Evergreen Nephrology · 1 month ago
Accreditation Specialist
United States
Full-time
Remote
Mid, Senior Level
$75K/yr - $85K/yr
4+ years expEvergreen Nephrology partners with nephrologists to transform kidney care through a value-based approach. The Accreditation Specialist is responsible for ensuring operations compliance with accreditation and regulatory requirements, and coordinating accreditation activities in line with state and federal regulations.
Health CareMedicalWellness
Responsibilities
Collaborate with internal partners to collect data and develop compliance documents/evidence for successful accreditation surveys
Monitor and maintain comprehensive compliance documents and evidence to ensure successful accreditation survey and ensure adherence to NCQA standards
Maintain up-to-date records
Educate staff across the organization regarding accreditation standards and requirements
Evaluate current practices and identify compliance gaps and recommend solutions to close gaps
Prepare training materials, reports, and materials to support compliance
Coordinate accreditation surveys and serve as a point of contact during surveys to ensure all requirements are met
Act as subject matter expert, handling complex assignments, and may assist training/mentoring department staff
Regular and reliable attendance
Other duties consistent with this role, as assigned
Qualification
Required
Bachelor's degree and 4 years of experience in managed care environment OR 6 years of work experience in managed care environment
Managed care environment experience includes one or more of the following areas: audit, health plan operations, compliance or legal
2 years Accreditation experience (i.e. NCQA, URAC, Joint Commission, CMS) to include managing survey/review experience
In-depth knowledge of NCQA standards and accreditation processes
Knowledge of health care regulatory and legislative process; experience reading and interpreting legislation
Experience using Total Quality Management (TQM) / Continuous Quality Improvement (CQI) concepts
Knowledge or experience reviewing accreditation standards and evaluating level of compliance, identifying challenges and proposing solutions
Knowledge or experience monitoring compliance and managing evidence documents
Verbal and written communications skills including training skills
Research and analytical skills
Experience managing multiple complex priorities, often with limited time frames
Detail oriented with strong organizational skills and experience meeting deadlines
Intermediate skills with MS Office Suite of products including Outlook and Teams
Able to work effectively in a primarily remote environment: Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended
Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Preferred
Project Management (PMP) certification
Ability to think critically and suggest innovative solutions
Benefits
Paid time off starting at 4 weeks for full-time employees
12 paid holidays per year
Medical, dental, vision and life insurance, including an HSA with employer match
Reimbursement for continuing medical education for eligible roles
A 401(k) program where Evergreen matches up to 4% of contributions
Paid parental leave
A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology
Company
Evergreen Nephrology
Evergreen helps nephrologists focus on the right patients at the right time across the full care spectrum.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$134.34M2025-01-07Series Unknown· $130M
2022-06-06Seed· $4.33M
Leadership Team
John E. Donlan
Board Member and Strategic Advisor
Recent News
2025-07-05
2025-01-10
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