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Comagine Health · 1 day ago

Quality and Accreditation Speciliast

United States

Full-time

Remote

Senior Level

$80K/yr - $104K/yr

7+ years exp

Comagine Health is seeking a Quality & Accreditation Specialist to support and advance their Care Management Quality Management Program. The role involves leading accreditation efforts and driving quality improvement initiatives to ensure excellent clinical and operational outcomes.

Health CareHealth DiagnosticsHospital

Comp. & Benefits

Responsibilities

Partner with the AVP of Care Management and the Manager of Quality & Process Improvement to lead and facilitate the Care Management Quality Management Program

Coordinate quality management meetings, prepare and collect presentation materials, facilitate meetings, disseminate information, and document action items and meeting notes

Track, monitor, and support (or lead) quality management actions and initiatives related to Quality Improvement Plans (QIPs) and other quality-focused projects

Lead and coordinate annual updates to Care Management department policies and documentation

Maintain and update program evaluations, quality management plans, care management program overviews, URAC standards documentation, and the Care Management Business Continuity Plan

Serve as Comagine Health’s primary Point of Contact (POC) with URAC

Lead and coordinate the URAC accreditation and reaccreditation process, including planning, scheduling, desktop submissions, and onsite visits

Manage document submissions through the URAC web-based portal

Collaborate with Care Management leaders to prepare annual URAC deliverables, update policies to meet standards, and respond to URAC requests and directives

Qualification

RN licenseAccreditation leadershipQuality improvementHealthcare experienceProject managementProfessionalismSelf-managementClinical knowledgeCommunication skillsInterpersonal skills

Required

Bachelor's degree (BA/BS) required

Current, active, unrestricted RN license required (May be substituted with additional years of relevant medical, dental, behavioral health, or healthcare experience)

Minimum of 7 years of healthcare experience

At least 2 years of experience with leading accreditation programs such as URAC, NCQA, or JCAHO

Intermediate communication skills

Intermediate interpersonal and relationship-building skills

Intermediate professionalism, integrity, and reliability

Advanced self-management skills

Foundational knowledge of quality improvement and process optimization

Intermediate project and program management skills

Intermediate clinical knowledge