Role Description
Acentra Health is looking for a Provider Educator to join our growing team. The Provider Educator plays a critical role in ensuring high-quality, person-centered services within the West Virginia Intellectual/Developmental Disabilities Waiver (IDDW) Program. This position is responsible for:
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Developing, delivering, and monitoring training and technical assistance for waiver providers to promote compliance with Medicaid regulations, the WV IDDW Policy Manual, and best practices in service delivery.
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Overseeing provider contractual requirements to enhance positive relations and manage customer service experience.
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Serving as the provider educational coordinator, focusing on quality improvement initiatives.
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Staying informed about updates to automated review systems.
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Conducting provider reviews (onsite and desk audits), including completing associated reports.
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Completing special projects as assigned.
Qualifications
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Bachelorβs degree in a Human Services Field.
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Must reside in the State of West Virginia.
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3+ years experience with the WV IDDW Program.
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Strong understanding of the WV IDDW Policy Manual (preferred).
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Excellent communication and presentation skills (preferred).
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Ability to interpret complex regulations and translate them into practical guidance (preferred).
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Strong organizational and prioritization abilities (preferred).
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Analytical skills to identify trends and recommend improvements (preferred).
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Proficiency in Microsoft Office, virtual training platforms, and (preferably the UMC Web Portal) (preferred).
Requirements
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Design, develop, and deliver comprehensive training programs for new and existing waiver providers.
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Educate providers on WV IDDW policies, procedures, and service definitions, including Person-Centered Support Plans (PCSPs), documentation standards, and billing requirements.
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Facilitate in-person and virtual trainings, workshops, and informational sessions on regulatory updates and best practices.
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Create user-friendly training materials, guides, and job aids aligned with the IDDW Manual.
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Provide ongoing technical assistance to providers to ensure understanding and implementation of waiver requirements.
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Interpret IDDW policies and translate regulatory language into practical, actionable guidance.
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Respond to provider inquiries regarding compliance, service delivery, documentation, and program expectations.
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Conduct agency provider reviews (onsite or remote) and complete associated reports.
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Support oversight activities by identifying trends and areas of risk related to provider performance and compliance.
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Complete inter-rater reliability tasks assigned.
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Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Benefits
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Comprehensive health plans.
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Paid time off.
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Retirement savings.
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Corporate wellness.
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Educational assistance.
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Corporate discounts.
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And more.