Accreditation Coordinator - PFK Business Services

Overview:

Monday - Friday, 8am - 5pm

Full-Time

Job Description Summary:

Supports the Business Manager by coordinating the delegation relationships and accreditation requirements regarding care coordination. Provides delegation related project management support, performs a variety of complex work in planning, coordinating, and managing accreditation activities.

Job Description:

Essential Functions:

Serves as subject matter expert in accreditation related to Case Management and Population Health Management.

Prepares desk audits according to payor requirements, including coordination of Program Evaluation, Population Assessment and Quality and Program Yearly Goals.

Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities. Facilitates updates to policies and procedures as needed.

Coordinates Continuous Quality Improvement in order to support accreditation and achieving best outcomes, facilitates systems and/or sub-systems that support accreditation, licensure, and regulatory compliance by supporting quality and patient safety.

Collaborates with leaders from multiple departments on compliance improvement activities and provides regulatory guidance to department managers.

Facilitates educational sessions that enable leaders and staff to understand standards and justifications for the changes as required by regulatory & accreditation standards.

Facilitates collaboration across functions in relation to improving performance. Coordinates key functions and strategies that assess and improve organizational performance as measured by accreditation standards and regulatory requirements.

Education Requirement:

BA/BS in healthcare field. Master’s Degree preferred.

Licensure Requirement:

(not specified)

Certifications:

(not specified)

Skills:

Strong working knowledge of the NCQA Submission process.

Quality Improvement, project management, strong quantitative, qualitative and analytical skills.

Proficient in Microsoft Office Suite to include Word, Excel and SharePoint.

Proficient in Adobe Pro.

Experience:

Two years in healthcare or other organizations with NCQA accreditation, required.

Previous accreditation experience, preferred.

Physical Requirements:

OCCASIONALLY: Color vision, Driving motor vehicles (work required) *additional testing may be required, Peripheral vision, Seeing – Far/near, Standing, Walking

FREQUENTLY: Lifting / Carrying: 0-10 lbs

CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Sitting

Additional Physical Requirements performed but not listed above:

(not specified)

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

R-14469