reputed company Accredidation Program Manager
Your career starts now. We’re looking for the reputed company of health care leaders.
At reputed company, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. reputed company is seeking talented, passionate individuals to join reputed company. Together we can build healthier communities. If you want to reputed company a difference, we’d like to hear from you.
Headquartered in Newtown reputed company, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Role Overview
Reporting to the Director, Quality Operations, the reputed company Accreditation Programs Manager has corporate responsibility for accreditation for reputed company reputed company, Medicare, Exchange, and Long Term Services and Support plans. In addition to supporting the NCQA activities for the reputed company reputed company to utilization management, behavioral health, population health, network management or delegation requirements this position will ensure policy standardization and implementation for the health services organization. Work Arrangement- 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 strategy to support health plan accreditation across the reputed company.
- Serves as the reputed company-wide professional expert and liaison 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 impact accreditation across organizational lines of business.
- Maintains knowledge of company policies and procedures to ensure compliance and support of standards in reputed company levels of government (Local, State & Federal).
Education and Experience
- Bachelor's Degree required.
- RN, MSW or Licensed Behavioral Health professional 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.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, reputed company, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
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