Accreditation Manager
Company: Elevance Health
Location: Charleston
Posted on: May 26, 2023
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Job Description:
Accreditation Manager
Job Family: Quality
Type: Full time
Date Posted:May 10, 2023
Req #: JR70721
Location:
GA, ATLANTA
National +50 Miles away from nearest PulsePoint, National +50 Miles
away from nearest PulsePoint
Description
How you will make an impact:
Responsible for managing all accreditation activities for a line of
business, region of the company, standards set, and/or enterprise
wide which are necessary for attaining and maintaining
accreditation from various accrediting organizations, such as URAC
and NCQA.
Primary duties may include, but are not limited to:
Interfaces with internal and external clients, quality committees,
and departments in the review of quality improvement data and in
the implementation of appropriate interventions to effect
improvement.
Manages the overall accreditation processes and resources required
to successfully lead the team.
Evaluates, interprets and summarizes accreditation guidelines and
manages the process for accreditation activities.
Identifies appropriate resources and accountabilities for project
teams involved with accreditation.
Conducts the ongoing evaluation and interpretation of quality
standards and accreditation standards to ensure compliance through
reporting and measurement studies/ methodologies.
Serves as expert resource to quality committees and business owners
across the organization.
Leads and provides oversight of quality studies/projects.
Facilitates project management and develops comprehensive
accreditation work plans by establishing deliverables,
accountabilities, and timelines.
Performs quantitative and qualitative analysis of quality related
data and reports activities, improvements, and recommendations to
the quality committee.
Minimum Requirements:
Preferred Skills, Capabilities and Experiences:
Successful NCQA/URAC accreditation process completion and
continuous process improvement experience in an NCQA/URAC setting
strongly preferred.
CPHQ certification strongly preferred.
Prior experience with Medicaid preferred.
For candidates working in person or remotely in the below
locations, the salary* range for this specific position is $80,720
to $145,296
Locations: California; Colorado; Nevada; Washington State; Jersey
City, NJ; New York City, NY; Ithaca, NY and Westchester County,
NY
In addition to your salary, Elevance Health offers benefits such
as, a comprehensive benefits package, incentive and recognition
programs, equity stock purchase and 401k contribution (all benefits
are subject to eligibility requirements). The salary offered for
this specific position is based on a number of legitimate,
non-discriminatory factors set by the company. The company is fully
committed to ensuring equal pay opportunities for equal work
regardless of gender, race, or any other category protected by
federal, state, and local pay equity laws.
Please be advised that Elevance Health only accepts resumes from
agencies that have a signed agreement with Elevance Health.
Accordingly, Elevance Health is not obligated to pay referral fees
to any agency that is not a party to an agreement with Elevance
Health. Thus, any unsolicited resumes, including those submitted to
hiring managers, are deemed to be the property of Elevance
Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives
and communities - and making healthcare simpler. A Fortune 20
company with a longstanding history in the healthcare industry, we
are looking for leaders at all levels of the organization who are
passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?
We offer a range of market-competitive total rewards that include
merit increases, paid holidays, Paid Time Off, and incentive bonus
programs (unless covered by a collective bargaining agreement),
medical, dental, vision, short and long term disability benefits,
401(k) +match, stock purchase plan, life insurance, wellness
programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for
Elevance Health. We require all new candidates in certain
patient/member-facing roles to become vaccinated against COVID-19.
If you are not vaccinated, your offer will be rescinded unless you
provide - and Elevance Health approves - a valid religious or
medical explanation as to why you are not able to get vaccinated
that Elevance Health is able to reasonably accommodate. Elevance
Health will also follow all relevant federal, state and local
laws.
Elevance Health has been named as a Fortune Great Place To Work in
2022, has been ranked for five years running as one of the 2023
World's Most Admired Companies by Fortune magazine, and is a
growing Top 20 Fortune 500 Company. To learn more about our company
and apply, please visit us at careers.ElevanceHealth.com. Elevance
Health is an Equal Employment Opportunity employer and all
qualified applicants will receive consideration for employment
without regard to age, citizenship status, color, creed,
disability, ethnicity, genetic information, gender (including
gender identity and gender expression), marital status, national
origin, race, religion, sex, sexual orientation, veteran status or
any other status or condition protected by applicable federal,
state, or local laws. Applicants who require accommodation to
participate in the job application process may contact
ability@icareerhelp.com for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from
discrimination under Federal law for job applicants and
employees.
EEO Policy Statement
Know Your Rights
Pay Transparency
Privacy Notice for California Residents
Elevance Health, Inc. is anE-verify Employer
(https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)
Need Assistance?
Email us (elevancehealth@icareerhelp.com) or call
1-877-204-7664
Keywords: Elevance Health, Charleston , Accreditation Manager, Executive , Charleston, West Virginia
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