Provider Educator (Provider Training and Experience)

Job Title/Role: Provider Educator (Provider Training and Experience)

Key Skills: Provider Education & Training Programs

Experience: 6- 10+ Years

Location: United States

We at Coforge are seeking a Provider Educator (Provider Training and Experience) with the following skillset:

Key Responsibilities:

• Design and execute a comprehensive provider education strategy - including live and recorded webinars, written reference materials, quick reference guides, and portal-based resources.
• Develop training curricula covering prior authorization submission workflows, documentation requirements, resubmission procedures, peer-to-peer review, and the Exemption Program.
• Coordinate outreach to affected WISeR Providers and Suppliers in collaboration with the designated MAC and internal communications teams.
• Build and manage a public-facing resource library including FAQs, step-by-step submission guides, decision flowcharts, and policy summaries.
• Track training completion, provider engagement, and non-affirmation trends by provider segment to identify education gaps; design and deliver targeted follow-up resources to close those gaps.
• Establish feedback mechanisms (surveys, call monitoring, inquiry analysis) to continuously measure education effectiveness and improve content quality.

Required Skills & Experience:

• 5+ years of experience in provider education, healthcare communications, training & development, or a related field within a managed care or healthcare environment.
• Demonstrated experience designing and delivering multi-format provider or healthcare professional education programs (webinars, e-learning, written guides, live training).
• Strong knowledge of Medicare prior authorization, pre-payment review, or utilization management processes.
• Exceptional written and verbal communication skills - able to translate complex Medicare policy into clear, actionable, plain-language guidance for diverse provider audiences.
• Proven ability to develop curriculum, instructional content, and training materials from scratch with minimal direction.
• Comfortable using provider inquiry data, training completion metrics and data trends to measure effectiveness and drive content improvements.
• Strong project management skills; ability to manage multiple content workstreams simultaneously and deliver on tight pre-launch timelines.

Preferred Qualifications

• Own and manage provider-facing communication channels - including portal notifications, email campaigns, and outreach letters.
• Build and maintain a library of communication templates, provider FAQs, and response scripts to ensure consistency and compliance across all provider touchpoints.
• Collaborate with MAC partners on joint outreach and education initiatives, including introductory letters, training sessions, and shared web postings.
• Monitor communication volume and provider inquiry trends to proactively identify emerging issues and anticipate education needs.