Description
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Summary: this position is responsible for the successful completion of projects and written documentation of standards to meet external accreditation requirements (NCQA, URAC, CMS, etc). Will also coordinate the activities with internal areas at the enterprise and plan levels of the company and with external accreditation agencies. Monitoring department activities for accreditation and maintaining oversight of the reporting requirements. Managing credentialing audits for the enterprise and for the development and maintenance of enterprise policies, procedures and audit tools.Required Job Qualifications:
- Bachelor degree OR 4 years managed care experience involving independent judgment.
- 5 years experience in accreditation programs (i.e., NCQA or URAC programs) or experience in quality review.
- 3 years leadership experience.
- Verbal and written communications skills in preparing recommendations and written documentation in appropriate format and facilitating work groups.
- Project management experience and skills.
- Quantitative analysis and organizational skills with skills to handle multiple priorities.
- Experience identifying and developing strategy and executing according to plan, while functioning collaboratively within a team to achieve organizational goals and objectives
Preferred Job Qualifications:
- 5 years experience in accreditation programs (i.e., NCQA or URAC programs) to include review
- Experience developing policies and procedures - HIGHLY PREFERRED
- Experience with Adobe Pro, Word, Excel, Access, and PowerPoint
- Familiarity with credentialing, audits, and reporting
Sponsorship will not be provided for this role.
Hybrid: Work in office 3 days a week; work from home 2 days a week.
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Compensation: $54,800.00 - $121,100.00
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
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