Accreditation Manager

Summary

Join Shields Health Solutions as a highly motivated and results-oriented individual seeking a challenging career in specialty pharmacy and home infusion management services. This role provides hands-on support and guidance to hospital pharmacy partners regarding pharmacy accreditation. You will lead accreditation survey readiness programs, prepare accreditation submissions, facilitate survey readiness activities, and support ongoing readiness for accreditation surveys. The ideal candidate possesses strong people management skills, data analysis abilities, and excellent communication skills. Experience in home infusion pharmacy and accreditation is required, with preferred experience in specialty pharmacy.

Requirements

• 3+ years of home infusion pharmacy experience
• 2+ years of home infusion accreditation experience
• Strong people management skills
• Ability to analyze data/information to make sound business decisions
• Exercises good judgment
• Possesses strong written and verbal communication skills
• Able to manage and improve processes

Responsibilities

• Leads Accreditation survey readiness program for Pharmacy Accreditations with duties including but not limited to: Performing gap analyses
• Preparation of Accreditation compliant policy and procedure manual
• Preparation of URAC Desktop submission and uploading to AccreditNet for specialty pharmacy accreditation
• Provide assistance with set up of ACHC Customer Central and submitting the PER Checklist for specialty pharmacy and/or home infusion accreditation
• Preparation of additional Accreditation submissions as required
• Facilitating survey readiness activities such as mock audits, training, and the development of corrective action plans
• Prepares and leads Quality Management Committee (QMC) Meetings and participates in Quality Management Program activities such as Quality Improvement Projects (QIP) and collection of Performance Indicator (PI) data
• Conducts data analysis and trending
• Actively preparing and participating in on-site surveys, including coordination of agendas, assigning tasks, tracking activities, and preparation of documentation to be presented during the survey
• Supports ongoing readiness for accreditation surveys with duties including but not limited to: Revising policies and procedures to comply with changes Accreditation standards
• Providing training when changes in accreditation standards occur
• Acting as a subject matter expert in accreditation for all staff
• Continually monitoring and tracking opportunities for improvement
• Developing templates, tools, and processes to facilitate an efficient and effective means for accreditation compliance
• Keeping partners survey ready by collecting data and documents throughout the accreditation cycle
• Attending workshops and webinars hosted by Accreditation Bodies for ongoing education on accreditation
• Being an active participant in Quality Management Committees by preparing agendas, collecting data, and leading meetings
• Creates agendas and leads internal and partner facing meetings
• Collaborate with other work streams to support cross functional meetings and projects
• Travels to conduct in person meetings with our partners, mock audits and participate in accreditation surveys
• Other duties as assigned

Preferred Qualifications

• Specialty pharmacy experience
• Active pharmacist or nursing license in good standing