Sr Accreditation Coordinator

Job ID: DG-1024226 Description:

At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the best possible customer experience.

JOB PURPOSE:

Responsible for operations compliance with accreditation and regulatory requirements in assigned areas. Responsible for developing, coordinating, integrating and monitoring accreditation activities and initiatives in compliance with state and federal regulations. Responsibilities include collecting data and developing compliance documents/evidence for successful accreditation surveys; monitoring and maintenance of compliance evidence; educating staff across the organization regarding Accreditation standards and requirements; evaluating current practices; identifying compliance gaps and recommending solutions to close gaps; preparing training materials, reports, and materials to support compliance; and coordinating accreditation surveys. Act as subject matter expert, handle complex assignments, and may assist training/mentoring department staff

Required Job Qualifications:

* Bachelor degree and 2 years of experience in managed care environment OR 6 years work experience in a 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 healthcare 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 the 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:

* Registered Nurse (RN) with current, valid, unrestricted license to practice in the state of operations.

* Project Management (PMP) certification

* Audit experience

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 IL - Chicago, TX - Richardson, NM - Albuquerque

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