Manager, Quality Assurance/Accreditation

  • Position ID #: MCO080218QANJ
  • Location: New Jersey
  • Required Education: Bachelor's Degree
  • Salary Range: Competitive
  • Required Experience: 3 - 5 Years
  • Commission Range: Bonus
  • Other: Expenses, Benefits
  • Required Travel: Occasional
  • Relocation: Yes

  • Description:
    National Health Plan with programs/products in Medicare/Medicaid is seeking an experienced Quality Accreditation Manager responsible for attaining and maintaining accreditation status from various accrediting organizations, while providing health benefits in the State of New Jersey.

    Some of the expected duties and responsibilities include:
    • Interfaces with internal and external clients, quality committees, and departments in the review of quality improvement data and in the implementation of appropriate interventions to effect improvement.
    • Manages the overall accreditation processes and resources required to successfully lead the team.
    • Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities. Identifies appropriate resources and accountabilities for project teams involved with accreditation.
    • Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies.
    • Serves as expert resource to quality committees and business owners across the organization.
    • Leads and provides oversight of quality studies/projects.
    • Facilitates project management and develops comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines.
    • Performs quantitative and qualitative analysis of quality related data and reports activities, improvements, and recommendations to the quality committee.

    The position pays a competitive base salary, commensurate with experience, plus bonus, and benefits.

    Relocation expenses will be afforded the ideal candidate.

  • Requirements:

    Requires a Bachelor's Degree in a healthcare related field.
    • 3-5+ years healthcare related experience in a Quality Improvement / Quality Management position, or any combination of education and experience, which would provide an equivalent background.
     • Successful NCQA accreditation process completion and continuous process improvement experience in an NCQA setting highly preferred.
    • Experience analyzing and providing guidance on studies that go along with NCQA strongly preferred.
     
     
    Interested, and qualified, candidates should email their resumes, as attachments in MS Word format, to: phoenixhs92@gmail.com.
    Please include a good daytime phone number.

    Visit: www.managedcarecareer.com