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Accreditation Consultant Sr. /...

Monster
 
 
 
 

Job Summary

Company
Anthem
Location
Hanover, MD
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_PS1756

Accreditation Consultant Sr. / Accreditation Manager (Job Family) - Hanover, MD - PS1756

About the Job

Description

Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Accreditation Consultant Sr. or Accreditation Manager - Hanover, MD

Please Note: This position may be filled at either the Consultant Sr. or Manager level. Hiring manager will determine level based upon the selected applicant's skillset relative to the qualifications listed for this position.

The Accreditation Consultant Sr. is responsible for providing advanced accreditation services which are necessary for attaining and maintaining accreditation from various accrediting organizations, such as URAC and NCQA. Primary duties may include, but are not limited to:

  • Interfaces with internal and external clients, quality committees, and departments in the review of quality improvement data and in the implementation of appropriate interventions to effect improvement.
  • Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities.
  • Compiles evidence and documentation that standards have been met.
  • Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies.
  • Facilitates project management and develops comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines.
  • Coordinates activities for successful accreditation surveys.
  • Provides accreditation subject matter expertise to enterprise business owners.
  • Writes content for newsletters and forums.
  • Performs quantitative and qualitative analysis of quality related data and reports activities, improvements, and recommendations to the quality committee.
  • Associates at this level assume responsibility for the more complex and critical accreditation activities.

The Accreditation Manager is responsible for managing all accreditation activities for a line of business, region of the company, standards set, and/or enterprise wide which are necessary for attaining and maintaining accreditation from various accrediting organizations, such as URAC and NCQA. Primary duties may include, but are not limited to:

  • Interfaces with internal and external clients, quality committees, and departments in the review of quality improvement data and in the implementation of appropriate interventions to effect improvement.
  • Manages the overall accreditation processes and resources required to successfully lead the team.
  • Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities.
  • Identifies appropriate resources and accountabilities for project teams involved with accreditation.
  • Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies.
  • Serves as expert resource to quality committees and business owners across the organization.
  • Leads and provides oversight of quality studies/projects.
  • Facilitates project management and develops comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines.
  • Performs quantitative and qualitative analysis of quality related data and reports activities, improvements, and recommendations to the quality committee.

Qualifications

Accreditation Consultant Sr.

  • Requires BA/BS in a health care field, and 3-5 yrs healthcare-related experience in addition to 2-3 years' experience in a QA/QI related position, project management, and strong quantitative, qualitative and analytical skills or any combination of education and experience, which would provide an equivalent background.
  • NCQA and URAC accreditation experience strongly preferred.
  • Strong Microsoft Suite experience.
  • Visio experience preferred.
  • Strong and effective written and verbal communication skills.
  • Proven successful time management skills.

Accreditation Manager

  • Requires BA/BS in a health care field, and 3-5 yrs healthcare-related experience in addition to 3+ years experience in a QA/QI related position, project management, and strong quantitative, qualitative and analytical skills or any combination of education and experience, which would provide an equivalent background.
  • Successful Quality Survey process completion and continuous process improvement experience in an NCQA/URAC setting highly preferred.
  • Strong Microsoft Suite experience.
  • Visio experience preferred.
  • Strong and effective written and verbal communication skills.
  • Proven successful time management skills.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

 

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