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Elevance Health Accreditation Consultant Sr (US) in BOSTON, Massachusetts

WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.

Accreditation Consultant Sr (US)

  • Job Family: QLT > Clinical Quality

  • Type: Full time

  • Date Posted:Feb 14, 2024

  • Anticipated End Date:May 27, 2024

  • Reference: JR105482

Location:

  • MA, BOSTON

  • PA, SEVEN FIELDS

Description

The Accreditation Consultant Sr. is responsible for providing advanced accreditation services which are necessary for attaining and maintaining accreditation from various accrediting organizations, such as NCQA and URAC.

Location: This position will work a hybrid model (1-2 days in the office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

How you will make an impact:

· Interfaces with internal and external clients, quality committees, and departments around Accreditation activities and in the review of quality improvement data and in the implementation of appropriate interventions to effect improvement.

· Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities.

· Compiles evidence and documentation that standards have been met.

· Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies.

· Facilitates project management and develops comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines.

· Coordinates activities for successful accreditation surveys.

· Provides accreditation subject matter expertise to enterprise business owners.

· Writes content for newsletters and forums.

· Performs quantitative and qualitative analysis of quality related data and reports activities, improvements, and recommendations to the quality committee, completes trilogy documents and trend reports as assigned.

Minimum Requirements:

· Requires a BA/BS in a health care field and minimum of 3 years healthcare-related experience, in addition, minimum of 2 years experience in a QA/QI related position; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

· NCQA and URAC or other accreditation experience strongly preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

  • EEO Policy Statement

  • Know Your Rights

  • Pay Transparency

  • Privacy Notice for California Residents

Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)

Need Assistance?

Email us (elevancehealthjobssupport@elevancehealth.com)

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