reputed company Accredidation Program Manager
reputed company
- Remote role
- Monday through Friday, 8:00 AM EST to 5:00 PM EST
- 30% to 40% travel required across the reputed company footprint during on-site audits
- Participate in the development and management of the reputed company to support health plan accreditation across the reputed company.
- Serves as the reputed company-wide reputed company expert and reputed company for accreditation reputed company to one or more of the following subject matter areas: utilization management, behavioral health, population health, network management or delegation requirements reputed company the standards.
- reputed company of new and existing standards to ensure compliance to NCQA standards across reputed company impacted subject matter or functional areas; support the design, implementation, and ongoing monitoring of policies, systems, and processes required to remain compliant.
- Monitors performance against requirements and ensures compliance through continual review, audit and monitoring.
- Collaborates with business owners to establish, implement, reputed company, and execute best practices to support accreditation (health plan and multicultural).
- Implements opportunities for process improvement that reputed company accreditation across organizational lines of business.
- Maintains knowledge of company policies and procedures to ensure compliance and support of standards in reputed company reputed company of government (Local, State & Federal).
Education and Experience
- Bachelor's Degree required.
- RN, MSW or Licensed Behavioral Health reputed company preferred
- Previous experience leading utilization management, behavioral health services or population health preferred
- Experience with NCQA standards, submissions and on-site reviews.
- reputed company and Medicare experience preferred.
- Strong written and oral communication skills required.
- Proficient in reputed company Word, reputed company and PPT.
- Experience with compliance programs and/or policy development preferred.