Anticipated End Date:
2026-10-23
Position Title:
Accreditation Director
Job Description:
Accreditation Director
Location: 654 Munoz Rivera Ave. Suites 1500 & 1600, San Juan, Puerto Rico.
Hybrid 2: This role requires associates to be in-office 3days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule:This position will work an 8-hour shifts between 8:00 am - 5:00 pm (AST), Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs.
The Accreditation Director is responsible for leading all accreditation activities for a line of business, region of the company, standards set, and/or enterprise wide which are necessary for attaining and maintaining accreditation from various accrediting organizations, such as URAC and NCQA.
How You Will Make an Impact
Primary duties may include, but are not limited to:
- Interfaces with internal and external clients, quality committees, and departments in the review of quality improvement data and in the implementation of appropriate interventions to effect improvement.
- Manages the overall accreditation processes and resources required to successfully lead the team.
- Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities.
- Identifies appropriate resources and accountabilities for project teams involved with accreditation.
- Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies.
- Serves as expert resource to quality committees and business owners across the organization.
- Leads and provides oversight of quality studies/projects.
- Facilitates project management and oversees comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines for team members.
- Performs quantitative and qualitative analysis of quality related data and reports activities, improvements, and recommendations to the quality committee.
Minimum Requirements:
- Requires a BA/BS in a health care field and minimum of 3 years healthcare-related experience, in addition, minimum of 5 years experience in a QA/QI related position; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
- Fully Bilingual (English & Spanish). Ability to write, read and speak both languages in a proficiency level is highly preferred.
- Successful NCQA/URAC accreditation process completion and continuous process improvement experience in an NCQA/URAC setting strongly preferred.
- Nursing background with case management and accreditation survey experience is highly preferred.
- Previous experience in a leadership role is preferred.
- Clinical healthcare experience strongly preferred.
Job Level:
Director Equivalent
Workshift:
Job Family:
QLT > Clinical Quality
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
