Accreditation Specialist

Job Summary

To support the needs of the business, the full-time remote Accreditation Specialist will develop Performance Improvement projects, coordinate accreditation readiness, and conduct training programs to enhance clinical quality and performance measure outcomes.

Key responsibilities

• Develop and coordinate delegation oversight mechanisms and act as a liaison for the Plan with Corporate Delegation Oversight
• Create and maintain an accreditation readiness schedule while developing policies and procedures to support accreditation activities
• Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract, and accreditation requirements

Required qualifications

• Bachelor's degree in Business or a related field, or equivalent experience
• 3+ years of related quality improvement experience, specifically with HEDIS and/or NCQA
• Experience in developing and managing accreditation projects
• Knowledge of NCQA and HEDIS reporting requirements
• Ability to conduct training and education programs for diverse stakeholders