CareSource
Enterprise Accreditation Specialist II
CareSource, Myrtle Point, Oregon, United States, 97458
Job Summary
The Enterprise Accreditation Specialist II is responsible for being the subject matter expert for select NCQA accreditation standards, analysis, and readiness across all lines of business. Works cross-functionally to support the organization in obtaining and maintaining NCQA accreditation. This position uses knowledge of current select NCQA standards to work effectively with selected business owners to identify gaps and deficiencies between current processes and the requirements of accreditation standards, and to assist in implementation of any necessary changes as needed. Ensure all changes made by NCQA are communicated and incorporated into business processes.
Essential Functions
Serve as subject matter expert for select NCQA standards
Acquire an in-depth knowledge of select standards within the scope of work and ensure that changes made by NCQA are communicated and incorporated into business processes
Ability to establish and maintain collaborative working relationships with select business owners to meet accreditation standards
Develop a strong understanding of the business processes within the assigned business areas
Collaborate with select business owners to obtain documents, reports, and materials for accreditation submission
Review and analyze documents, reports, and materials for submission. Ensures accuracy prior to submission
Communicates with business owners on necessary revisions to documents, reports and materials
Monitor, track, and document deliverables related to accreditation process by applying accreditation standards to CareSource processes and documents in conjunction with the business owners
Responsible for preparing materials including but not limited to updating and reformatting for submission to accrediting entities in accordance with standards, coordinating efforts with business owners, and tracking readiness against work plans and timelines
Update accreditation Market specific roadmaps and communicate identified risks or noncompliance to Accreditation Specialist and Management
Work collaboratively with Accreditation Specialist or Management to assist and support management and resolution of identified noncompliance concerns
Follow up on potential and identified risks or noncompliance from meetings with business owners
Maintain state of readiness for accreditation by assisting team with accreditation assessments to determine compliance with specified standards and identify improvement opportunities
Collaborate with other Accreditation Specialists for consistency
Perform a variety of complex work in planning, coordinating, and managing accreditation activates
Provides education to business owners on accreditation standards and provide timely updates to affected departments including accreditation activities, survey dates and timelines for deliverables
Provide management recommendations for improvement related to accreditation processes and document processes
Manages Accreditation SharePoint site
Manage multiple projects with competing priorities and deadlines
Participate in applicable committees as required
Perform any other job duties as assigned
Education and Experience
Bachelor’s degree in science, arts, healthcare or other related field or equivalent years of relevant work experience is required
Minimum of two (2) years of experience in a Managed Care Organization or other healthcare related field is preferred
Accreditation experience is preferred
Competencies, Knowledge and Skills
Familiarity with accreditation bodies
Interpersonal skills and high level of professionalism
Critical thinking/listening skills
Problem-solving skills with strong attention to detail
Ability to work independently and within a team environment
Ability to develop, prioritize and accomplish goals
Ability to coordinator complex projects and multiple meetings
Proficient in Microsoft Office Suite to include Word, Excel, Adobe Pro and SharePoint
Excellent written and verbal communication skills
Familiarity of the healthcare field and with Marketplace, Medicaid, and Medicare
Training/teaching skills and technical writing skills
Licensure and Certification
None
Working Conditions
General office environment; may be required to sit or stand for extended periods of time
Compensation Range $53,400.00 - $85,600.00
Compensation Type (hourly/salary) Salary
Organization Level Competencies
Create an Inclusive Environment
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Equal Opportunity Statement This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
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Essential Functions
Serve as subject matter expert for select NCQA standards
Acquire an in-depth knowledge of select standards within the scope of work and ensure that changes made by NCQA are communicated and incorporated into business processes
Ability to establish and maintain collaborative working relationships with select business owners to meet accreditation standards
Develop a strong understanding of the business processes within the assigned business areas
Collaborate with select business owners to obtain documents, reports, and materials for accreditation submission
Review and analyze documents, reports, and materials for submission. Ensures accuracy prior to submission
Communicates with business owners on necessary revisions to documents, reports and materials
Monitor, track, and document deliverables related to accreditation process by applying accreditation standards to CareSource processes and documents in conjunction with the business owners
Responsible for preparing materials including but not limited to updating and reformatting for submission to accrediting entities in accordance with standards, coordinating efforts with business owners, and tracking readiness against work plans and timelines
Update accreditation Market specific roadmaps and communicate identified risks or noncompliance to Accreditation Specialist and Management
Work collaboratively with Accreditation Specialist or Management to assist and support management and resolution of identified noncompliance concerns
Follow up on potential and identified risks or noncompliance from meetings with business owners
Maintain state of readiness for accreditation by assisting team with accreditation assessments to determine compliance with specified standards and identify improvement opportunities
Collaborate with other Accreditation Specialists for consistency
Perform a variety of complex work in planning, coordinating, and managing accreditation activates
Provides education to business owners on accreditation standards and provide timely updates to affected departments including accreditation activities, survey dates and timelines for deliverables
Provide management recommendations for improvement related to accreditation processes and document processes
Manages Accreditation SharePoint site
Manage multiple projects with competing priorities and deadlines
Participate in applicable committees as required
Perform any other job duties as assigned
Education and Experience
Bachelor’s degree in science, arts, healthcare or other related field or equivalent years of relevant work experience is required
Minimum of two (2) years of experience in a Managed Care Organization or other healthcare related field is preferred
Accreditation experience is preferred
Competencies, Knowledge and Skills
Familiarity with accreditation bodies
Interpersonal skills and high level of professionalism
Critical thinking/listening skills
Problem-solving skills with strong attention to detail
Ability to work independently and within a team environment
Ability to develop, prioritize and accomplish goals
Ability to coordinator complex projects and multiple meetings
Proficient in Microsoft Office Suite to include Word, Excel, Adobe Pro and SharePoint
Excellent written and verbal communication skills
Familiarity of the healthcare field and with Marketplace, Medicaid, and Medicare
Training/teaching skills and technical writing skills
Licensure and Certification
None
Working Conditions
General office environment; may be required to sit or stand for extended periods of time
Compensation Range $53,400.00 - $85,600.00
Compensation Type (hourly/salary) Salary
Organization Level Competencies
Create an Inclusive Environment
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Equal Opportunity Statement This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
#LI-JM1
#J-18808-Ljbffr