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MedImpact Healthcare Systems, Inc. · 2 months ago

Accreditation, Quality & URL Specialist

San Diego, CA

Full-time

Hybrid

Senior Level

$69K/yr - $119K/yr

5+ years exp

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join their team, focusing on innovative professionals in healthcare. The Accreditation, Quality & URL Specialist is responsible for executing the accreditation and UR assessment process, ensuring compliance with state and federal requirements while coordinating with internal partners to maintain accreditation standards.

Health CarePharmaceutical

No H1B

Responsibilities

Performs accreditation and quality management related audits and activities with an emphasis on obtaining or maintaining accreditation and UR licensure

Participates in onsite audits/reviews, agency inquiries, and training employees, as needed. Performs ongoing monitoring to ensure the organization is meeting accreditation standards

Analyzes data, workflows, policies and procedures to assess program effectiveness. Interprets significance of routine-intermediate findings to identify areas of improvement, make and implement recommendations for improvement

Defines and documents accreditation and compliance process steps (i.e., policy and procedures) in accordance with current state, federal, and independent accreditation and UR licensing requirements

Communicates and consults with internal partners to assist with the implementation of accreditation and compliance recommendations for assigned area(s)

Serves as accreditation subject-matter expert for all or specific program sections, to consult and update internal partners on accreditation efforts and requirements. May recommend and provide training to employees regarding accreditation and compliance requirements and procedures

Stays current with accreditation and regulatory requirements, as well as PA/UM programs in an effort to consult and provide a mutually beneficial resolution

Qualification

Accreditation expertiseQuality managementHealthcare licenseMicrosoft Office SuiteProject managementCustomer serviceInterpersonal skillsProblem solvingTime management

Required

BS/BA and 5+ years' experience or equivalent combination of education and experience, and 3 years of SME in respective areas

Intermediate working knowledge of Microsoft Office Suite (Word/Excel/Access/Outlook) and Adobe Acrobat

Unencumbered healthcare related license is required. Examples of applicable licenses include Pharmacy Technician (CPT), Medical Assistant (MA), and/or Registered Nurse (RN)

Experience managing operational projects from inception to completion as well as team leadership and facilitation responsibilities

Ability to gather requirements as well as prepare and maintain detailed product/project plans to support accreditation and quality management activities

Good interpersonal skills with the ability to work independently and as part of a cohesive team

Ability to work in a dynamic environment with constantly changing deliverables

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form

Ability to deal with problems involving several concrete variables in standardized situations

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals

Ability to compute rate, ratio, and percent and to draw and interpret bar graphs

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations

Ability to write routine reports and correspondence

Ability to speak effectively before groups of customers or employees of organization

Benefits

Medical / Dental / Vision / Wellness Programs

Paid Time Off / Company Paid Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Company

MedImpact Healthcare Systems, Inc.

Glassdoor2.8

MedImpact is the nation’s largest independent health solutions and pharmacy benefit company, serving commercial health plans, government programs, self insured/employer groups, and millions of consumers.

Founded in 1989

San Diego, California, USA

1001-5000 employees