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L&D Facilitator - Clinical
Company: Highmark Health
Location: Harrisburg, PA
Employment Type: Full Time
Date Posted: 01/17/2021
Expire Date: 03/15/2021
Job Categories: Accounting/Auditing, Social Services, Computers, Software, Consulting Services, Healthcare, Other, Healthcare, Practitioner and Technician, Human Resources, Information Technology, Installation, Maintenance, and Repair, Internet/E-Commerce, Counseling, Executive Management, Research & Development, Medical, Web Technology
Job Description
L&D Facilitator - Clinical
Company :Highmark HealthJob Description :


This job is responsible for activities related to clinical education and training within the Product and Healthcare Services department. This extensive role provides primary support on the onboarding, on-going education, and coaching of clinical and non-clinical employees within the Utilization Management and Clinical Care and Wellness areas. Training areas of focus include:  orientation, systems, policies and procedures, compliance, medical criteria and policy, and soft skills such as motivational interviewing, relationship management, and critical thinking.  Additional responsibilities include: consulting on employee performance gaps, providing subject matter expertise on various projects, executing staff assessments, reviewing program data and identifying improvement areas, and completing design/development of training tools and resources. This individual is an integral component of the Product and Healthcare Services division, directly supporting the Clinical Services Directors and Managers in achieving training objectives. The Training Specialist – Clinical job requires excellent facilitation, coaching, clinical, system, and industry knowledge.


  • Deliver/ facilitate training programs for clinical and non-clinical staff in person or virtually, using virtual training software/tools.  Responsible for managing the classroom, ensuring learning engagement, executing a performance-based approach, and incorporating experiential activities (workflow learning, case work, calls, etc.) that prepare staff for on-the-job application. Accountable for assessing and measuring employee skill acquisition through assessments, quality audits, and administration of objective criteria.  Partners with Training Coordinator on program administration, including participant communications, materials prep, class roster/attendance tracking, and post-program evaluation distribution, collection, and reporting.  Training topics include new hire orientation, systems, policies and procedures, compliance, medical criteria and policy, and various soft skills.
  • Provide comprehensive orientation and cohort-based on-boarding for all newly hired case and disease managers, care managers, and non-clinical frontline. Facilitate cohort-based program virtually or in person.  Conduct in-class performance-based assessments to gauge performance.  Partner with business managers and mentors (throughout new hire training period) to ensure new hire training goals and performance expectations are met.  Provide skill remediation when necessary.  Ensure corporate and departmental mandatory training is executed on time.  Keep training materials up to date and available to all staff.
  • Evaluate trainee performance both in the classroom and ongoing by assisting with quarterly quality audits, providing individual re-training when necessary. Make necessary changes in content or delivery as needed to ensure staff meets minimal high performance standards.
  • Provide subject matter expertise to staff related to the clinical systems, policies and procedures, medical criterial, and necessary soft skills. Act as subject matter expert on design, development, and maintenance of training and performance-based solutions. Provide subject matter expertise in the areas of regulatory and accrediting bodies such as CMS, NCQA, URAC, Department of Health, and Department of Labor. Provide assistance in the preparation for regulatory and account audits and help maintain records of training offerings to be supplied to accrediting agencies and management.
  • Design and develop performance-based solutions (job aids, etc.) and training programs, as needed.  Analyze needs, define learning outcomes, build, implement, and evaluate solutions.
  • Communicate and market training and continuing education programs to the business/employees throughout the year.  Assist with skill needs assessments and provide input to training and development leadership on future learning needs/priorities.
  • Provide supplemental training, coaching and mentoring as needed to help business close identified performance gaps.
  • Other duties as assigned or requested.



  • Bachelor’s Degree in Nursing or related health field such as Health Promotion, Health Education or Public Health


  •  Master’s Degree in psychology, social work or a related human services field



  • 5 - 7 years of relevant, progressive experience in the area of specialization
  • Clinical work experience
  •  Experience in one or a combination of: Health Coaching/Case Management/Utilization Management and development and implementation of educational programs


  • Certification in Case Management
  • Certification in Shared Decision Making
  • Certification in Health Coaching

 Expertise in Motivational Interviewing techniques, Health Coaching and/or Case Management principles
Expertise in nationally recognized utilization management criteria
Experience in Telephonic Coaching and/or Utilization Review Experience
Advanced knowledge of clinical platform functionality
Advance knowledge in Microsoft applications
Effective oral and written presentation/communication skills required
Evidence of effective interpersonal skills, systems knowledge, analytic skills with ability to create action plans, and ability to work independently to achieve targeted results
Self-motivated and independent performer with the ability to work independently and prioritize assignments. Ability to work effectively and drive programs to completion within a transforming organization
Ability to embrace change management; work effectively in a fast paced environment while managing multiple complex initiatives.
Support an environment of continuous learning
Familiar with regulatory agency requirements, including but not limited to CMS, URAC, NCQA, DOL, and DOH

Does this role supervise/manage other employees?



Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)

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Contact Information
Company Name: Highmark Health
Website: https://highmarkinc.contacthr.com/7...
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