Accreditation Project Leader - Hybrid Remote
Company: Crossroads Staffing
Location: Santa Barbara
Posted on: January 14, 2023
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Job Description:
Job ID: 00004HHJ Category: MedicalDental Location: CA Santa
Barbara Hours: 40 Monday to Friday 8am to 5pm Pay: $98,951.00
$126,162.00 Hybrid Remote Opportunity Available Job Description
This position serves under the direction of the Quality Officer to
maximize compliance with the prevailing National Committee for
Quality Assurance NCQA Managed Care Organization Standards for
Health Plan Accreditation. The Accreditation Project Leader is
responsible for coordinating, supporting, assessing, and
quantifying accreditation readiness. Includes ongoing strategic
planning and deployment of processes, enterprise-wide, to achieve
and sustain NCQA compliance with all operational accreditation
standards. The Accreditation Project Leader proactively provides
accreditation subject matter expertise as a trusted resource to
departmental leadership and subject matter experts to guide their
process development, execution, oversight and performance
surveillance to maximize operational excellence. The Accreditation
Project Leader supports process refinement and deployment,
enterprise-wide, as an accreditation subject matter expert in
support of process execution by other departments. The
Accreditation Project Leader works in coordination with the Quality
Officer, Chief Performance Officer, and all other department
leaders to maximize the integration of operational systems across
the enterprise to attain and sustain NCQA accreditation and a
culture of quality in operations, plan-wide. The Accreditation
Project Leader operates under the general management of the Quality
Officer. The Accreditation Project Leader also oversees the
procurement, productivity and quality of work product of an NCQA
Surveyor Consultant contracted to perform two or more mock
accreditation surveys to quantify accreditation readiness.
Coordinate, convene and support leadership of all relevant
departments, enterprise-wide, in their design, implementation and
monitoring of processes to maximize compliance with the prevailing
NCQA Managed Care Organization Standards for Health Plan
Accreditation. To maximize operational excellence, provide NCQA
accreditation subject matter expertise proactively as Skills
Required
BA Degree. Knowledge of NCQA Accreditation Standards for Managed
Care Organizations. 3 yrs of exp in health care compliance,
performance measurement or improvement. Exp in project mgmt or
leadership. Skills Preferred
Formal certification in areas of professional expertise HCC, CPHQ.
Exp with HEDIS Compliance Audits Standards. Exp with NCQA
Accreditation Survey.
Keywords: Crossroads Staffing, Santa Barbara , Accreditation Project Leader - Hybrid Remote, Other , Santa Barbara, California
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