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.

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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.