Community Behavioral Health · 1 day ago
Quality Reporting & Accreditation Specialist
Philadelphia, PA
Full-time
Onsite
Mid Level
3+ years expCommunity Behavioral Health is dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of its members. The Quality Reporting and Accreditation Specialist will manage the organization's efforts to obtain and maintain NCQA accreditation and assist in monitoring and reporting quality management activities.
Health CareHealth Diagnostics
No H1B
Hiring Manager
Joe Janssen
Responsibilities
Serves as project manager for coordinating and collaborating with accreditation and certification entities and the Office of Mental Health and Substance Abuse Services to ensure compliance with accreditation, certification, and HealthChoices requirements. Prepares CBH for accreditation, certification, and HealthChoices submissions and reviews
Develops tools that assist in determining exposure to quality risks and identifies opportunities to manage and mitigate those risks
Compiles information for quality improvement and monitoring activities, and accreditation/certification for internal use and external audits, and maintains relevant records
Works with internal departments to develop metrics to accomplish program objectives and monitors action plans relating to improving compliance with accreditation/certification requirements and quality improvement activities
Makes recommendations to CBH Officers and Quality Improvement Committee for improvements or remediation to ensure compliance to accreditation, certification, and HealthChoices requirements
Assist in assuring both internal and external program integrity by being alert to and reporting suspected instances of provider and employee fraud, waste, or abuse
Responsible for coordinating messaging of quality improvement and monitoring activities to internal and external stakeholders
Qualification
Required
Master's degree in behavioral health, healthcare, public administration, or social sciences
Minimum of 3 years post-graduate experience
Mid to high level proficiency with Microsoft Office applications
Excellent written and verbal communication skills
Knowledge of HealthChoices regulations and requirements
Knowledge of NCQA requirements
Detail-oriented and highly organized
Knowledge of quality management, assurance, and improvement principles
Ability to work effectively with all levels of staff
Ability to manage ongoing projects and prioritize appropriately to meet deadlines
Current Philadelphia resident or become a resident within six months of hire
Legally authorized to work in the United States without requiring sponsorship now or in the future
Preferred
Certified Professional in Healthcare Quality (CPHQ) preferred; CPHQ Required within 1 year of hire
Project Management Professional (PMP) certification is preferred
Benefits
Family Planning, Fertility, Adoption Benefits
403B Retirement Plan
PTO Days/Sick Days
Wellness Program
Employee Assistance Program
Health, Dental, Vision Insurance
Medical, Prescription Drug Insurance
Tuition Reimbursement
Commuter Benefits
Flexible Spending
Company
Community Behavioral Health
Community Behavioral Health (CBH) provides a variety of behavioral health services to Philadelphia County’s most vulnerable residents.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Alex Gauthier
Chief Financial Officer
Shawna Dandridge
Chief Operating Officer
Recent News
Business Journals
2022-10-13
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