Accreditation Manager
4 weeks ago
Transform the health of communities, one person at a time, with Centene Corporation. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:Ensure compliance with accreditation requirements and conduct routine readiness assessments and evaluations of policies and procedures, processes, and records.
- Oversee NCQA preparations for accreditation surveys.
- Educate health plans on NCQA and/or CMS standards and requirements.
- Evaluate compliance of Medicare plans with NCQA Health Plan and SNP standards and reporting requirements.
- Lead policy and procedure documentation reviews for health plans based on NCQA standards.
- Develop readiness assessment schedules, conduct accreditation audits, and ensure changes to standards are incorporated.
- Oversee organization-wide initiatives to support accreditation.
- Maintain work processes to meet the latest NCQA/URAC accreditation standards.
- Assist with training and education development to promote accreditation standards.
Bachelor's degree in Nursing, Healthcare Administration, or related field, or equivalent experience. 4+ years of quality improvement, regulatory compliance, and/or auditing experience. Previous experience as a lead in a functional area, managing cross-functional teams on large-scale projects or supervisory experience, including hiring, training, assigning work, and managing staff performance.
Current state nursing license (RN, LPN, or LVN) preferred. Valid driver's license.
Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off, plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules.
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Accreditation Specialist
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Seattle, Washington, United States Centene Corporation Full timeTransform the health of communities with Centene Corporation, a diversified national organization. As a Compliance Officer, you will ensure compliance with accreditation requirements and conduct routine readiness assessments and evaluations of policies and procedures, processed and records.Key Responsibilities:Oversee NCQA preparations for accreditation...
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Accreditation Compliance Specialist
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Seattle, Washington, United States Centene Corporation Full timeTransform the health of our communities, one person at a time, as a key member of our team at Centene Corporation.Position Purpose:Ensure compliance with accreditation requirements and conduct routine readiness assessments and evaluations of policies and procedures, processes, and records.Oversee the health plan's NCQA preparations for accreditation...
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