Accreditation Program Coordinator

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, 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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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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.

Base Pay Range$54,800.00 - $121,100.00