The Senior Accreditation Professional works with CenterWell Pharmacy Inc. leadership to successfully demonstrate their ability to meet regulatory requirements and standards, established by recognized Pharmacy accreditation organizations (URAC, NABP, and ACHC). The Senior Pharmacy Practice Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Accreditation Professional emphasizes quality assurance and a commitment to continuous quality enhancement. Begins to influence department's strategy in meeting accreditation compliance through existing polices, processes and procedures. Makes decisions on moderately complex to complex issues regarding compliance to the accreditation organization's standards. Exercises considerable latitude in determining objectives and approaches to assignments. The Senior Accreditation Professional work assignments involve moderately complex to complex issues to maintain audit readiness to avoid risk, focus on metrics not being met aligning with impacted business owners, and resolution of unmet metrics.
Use your skills to make an impact Required Qualifications
- Bachelor's degree or 2-3 years of pharmacy accreditation experience
- 2 or more years experience in pharmacy accreditation (URAC, ACHC, NABP, NCQA, JACHO), process improvement, data analytics, Compliance and Risk Management
- Previous experience working with senior leadership in Pharmacy and driving a successful accreditation outcome
- Exceptional analytical skills, including both problem solving and technical proficiency
- Demonstrated advanced skills in Excel, Access, and database creation/management
- Demonstrated excellent time management skills with proven ability to be flexible, adapt to changing environment, handle multiple tasks and deadlines and manage multiple priorities
- Commitment to continuous process improvement
- Exceptional verbal and written communication skills
- Demonstrated successful relationship building
- Ability to put context around data and identify problems and solutions
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- Experience working with cross-functional business areas
Work-At-Home Requirements- WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
- A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
- Satellite and Wireless Internet service is NOT allowed for this role.
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Preferred Qualifications- Clinical and/or Pharmacy accreditation experience
- Demonstrated experience with process improvement
- Excellent research and investigative skills
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours40
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 09-26-2026
