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Empowering nephrologists to transform kidney care and improve patient outcomes
NCQA Accreditation Specialist
Location
United States
Posted
32 days ago
Salary
$75K - $85K / year
Seniority
Senior
Job Description
NCQA Accreditation Specialist
Evergreen Nephrology
• Collaborate with internal partners to collect data and develop compliance documents/evidence for successful accreditation surveys • Monitor and maintain comprehensive compliance documents and evidence to ensure successful accreditation survey and ensure adherence to NCQA standards • Maintain up-to-date records • Educate staff across the organization regarding accreditation standards and requirements • Evaluate current practices and identify compliance gaps and recommend solutions to close gaps • Prepare training materials, reports, and materials to support compliance • Coordinate accreditation surveys and serve as a point of contact during surveys to ensure all requirements are met • Act as subject matter expert, handling complex assignments, and may assist training/mentoring department staff • Regular and reliable attendance • Other duties consistent with this role, as assigned.
Job Requirements
- Bachelor’s degree and 4 years of experience in managed care environment OR 6 years of work experience in managed care environment
- Managed care environment experience includes one or more of the following areas: audit, health plan operations, compliance or legal
- 2 years Accreditation experience (i.e. NCQA, URAC, Joint Commission, CMS) to include managing survey/review experience
- In-depth knowledge of NCQA standards and accreditation processes
- Knowledge of health care regulatory and legislative process; experience reading and interpreting legislation
- Experience using Total Quality Management (TQM) / Continuous Quality Improvement (CQI) concepts
- Knowledge or experience reviewing accreditation standards and evaluating level of compliance, identifying challenges and proposing solutions
- Knowledge or experience monitoring compliance and managing evidence documents
- Verbal and written communications skills including training skills
- Research and analytical skills
- Experience managing multiple complex priorities, often with limited time frames
- Detail oriented with strong organizational skills and experience meeting deadlines
- Intermediate skills with MS Office Suite of products including Outlook and Teams
- Able to work effectively in a primarily remote environment: Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended. Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role. Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Benefits
- Paid time off starting at 4 weeks for full-time employees
- 12 paid holidays per year
- Medical, dental, vision and life insurance, including an HSA with employer match
- Reimbursement for continuing medical education for eligible roles
- A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure
- Paid parental leave
- A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology
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