Accreditation Consultant

Where

New York, NY

What you'll be doing

Responsible for providing accreditation services necessary for attaining and maintaining accreditation from various accrediting organizations, such as URAC and NCQA. Primary duties may include, 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. Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities. Comply with evidence and documentation that standards have met. Conduct the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies. Coordinate activities for successful accreditation surveys. Writes content for newsletters and forums. Performs quantitative and qualitative analysis of quality related data and reports activities, improvements, and recommendations to the quality committee. Responsible for coordinating Quality Management (QM) activities related to compliance and accreditation Develops and maintains pertinent compliance plans. Monitors adherence to plans and prepares status reports. Ensure all policies and procedures update as legislation or accreditation standards change, implements standardization of procedures and documentation. Assists and conducts audits, identifies training and communication needs, and implements related programs.

What your background should be

Require 3 to 5 years healthcare related experience in addition to 1 years experience in a QA/QI related position, project management, and strong quantitative, qualitative and analytical skills or any combination of education and experience, which would provide an equivalent background. Has knowledge of minute taking, preparing documents for meetings, coordinating meetings, scheduling and collection of required committee and accreditation documents. NCQA and URAC accreditation experience strongly preferred. Experience with NYS Medicaid contract, Regulatory audits (Article 44); knowledge of NCQA accreditation standards in a managed care environment and JCAHO is preferred.

Required Schooling / Training

BA/BS in a health care field

Who is the client company

One of the leading health benefits companies that working to transform health care with trusted and caring solutions.

If you are interested in this position, send your resume to apply@kochdavis.com