10 дней назад
Accreditation Specialist (Healthcare)
56 200 - 101 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Accreditation Specialist (Healthcare) (NCQA/HEDIS): Develop and coordinate clinical quality, accreditation readiness, delegation oversight, and HEDIS performance improvement projects with an accent on compliance, provider-network coordination, and corrective action planning. Focus on maintaining accreditation schedules, training stakeholders, coordinating NCQA and HEDIS work plans, and supporting audits against state, federal, contractual, and accreditation requirements.
Location: Remote within the continental United States; preferred schedule aligned with Eastern Standard Time. U.S. work authorization is required without current or future employment-based visa sponsorship.
Salary: $56,200–$101,000 per year
Company
connects people with healthcare services and works to make care more accessible and effective.
What you will do
- Develop performance improvement projects to improve clinical quality and performance measure outcomes.
- Develop delegation oversight mechanisms and act as a liaison with Corporate Delegation Oversight.
- Maintain accreditation readiness schedules and create policies and procedures supporting accreditation activities.
- Conduct training and education for health plans, provider networks, and delegated vendors on NCQA and HEDIS activities.
- Develop QI, NCQA, and HEDIS projects and coordinate assigned work-plan activities.
- Assist with delegation oversight audits and coordinate corrective action plans to support compliance.
Requirements
- Bachelor’s degree in Business, a related field, or equivalent experience.
- 3+ years of experience in quality improvement, HEDIS, and/or NCQA.
- Must be authorized to work in the United States without current or future employment-based visa sponsorship.
- Must be able to work remotely within the continental United States.
- Ability to support compliance with state, federal, contractual, and accreditation requirements.
Culture & Benefits
- Health insurance, 401(k), and stock purchase plans.
- Tuition reimbursement, paid time off, and holidays.
- Flexible remote, hybrid, field, or office work approaches depending on business needs.
- Equal opportunity workplace committed to diversity and inclusion.
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