Evergreen Nephrology is hiring a
NCQA Accreditation Coordinator

Summary

The NCQA Accreditation Coordinator is responsible for maintaining compliance with accreditation and regulatory requirements at Evergreen Nephrology. This role involves collaborating with partners to collect data, monitoring compliance, educating staff, evaluating current practices, preparing training materials, coordinating accreditation surveys, and acting as a subject matter expert. The ideal candidate has a bachelor's degree and 2 years of experience in a managed care environment or 6 years of work experience in the same field, with at least 2 years of accreditation experience (NCQA, URAC, Joint Commission, CMS) and knowledge of health care regulatory and legislative processes. Preferred qualifications include NCQA Accreditation experience and Project Management (PMP) certification. The role offers competitive base pay with bonuses, paid time off, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance, family-friendly policies, flexible work arrangements, and a robust training and development program.

Requirements

• Bachelors degree and 2 years of experience in managed care environment OR 6 years work experience in managed care environment
• 2 years Accreditation experience (i.e. NCQA, URAC, Joint Commission, CMS) to include managing survey/review experience
• Knowledge of health care regulatory and legislative process
• 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 and organizational skills; experience meeting deadlines on time

Responsibilities

• Collaborate with partners to collect data and develop compliance documents/evidence for successful accreditation surveys
• Monitor and maintain compliance evidence
• 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
• Act as subject matter expert, handling complex assignments, and may assist training/mentoring department staff

Preferred Qualifications

• NCQA Accreditation experience HIGHLY PREFERRED
• Project Management (PMP) certification

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
• Family-friendly policies that support paid parental leave and flexible work arrangements
• Robust training and development program