认证合规咨询顾问
Consultant, Accreditation Compliance
公司
Navitus公司简介
Navitus - 以患者为中心的药房 - Navitus 是传统药房福利管理（PBM）模式的一种替代方案。我们致力于从药品供应链中去除成本，使需要药物的人们能够负担得起。在 Navitus，我们的团队成员在一个庆祝多样性、激发创造力并鼓励成长的环境中工作。我们欢迎新想法，并对为客户提供优质服务充满热情，同时也对彼此充满热情。现任员工必须使用 SSO 登录选项才能考虑内部机会。我们致力于为所有申请人和员工提供平等的就业机会，并遵守所有适用的反歧视法规，包括与受保护的退伍军人和残疾人相关的法规。所有合格的申请人都将无差别地获得就业考虑，无论其种族、肤色、宗教、性别、国籍或残疾状况如何。
薪资范围
美元 71,716.00 - 美元 86,405.00 / 年
STAR 奖金百分比（风险最大值）
5.00 - 薪资制非管理岗位，药剂师除外
工作时间描述（例如：周一至周五 上午8点至下午5点）
周一至周五 上午8点至下午5点
远程工作通知
注意：Lighthouse 无法为阿拉斯加、特拉华州、夏威夷、爱达荷州、艾奥瓦州、路易斯安那州、缅因州、密西西比州、蒙大拿州、内布拉斯加州、新罕布什尔州、新泽西州、新墨西哥州、北卡罗来纳州、北达科他州、俄亥俄州、俄克拉荷马州、罗得岛州、南卡罗来纳州、南达科他州、佛蒙特州、西弗吉尼亚州和怀俄明州的居民提供远程工作。
概述
Navitus Health Solutions 正在寻找一名顾问，负责认证合规，加入我们的团队！
认证合规顾问是认证质量团队的关键成员，负责支持和维护 Navitus 的认证计划。该职位通过监督报告、分析、审计、验证活动和持续质量改进计划，确保 Navitus Health Solutions 授权或支持的认证标准的合规性。该职位是认证标准和流程的专家，并为员工、领导、客户和其他利益相关者提供咨询、指导和教育。该顾问在组织内部合作，支持认证准备、质量管理活动、授权监督、绩效改进计划和成功的认证结果。
这就是你吗？请继续阅读下面的内容！
职责
我该如何做？
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Company
NavitusAbout Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.. Current associates must use SSO login option at to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.Pay Range
USD $71,716.00 - USD $86,405.00 /Yr.STAR Bonus % (At Risk Maximum)
5.00 - Salaried Non-Management except pharmacistsWork Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pmRemote Work Notification
ATTENTION: Lighthouse is unable to offer remote work to residents of Alaska, Delaware, Hawaii, Idaho, Iowa, Louisiana, Maine, Mississippi, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Rode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming.Overview
Navitus Health Solutions is seeking a Consultant, Accreditation Compliance to join our team!
The Consultant, Accreditation Compliance is a key member of the Accreditation Quality Team and is responsible for supporting and maintaining accreditation programs across Navitus. This role ensures compliance with accreditation standards delegated to or supported by Navitus Health Solutions through oversight of reporting, analysis, audits, validation activities, and continuous quality improvement initiatives. This role serves as a subject matter expert on accreditation standards and processes and provides consultation, guidance, and education to associates, leaders, clients, and other stakeholders. The Consultant partners across the organization to support accreditation readiness, quality management activities, delegation oversight, performance improvement initiatives, and successful accreditation outcomes.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- Serve as a subject matter expert on accreditation standards, requirements, and interpretations; provide consultation, guidance, and training to associates, leaders, clients, consultants, and other stakeholders regarding accreditation expectations, compliance requirements, and best practices.
- Evaluate organizational practices, processes, and controls against applicable accreditation standards and identify opportunities to strengthen compliance, quality outcomes, and operational effectiveness.
- Serve as the primary liaison with accreditation organizations, consultants, and external stakeholders as appropriate, communicating accreditation updates, regulatory changes, and compliance requirements to support organizational readiness and ongoing compliance.
- Manage the Navitus Quality Management Program, including facilitating quarterly meetings, maintaining program documentation, and collaborating with departments to monitor performance metrics associated with applicable accreditation standards (e.g. URAC PBM, NCQA, etc.).
- Perform accreditation audits and assessments to evaluate compliance with applicable standards, identify performance gaps, and recommend corrective actions.
- Evaluate and enhance audit methodologies, quality processes, and performance measurement tools to improve operational efficiency, accreditation readiness, and organizational outcomes.
- Lead root cause analysis activities and partner with stakeholders to develop, implement, and monitor corrective action plans that address compliance risks and improve organizational performance.
- Collect and analyze quantitative and qualitative data, identify trends, risks, and opportunities, and provide recommendations that support continuous improvement and accreditation readiness.
- Develop, maintain, and continually improve documentation, strategies, processes, and objectives required to achieve and maintain accreditation and support client accreditation activities.
- Provide information, consultation, and training on accreditation standards, quality management practices, and industry best practices to associates, clients, and other stakeholders.
- Lead all aspects of accreditation surveys and reviews, including preparation, coordination, facilitation, communication, and follow-up activities necessary to maintain accreditation.
- Participate in client meetings and accreditation activities, representing Navitus’ accreditation position and providing consultative support related to accreditation standards and compliance requirements.
- Develop and maintain client specific delegation agreements in collaboration with current and future accredited health plan clients.
- Other duties as assigned.
Qualifications
What our team expects from you?
- Bachelor’s degree required in Healthcare Administration, Quality Management, Business Administration, Public Health, Pharmacy, or a related field, or equivalent work experience, required.
- 5+ years of experience in accreditation, compliance, quality management, or a related field required.
- Experience with accreditation programs such as URAC, NCQA, or similar accreditation organizations required.
- Experience interpreting and applying accreditation standards and leading accreditation readiness, survey preparation, audit, or compliance activities required.
- Participate in, adhere to, and support compliance program objectives.
- The ability to consistently interact cooperatively and respectfully with other employees.
What can you expect from Navitus?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
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