Senior Accreditation Specialist

Job Summary

A company is looking for a Senior Accreditation Specialist who will serve as a subject matter expert regarding accreditation standards and continuous quality improvement principles.

Key Responsibilities

• Develop and coordinate delegation oversight mechanisms for complex plans
• Conduct file reviews, identify gaps, and perform re-audits as required
• Create policies and procedures to support accreditation activities and maintain readiness schedules

Required Qualifications

• Bachelor's degree in Business or a related field, or equivalent experience
• 4+ years of related accreditation, quality improvement, HEDIS, and/or NCQA experience
• CPHQ certification preferred
• Licensed healthcare professional preferred