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10 дней назад

Accreditation Specialist (Healthcare)

56 200 - 101 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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

hirify.global 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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