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Senior Compliance Accreditation Advisor

2 months ago

Louisville, Kentucky, United States CenterWell Home Health Full time
Join Our Dedicated Team and Prioritize Health
We are looking for a Senior Accreditation Professional to collaborate within a team setting at CenterWell Home Health, focusing on health plan accreditations. This role involves managing intricate tasks associated with adherence to accreditation criteria across various operational sectors.
  • Acts as a subject matter authority on NCQA Health Plan Accreditation Population Health Management (PHM) standards, providing guidance to stakeholders on compliance matters.
  • Collaborates with operational teams to compile necessary documentation for NCQA submissions.
  • Consults with operational leaders and team members to devise effective strategies for meeting accreditation requirements.
  • Demonstrates self-sufficiency, exercising independent judgment and decision-making on complex matters related to job responsibilities, while operating with minimal oversight.
  • Employs analytical skills to assess diverse factors and determine optimal courses of action.

Utilize Your Expertise to Drive Change

Essential Qualifications

  • Bachelor's Degree or unrestricted Registered Nurse license.
  • A minimum of 3 years of experience in NCQA Health Plan Accreditation and/or Population Health Management.
  • Outstanding analytical and critical thinking abilities, including problem-solving skills and a track record of implementing effective solutions.
  • Meticulous attention to detail.
  • Proven time management capabilities, with the ability to adapt to shifting priorities and manage multiple tasks efficiently.
  • Dedication to ongoing process enhancement.
  • Exceptional verbal and written communication skills.
  • Proven success in building and maintaining professional relationships.
  • Experience collaborating with cross-functional business units.

Preferred Qualifications

  • Bachelor of Science in Nursing (BSN).
  • Advanced degree in a healthcare-related discipline.
  • Experience with managed care and/or Medicaid health plans.

Additional Information

  • Workstyle: Remote
  • Schedule: Monday through Friday, standard business hours.
  • Travel: Minimal travel, typically 1-3 times annually for team meetings and training sessions.

Work from Home Requirements

  • Recommended internet speeds: minimum download of 25 Mbps and upload of 10 Mbps; wired connections preferred.
  • Work from a designated area free from interruptions to ensure confidentiality of sensitive information.

Interview Process

Our hiring process includes a modern interviewing approach utilizing technology to enhance decision-making.

Scheduled Weekly Hours

40

Compensation Range

The salary range reflects a good faith estimate for full-time employment. Actual compensation may vary based on experience and qualifications.

Benefits Overview

CenterWell Home Health offers a comprehensive benefits package that supports overall well-being, including medical, dental, and vision coverage, retirement savings plans, paid time off, and various other opportunities to promote a healthy work-life balance.
About CenterWell Home Health
CenterWell Home Health is dedicated to prioritizing health for our team members and the communities we serve. Through our healthcare services, we strive to facilitate the best health outcomes for individuals and families.