Senior Accreditation Coordinator

Job ID: HF-1025935 Description:

JOB PURPOSE:

You will be responsible for operations compliance with accreditation and regulatory requirements in the New Mexico Retail Commercial Plan. Responsibilities include developing, coordinating, integrating and monitoring accreditation activities and initiatives in compliance to state and federal regulations.

These may include collecting data and developing compliance documents/evidence for successful accreditation surveys, monitoring and maintenance of compliance evidence, educating staff across the organization, evaluating current practices, identifying compliance gaps, preparing training materials, reports, and materials to support compliance.

REQUIRED JOB QUALIFICATIONS:

* Bachelor degree and 2 years of experience in managed care environment OR 6 years work experience in managed care environment. Managed care environment experience includes one or more of the following areas: audit, health plan operations, compliance or legal.

* 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 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 and organizational skills; experience meeting deadlines on time.

* Ability and willingness to travel, including overnight stays

PREFERRED JOB QUALIFICATIONS:

* Project Management (PMP) certification

* Audit experience

* This position is located in Albuquerque, New Mexico.

* CA

* CB

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Requirements: Expertise Regulatory & Compliance Job Type Full-Time Regular Location NM - Albuquerque

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