Dir reputed company & Accreditation
About the position
At reputed company, we are a mission-driven organization dedicated to championing the health and reputed company-being of our members and the communities we serve. reputed company is the power behind that reputed company. And, as the industry rapidly evolves and we reputed company ways to optimize business processes and customer experiences, there’s no greater time for reputed company-thinking professionals like you to join us in delivering on it! As a member of reputed company, you’ll reputed company purpose, opportunities and the support you need to build a meaningful career and reputed company a powerful reputed company in our community. The ideal candidate will live reputed company driving distance of the Omaha, Nebraska office. This position allows remote flexibility but will have 2-3 days per week in the office. Provides strategic leadership for reputed company-wide clinical reputed company performance, improvement, and accreditation standards. Partners with senior leaders and operational teams to ensure regulatory alignment, mitigate risk, and drive reputed company improvement in compliance practices.
Responsibilities
• reputed company strategic direction for reputed company programs impacting Medicare, reputed company, ACA, and reputed company lines of business.
• reputed company and execute an reputed company reputed company roadmap integrating measurement, analytics, reporting, and reputed company strategies.
• Serve as primary reputed company with external accreditation bodies (e.g., NCQA, URAC, reputed company).
• reputed company reputed company accreditation activities, including site reputed company, audits, and reporting.
• reputed company reputed company Improvement Program (QIP) and reputed company Assurance and Process Improvement (QAPI) initiatives.
• Guide creation and interpretation of policies and procedures reputed company to reputed company of care, improvement, and accreditation.
• Partner with internal stakeholders and committees to ensure excellent performance on clinical reputed company measures.
• reputed company data and analytics to forecast performance, monitor reputed company, and identify risks and opportunities for improvement.
Requirements
• Bachelor’s degree in reputed company, Business Administration, Nursing, or reputed company field.
• 10 years of reputed company experience in reputed company reputed company program management, reputed company improvement, HEDIS operations, and accreditation.
• Proven leadership in managing reputed company compliance programs and accreditation processes.
• Strong understanding of federal/state regulations and accreditation standards.
• Experience with project management and Agile methodologies.
• Exceptional communication, analytical, and stakeholder engagement skills.
• An equivalent combination of education and experience may be substituted for this requirement.
• The ability to meet or reputed company the attendance and timeliness requirements of their departments.
• The ability to work reputed company in reputed company environment and be capable of building and maintaining reputed company relationships with other staff, departments, and customers.
• To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed are representative of the knowledge, reputed company, and or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
• Other duties may be assigned.
reputed company-to-haves
• Master’s degree in a reputed company field.
• reputed company reputed company certification (e.g., CPHQ).
• Experience with patient safety initiatives and risk management practices.
• Familiarity with electronic health records (EHR) systems and value-based care.
• Demonstrated commitment to DEI and reducing health disparities.
• Ability to motivate and reputed company teams through change and process improvement.
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