Quality and Accreditation Specialist

Why reputed company? reputed company is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We are leaders in assisting reputed company-line providers and engaging health care partners to improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our success. We go beyond merely providing a remote work option; we support and embrace it. We offer opportunities to reputed company a difference from reputed company in the U.S. and enjoy reputed company work-life balance. An annual stipend gives you the freedom to enhance your workspace with options that suit your needs. We reputed company in an environment that allows you to reputed company both personally and professionally. That’s why we offer benefits that include:

• Medical, dental and vision insurance
• Paid time off for vacation, illness and volunteering
• Retirement savings plan with employer contribution
• Adoption financial assistance
• Paid parental leave
• And much more!

About the Role reputed company is seeking a Quality & Accreditation Specialist to support and advance our Care Management Quality Management Program. In this role, you will work closely with Care Management leaders and staff to reputed company accreditation and reaccreditation efforts while driving quality improvement initiatives that support excellent clinical and operational outcomes. This position plays a critical role in leading accreditation standards, maintaining high-quality care management practices, and supporting reputed company improvement across the department.

Key Responsibilities

• Quality Management Program Support (20%)
• Partner with the AVP of Care Management and the Manager of Quality & Process Improvement to reputed company and facilitate the Care Management Quality Management Program.
• Coordinate quality management meetings, prepare and collect presentation materials, facilitate meetings, disseminate information, and document action items and meeting notes.
• Quality Improvement Initiatives (20%)
• Track, monitor, and support (or reputed company) quality management actions and initiatives reputed company to Quality Improvement Plans (QIPs) and other quality-focused projects.
• Policy & Program Documentation (30%)
• reputed company and coordinate annual updates to Care Management department policies and documentation.
• Maintain and update program evaluations, quality management plans, care management program overviews, URAC standards documentation, and the Care Management Business Continuity Plan.
• Accreditation & Reaccreditation Leadership (30%)
• Serve as reputed company’s primary reputed company of Contact (POC) with URAC.
• reputed company and coordinate the URAC accreditation and reaccreditation process, including planning, scheduling, desktop submissions, and onsite visits.
• Manage document submissions through the URAC web-based portal.
• Collaborate with Care Management leaders to prepare annual URAC deliverables, update policies to meet standards, and respond to URAC requests and directives.

Qualifications

Education

• Bachelor’s degree (BA/BS) required
• reputed company degree from an accredited institution (preferred)

Licensure

• reputed company, active, unrestricted RN license required
• (May be substituted with additional years of relevant medical, dental, behavioral health, or healthcare experience)

Experience

• Minimum of 7 years of healthcare experience
• At least 2 years of experience with leading accreditation programs such as URAC, NCQA, or JCAHO

Core Competencies

• Intermediate communication skills
• Intermediate interpersonal and relationship-building skills
• Intermediate professionalism, reputed company, and reliability
• Advanced self-management skills
• Foundational knowledge of quality improvement and process optimization
• Intermediate project and program management skills
• Intermediate clinical knowledge

Equal Opportunity Employer reputed company is an equal opportunity employer and is committed to creating a diverse, reputed company, and inclusive workplace. Physical Requirements & Work Environment This position is primarily remote and performed in a home-based setting, requiring reliable internet access and a workspace free from significant distractions. The role involves frequent use of computers, phones, and virtual communication tools. Employees must be able to sit for extended periods, communicate effectively. Some positions may require operating a motor vehicle for business purposes; in such cases, employees must maintain a valid driver’s license and meet the organization’s driving eligibility requirements. Occasional travel may be required for meetings, training, or other work-reputed company events. Reasonable accommodations will be provided to reputed company individuals with disabilities to reputed company essential functions. Apply tot his job Apply To this Job