Enterprise Accreditation Specialist Ii

Job SummaryThe Enterprise Accreditation Specialist II is responsible for being the subject matter expert for select NCQA accreditation standards, analysis, and readiness across all lines of business.Works cross-functionally to support the organization in obtaining and maintaining NCQA accreditation.This position uses knowledge of current select NCQA standards to work effectively with selected business owners to identify gaps and deficiencies between current processes and the requirements of accreditation standards, and to assist in implementation of any necessary changes as needed.Ensure all changes made by NCQA are communicated and incorporated into business processes.Essential FunctionsServe as subject matter expert for select NCQA standardsAcquire an in-depth knowledge of select standards within the scope of work and ensure that changes made by NCQA are communicated and incorporated into business processesAbility to establish and maintain collaborative working relationships with select business owners to meet accreditation standardsDevelop a strong understanding of the business processes within the assigned business areasCollaborate with select business owners to obtain documents, reports, and materials for accreditation submissionReview and analyze documents, reports, and materials for submission.Ensures accuracy prior to submissionCommunicates with business owners on necessary revisions to documents, reports and materialsMonitor, track, and document deliverables related to accreditation process by applying accreditation standards to CareSource processes and documents in conjunction with the business ownersResponsible for preparing materials including but not limited to updating and reformatting for submission to accrediting entities in accordance with standards, coordinating efforts with business owners, and tracking readiness against work plans and timelinesUpdate accreditation Market specific roadmaps and communicate identified risks or noncompliance to Accreditation Specialist and ManagementWork collaboratively with Accreditation Specialist or Management to assist and support management and resolution of identified noncompliance concernsFollow up on potential and identified risks or noncompliance from meetings with business ownersMaintain state of readiness for accreditation by assisting team with accreditation assessments to determine compliance with specified standards and identify improvement opportunitiesCollaborate with other Accreditation Specialists for consistencyPerform a variety of complex work in planning, coordinating, and managing accreditation activatesProvides education to business owners on accreditation standards and provide timely updates to affected departments including accreditation activities, survey dates and timelines for deliverablesProvide management recommendations for improvement related to accreditation processes and document processesManages Accreditation SharePoint siteManage multiple projects with competing priorities and deadlinesParticipate in applicable committees as requiredPerform any other job duties as assignedEducation and ExperienceBachelor's degree in science, arts, healthcare or other related field or equivalent years of relevant work experience is requiredMinimum of two (2) years of experience in a Managed Care Organization or other healthcare related field is preferredAccreditation experience is preferredCompetencies, Knowledge and SkillsFamiliarity with accreditation bodiesInterpersonal skills and high level of professionalismCritical thinking/listening skillsProblem-solving skills with strong attention to detailAbility to work independently and within a team environmentAbility to develop, prioritize and accomplish goalsAbility to coordinator complex projects and multiple meetingsProficient in Microsoft Office Suite to include Word, Excel, Adobe Pro and SharePointExcellent written and verbal communication skillsFamiliarity of the healthcare field and with Marketplace, Medicaid, and MedicareTraining/teaching skills and technical writing skillsLicensure and CertificationNoneWorking ConditionsGeneral office environment; may be required to sit or stand for extended periods of timeCompensation Range$53,400.00 - $85,600.00CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.In addition to base compensation, you may qualify for a bonus tied to company and individual performance.We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type (hourly/salary)SalaryOrganization Level CompetenciesCreate an Inclusive EnvironmentCultivate PartnershipsDevelop Self and OthersDrive ExecutionInfluence OthersPursue Personal ExcellenceUnderstand the BusinessThis job description is not all inclusive.CareSource reserves the right to amend this job description at any time.CareSource is an Equal Opportunity Employer.We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.#J-18808-Ljbffr