Accreditation Specialist

Job Summary

Ensuring adherence to accreditation standards, the full-time remote Accreditation Specialist will coordinate audits, support compliance action plans, and monitor performance metrics while collaborating with various teams to enhance operational processes.

Key responsibilities

• Support accreditation activities by preparing audit materials and tracking performance metrics
• Collect and analyze utilization and quality performance data to identify trends and escalate performance gaps
• Collaborate with internal teams to document process improvements and provide staff training on accreditation requirements

Required qualifications

• Bachelor's degree in healthcare administration, nursing, or a related field
• 3+ years of experience in case management, utilization review, or auditing
• 1+ years of experience in a managed care environment
• Familiarity with NCQA, URAC, CMS, or Joint Commission accreditation standards
• Proficiency in Microsoft Office and Excel spreadsheet manipulation