Accreditation Program Coordinator

Health Care Service CorporationRichardson, TX
2dHybrid

About The Position

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. Job Summary Summary: This position is responsible for the successful completion of projects and written documentation of standards to meet external accreditation requirements (NCQA, URAC, etc.). Also responsible for coordinating the activities with internal areas at the Enterprise and plan levels of the company and with external accreditation agencies. Will monitor department activities for accreditation and maintain data integrity for the Credentialing Committee Operations and adhere to reporting requirements.

Requirements

  • 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.

Nice To Haves

  • Credentialing Committee Experience - Highly Preferred
  • Project Management experience.
  • Previous experience in oversight of credentialing/claims activities.
  • Knowledge of Power Point, Visio and Access.

Responsibilities

  • Successful completion of projects and written documentation of standards to meet external accreditation requirements (NCQA, URAC, etc.).
  • Coordinating 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 maintain data integrity for the Credentialing Committee Operations and adhere to reporting requirements.

Benefits

  • health and wellness benefits
  • 401(k) savings plan
  • pension plan
  • paid time off
  • paid parental leave
  • disability insurance
  • supplemental life insurance
  • employee assistance program
  • paid holidays
  • tuition reimbursement
  • plus other incentives
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