Accreditation Specialist

» Accreditation Specialist
Healthcare
in Little Rock
, AR
Reference: 19-03603

Description:

Develop Performance Improvement projects to improve clinical quality and performance measure outcomes.

Roles and Responsibilities: 

  • Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight
  • Develop and maintain accreditation readiness schedule
  • Create policy and procedures to support accreditation activities
  • Conduct training and education programs for plan, provider network, delegated vendors to support NCQA and HEDIS activities
  • Develop QI, NCQA and HEDIS project with delegated vendors to support accreditation maintenance and HEDIS reporting
  • Coordinate assigned NCQA and HEDIS work plan activities
  • Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements

Education/Experience:

  • Bachelor’s degree in Business, related field or equivalent experience
  • 3+ years of related quality improvement, HEDIS and/or NCQA experience