Accreditation Specialist

  •  

Little Rock, AR

Industry: Staffing & Recruiting

  •  

Less than 5 years

Posted 248 days ago

This job is no longer available.

Accreditation Specialist

*3+ years of related quality improvement, HEDIS and/or NCQA experience.

*Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.

Little Rock, AR

Salary: DOE

Nationwide Relocation Assistance Available

Position Purpose:

Develop Performance Improvement projects to improve clinical quality and performance measure outcomes.

Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.

Develop and maintain accreditation readiness schedule.

Creates policy and procedures to support accreditation activities.

Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.

Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.

Coordinate assigned NCQA and HEDIS work plan activities.

Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements.

Qualifications:

*Bachelor?s degree in Business, related field or equivalent experience.

*3+ years of related quality improvement, HEDIS and/or NCQA experience.

Equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.