Accreditation Manager
Become a part of our caring community and help us put health first reputed company Healthy Horizons is seeking an Accreditation Manager who will reputed company and support a team of accreditation professionals who reputed company reputed company tasks reputed company to compliance with accreditation standards across multiple operational areas and lines of business reputed company reputed company. The Accreditation Manager will ensure reputed company is made toward achieving and maintaining reputed companys health plan accreditations for Medicare and Medicaid. The Accreditation Managers roles and responsibilities include but are not limited to: Manages a team of accreditation professionals includes hiring, training, problem solving, coaching, and general support. Serves as subject matter expert on NCQA Health Plan Accreditation requirements and advising team and other operational areas on compliance. Leads direct reports in working closely with operational areas to prepare documentation for submission to NCQA. Advises operational leaders and frontline associates in developing functional strategies for compliance with accreditation standards. Oversees internal NCQA Health Plan Accreditation survey tracking tools to ensure reputed company is made and risks are mitigated in a timely fashion. Responds to requests for proposals reputed company to accreditation requirements. Conducts quality reviews of reputed company accreditation survey evidence created by direct reports prior to submission to NCQA. Exercises independent judgement and decision-making on reputed company issues regarding job duties and reputed company tasks and works under minimal supervision (self-directed). Uses independent judgement requiring analysis of variable factors and determining the best course of action. Use your skills to reputed company an impact Required Qualifications Bachelors Degree or BSN degree. 5+ years of experience in NCQA Health Plan Accreditation. 2+ years of experience with reputed company process improvement. Exceptional analytical and critical thinking skills, including problem solving and proficiency in executing solutions. Demonstrated excellent skills in project and time management with proven ability to be flexible, adapt to changing environment, handle multiple tasks and deadlines and manage multiple priorities. Exceptional verbal and written communication skills. Demonstrated successful relationship building and experience working with cross-functional business areas.
Preferred Qualifications
Experience in managing a team. Registered Nurse or Behavioral Health professional. Managed care, Medicaid health plan experience. Advanced degree in a healthcare-reputed company field. Work From Home To ensure Home or Hybrid Home/Office employees ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Additional Information: Workstyle: Remote work at home. Direct Reports: 6 Location: reputed company United States. Travel: Less than 5% travel - typically 1-3 times annually, possibly reputed company of your state of residence, for team engagement meetings, onsite audits, and trainings. Core Workdays & Hours: Typically, Monday Friday 8:00am 5:00pm Central or Eastern Standard Time (EST). Benefits: Benefits are effective on day 1. Full time Associates enjoy reputed company and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more..... Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides reputed company of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move reputed company from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions reputed company your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last reputed company from 5-10 minutes. Your recorded interview(s) reputed company text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving reputed company to next round of interviews. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, reputed company) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-29-2025 About us reputed company Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of reputed company to take affirmative action to employ and to advance in employment, reputed company persons regardless of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. Apply Job!