认证专员
Accreditation Specialist
你可能是那个为我们的2800万会员带来改变的临床专业人士，加入我们的医疗管理/医疗服务团队。Centene是一家多元化、全国性的组织，提供具有竞争力的福利，包括对工作灵活性的新视角。
必须已获得在美国工作的授权，无需当前或未来任何时间的基于雇佣的签证担保。此职位不提供任何类型的签证担保，包括H-1B、L-1、O-1、H-1B1、F-1、J-1、OPT或CPT。
**此职位申请人可以在美国本土范围内远程办公。为支持业务需求，优先安排以东部标准时间区为准。**
职位目的：开发绩效改进项目，以提高临床质量和绩效指标结果。
- 开发并协调授权监督机制，并作为计划与公司授权监督之间的联络人。
- 开发并维护认证准备时间表。
- 制定政策和程序以支持认证活动。
- 为计划、供应商网络和授权供应商开展培训和教育项目，以支持NCQA和HEDIS活动。
- 与授权供应商合作开发QI、NCQA和HEDIS项目，以支持认证维护和HEDIS报告。
- 协调指定的NCQA和HEDIS工作计划活动。
- 协助授权监督审计，并协调纠正行动计划，以确保符合所有州、联邦、合同和认证要求。
教育/经验：商务相关专业学士学位或同等经验。3年以上相关的质量改进、HEDIS和/或NCQA经验。
薪资范围：每年56,200.00至101,000.00美元
Centene提供全面的福利包，包括具有竞争力的薪酬、健康保险、401K和股票购买计划、学费报销、带薪休假及节假日，以及灵活的工作安排，包括远程、混合、现场或办公室工作。实际薪酬将根据个人技能、经验、教育和其他法律允许的与工作相关因素（包括全职或兼职状态）进行调整。总薪酬可能还包括其他形式的激励。福利可能受项目资格限制。
Centene是一家平等机会雇主，致力于多元化，并重视我们不同的方式。所有符合条件的申请人都将受到平等对待。
查看英文原文
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT
**Applicants for this role have the flexibility to work remotely within the continental United States. To support the needs of the business, preferred schedule is based on Eastern Standard Time zone.**
Position Purpose: Develop Performance Improvement projects to improve clinical quality and performance measure outcomes.
- Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.
- Develop and maintain accreditation readiness schedule.
- Creates policy and procedures to support accreditation activities.
- Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.
- Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.
- Coordinate assigned NCQA and HEDIS work plan activities.
- Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements.
Education/Experience: Bachelor’s degree in Business, related field or equivalent experience. 3+ years of related quality improvement, HEDIS and/or NCQA experience.Pay Range: $56,200.00 - $101,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Originally posted on Himalayas