Accreditation and Clinical Standards Coordinator

Centria Autism•Fresno, CA

23h•Onsite

About The Position

The Accreditation and Clinical Standards Coordinator serves as the primary project manager for the organization’s accreditation lifecycle and a key strategic partner to the Vice President of Clinical Compliance. This role is the key strategic partner focused on Accreditation and Corrective Action. This role is responsible for the systematic gathering of evidence for accreditation standards and architecting solutions for any compliance gaps. Additionally, they provide critical support during Payor and State audits, assisting in the development and long-term maintenance of Corrective Action Plans (CAPs) to ensure sustained organizational excellence.

Requirements

Master's degree required
BCBA or BCaBA certification (preferred)
Bachelor’s degree required
Proven track record navigating Medicaid, OIG, and private payor clinical audits.
Deep mastery of the BACB Ethics Code for Behavior Analysts and HIPAA privacy regulations.
Proven track record in a highly detail-oriented environment with a focus on data and analysis.
Experience in clinical review, payor clinical review responses, or regulatory analysis.
Working knowledge of laptop/desktop PC
Proficiency in Microsoft Suite (Word, Excel)
Proficiency in G Suite (Gmail, Drive, Docs, Sheets, Google Meet)
Ability to follow written instructions
Ability to use computers and computer/software programs
Ability to communicate expressively and receptively
Proven ability to design, implement, and manage robust operational processes that support organizational growth while maintaining high performance.
Strategic mindset focused on identifying efficiencies and driving continuous improvement across a national, high-volume provider network.
Advanced skill in detecting systemic operational and compliance risks within complex delivery models and implementing proactive safeguards.
Ability to bridge the gap between rigorous regulatory documentation requirements and a child-led, compassionate care model.
Proficiency in leveraging compliance frameworks not just as a "check-the-box" exercise, but as a tool to solve complex business problems.
Expert knowledge of accreditation coordination processes and the ability to lead initiatives that sustain industry-leading quality standards.
Demonstrated success in leading and mobilizing Subject Matter Experts (SMEs) to address and resolve multifaceted organizational challenges.
Ability to align diverse stakeholders around shared quality benchmarks and operational goals.
Capacity to view local issues through a national lens, ensuring consistency in care and compliance across all regions.
Proven ability to organize, prioritize, and handle multiple complex tasks under strict deadlines.

Nice To Haves

Doctorate preferred
BCBA or BCaBA certification (preferred)

Responsibilities

Serve as the central point of contact for gathering, storing, and cataloging all clinical review materials and evidence required for accreditation submission.
Identify standards not currently met and collaborate with leadership to architect and implement new clinical quality initiatives and processes to bridge those gaps.
Act as a primary support to the Vice President of Clinical Compliance during external Payor and State audits, ensuring all requested documentation is provided and clinical standards are defended.
Lead the drafting of Corrective Action Plans (CAPs) in response to audit findings and monitor ongoing adherence to ensure the organization remains in good standing.
Incorporate accreditation standards into Centria's clinical quality review rubrics and ensure all documentation adheres to these enhanced quality standards.
Work across multiple internal systems and departments to ensure clinical reviews are comprehensive and all stakeholders are included in the accreditation roadmap.
Incorporate the insights on payor policy updates, AMA codes, and OIG requirements directly into their accreditation readiness work to ensure proactivity and timely implementation of compliance changes.
Support policy review and revision as directed and approved by the Vice President of Clinical Compliance to ensure alignment with accreditation standards.
Compliance with Centria’s Code of Conduct, policies and procedures, and Federal and State laws.
Responsibility to report violations of Company policies or the Code of Conduct.