Remote NCQA Accreditation Coordinator

Summary

Join our innovative team at Evergreen Nephrology as we transform kidney care through a value-based approach. As the NCQA Accreditation Specialist, you will be responsible for ensuring compliance with accreditation and regulatory requirements.

Requirements

• Bachelor's Degree and 2 years of experience in managed care environment OR 6 years of work experience in managed care environment
• 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 skills
• Analytical skills
• Experience managing multiple complex priorities, often with limited time frames
• Detail oriented with strong organizational skills, experience meeting deadlines

Responsibilities

• 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

Benefits

• Competitive base pay with bonuses
• Paid time off starting at four weeks for full-time employees
• 12 paid holidays per year
• Reimbursement for continuing medical education
• 401k with match
• Health, dental, and vision insurance