QHP Training
The right training is everything.
With frequent turnover in health plan administration and continuous changes in regulations, staying up to date can be a challenge—but it’s critical. Proper training can impact quality star ratings from CMS, influencing your plan’s market credibility and competitive stance.
Comprehensive Training for QHPs
Expert-led training sessions
Our training is updated annually to reflect the latest changes in products, portfolios and regulatory requirements, ensuring your team remains at the forefront of industry standards and practices.
QHP 101
A foundational module, covering essential concepts like the structure of the ACA, the meaning of on- and off-exchange plans, and the basics of health insurance terminology.
Product & Plan Designs
Detailed overviews of product portfolios, including compliance with CMS and state-specific requirements, the QHP certification timeline and process insights.
Implementation & Operations
Preparation for open enrollment, detailed walkthroughs of the enrollment application process, and operational readiness for call center management.
Get Started
Ensure the success of your team—and your plan
Just as code of conduct and harassment training are standard for new hires, QHP training should also be an integral part of onboarding processes, ensuring every team member is well-prepared to contribute to your organization’s success.
Broad Coverage Across Operational Areas:
- Actuarial Appeals
- Grievances
- Benefits Administration
- Behavioral Health
- Claims Payment/Processing
- Enrollment Processes
- IT and Legal Considerations
- Marketing Strategies
- Medical Management
- Network Management
- Pharmacy Services
Automated Regulatory Filing
Our intelligent SaaS solution ensures a seamless and simple user interface for filing success through automated, real-time access to state guidance, streamlined integration and dissemination of binder, form and rate filing deadlines and requirements.
- Simplify filing with user-friendly template assistance
- Streamline workflow for internal teams
- Take the guesswork out of deadline tracking & management
Prefer on-demand webinars for self-paced learning—or live sessions for real-time engagement with QHP experts?
Contact us to customize a training solution that fits your needs and enhances your operational effectiveness.
Get Inspired
Get Inspired
Explore regulatory compliance insights and tips for health plan growth and success.
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