetings to ensure thorough understanding of changes, processes, and timelines, so communication is executed efficiently.
Drafts and revises claims content related to provider-facing reference materials, forms, letters, education, and change communications.
Drafts and revises claims content related to enterprise operational processes, contract & procedural changes, training materials, job aids, bulletins, functional procedures, workflows, templates, and other internal communications.
Develops content that is clear, concise, easily understood, and appropriately formatted for the intended audience(s).
Effectively manages and resolves disputes about claims operational processes to assure accurate outcomes and prevent delays in timeline.
Communicates claims operational process changes and critical updates to the necessary stakeholders, to include enterprise staff, organizational leaders, and external audiences.
Works closely with organizational leaders and instructional designers to develop and update claims training curriculum for various audiences.
Partners with Corporate Communications and Training to finalize materials and/or communications as appropriate.
Completes assigned tasks within defined timelines and manages time efficiently.
Monitors claims performance trends to identify content gaps in training materials and procedural documents.
Possesses and maintains a working knowledge of assigned Government program(s).
Collaborates closely with Management to achieve goals and performance standards.
Performs other duties assigned.
Qualification
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Required
Associate's degree in a relevant field (e.g., Business Administration, Technical Writing, etc.) or equivalent work experience
2 years of claims-related healthcare experience
Excellent written communication and/or technical writing skills, with a strong attention to detail and demonstrated results
Demonstrated ability to understand claims processes and translate them into well-structured communications or procedures
Preferred
Bachelor's degree in a relevant field (e.g., Business Administration, Technical Writing, etc.) or equivalent work experience
Government claims experience
Benefits
Medical, Dental and Vision Coverage
Generous paid time off
401(k) Retirement Savings Plan (with matching)
Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
Tuition reimbursement
Paid volunteer time
Company
TriWest Healthcare Alliance
TriWest Healthcare Alliance - Serving Those Who Serve. At TriWest, we honor the sacrifice and service of our nations military families by
Funding
Current Stage
Late StageLeadership Team
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