Accreditation Manager

Summary

Join SmithRx, a rapidly growing Health-Tech company, as their Accreditation Manager. Lead the company in achieving and maintaining industry accreditations, ensuring compliance with standards. Oversee accreditation compliance, interpret standards, and guide staff on compliance. Identify quality opportunities and ensure operational processes align with standards. Safeguard the organization's accreditation status through meticulous audit management, promoting compliance, fostering continuous improvement, and enhancing operational efficiency. Provide expert guidance, training, and communication with accrediting bodies, mitigating risks and ensuring sustainable compliance. This role is crucial in supporting SmithRx's mission and long-term success.

Requirements

• Minimum of 4 years combined experience in either Quality Improvement or Accreditation Coordination for PBM or Pharmacy
• Bachelor’s Degree in Pharmacy or PharmD required
• Must have an active Pharmacist license in home state
• Ability to work without direct oversight, setting goals and deadlines, independently managing deadlines
• Experience in building internal and external relationships/partnerships
• Strong quality orientation including the ability to focus on details and adherence to standards
• Excellent communication and presentation skills, both verbal and written
• Ability to find a solution for or to deal proactively with work-related problems
• Strong organizational skills
• Proficiency in Microsoft Word, Excel, and PowerPoint applications

Responsibilities

• Leads initiative to obtain URAC accreditation for SmithRx
• Manages accreditation compliance, including interpreting standards, monitoring, and implementing quality improvement, while also leading project planning for URAC Accreditation achievement and maintenance
• Maintains full three-year accreditation status, monitors accreditation process/standards, and informs appropriate management and quality staff of any changes
• Educate staff about accreditation requirements, audit processes, and the importance of adhering to standards to maintain accreditation
• Serves as the primary point of contact with external accreditation bodies, preparing all necessary documents and managing communication
• Organize and maintain accurate records of audits and accreditation processes and prepare detailed reports for management and accrediting bodies
• Analyzes audit and quality improvement findings to develop recommendations and collaborative corrective action plans, documenting all activities formally
• Monitors the implementation of corrective action plans, ensuring recommendations are followed to achieve compliance and service improvements, and presents findings to relevant committees
• Organize and assist with document controls for all enterprise policies and procedures, working with departments when necessary to establish new controls and ensure / improve quality for the organization
• Lead efforts to work with Engineering and data teams in support of URAC Accreditation quality, crafting or reviewing or instilling controls and documentation as needed
• Ensures clear communication and organized information flow by coordinating committee meetings, preparing detailed minutes, and delivering impactful presentations to colleagues and management
• Ensuring the organization meets all necessary standards and regulations required for accreditation and is compliant with requirements as audited
• Planning, coordinating, and conducting internal and external audits to evaluate the effectiveness of the organization's processes and controls related to accreditations
• Identifying areas for improvement based on findings and working with relevant departments to implement necessary changes to enhance operational quality and compliance
• Support cross functional teams in creating policies, procedures, and operational structures to meet accreditation standards
• Identifying potential risks related to accreditation compliance and audit requirements and developing strategies to mitigate them

Preferred Qualifications

Six Sigma and/or Lean experience is a plus

Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
• Flexible Spending Benefits
• 401(k) Retirement Savings Program
• Short-term and long-term disability
• Discretionary Paid Time Off
• 12 Paid Holidays
• Wellness Benefits
• Commuter Benefits
• Paid Parental Leave benefits
• Employee Assistance Program (EAP)
• Well-stocked kitchen in office locations
• Professional development and training opportunities