Job Description
Note: The job is a remote job and is open to candidates in USA. Comagine Health is a national, mission-driven nonprofit organization focused on health care quality consulting and improvement services. They are seeking a Quality & Accreditation Specialist to support their Care Management Quality Management Program, leading accreditation efforts and driving quality improvement initiatives to enhance clinical and operational outcomes.
- Responsibilities
- Partner with the AVP of Care Management and the Manager of Quality & Process Improvement to lead and facilitate the Care Management Quality Management Program
- Coordinate quality management meetings, prepare and collect presentation materials, facilitate meetings, disseminate information, and document action items and meeting notes
- Track, monitor, and support (or lead) quality management actions and initiatives related to Quality Improvement Plans (QIPs) and other quality-focused projects
- Lead and coordinate annual updates to Care Management department policies and documentation
- Maintain and update program evaluations, quality management plans, care management program overviews, URAC standards documentation, and the Care Management Business Continuity Plan
- Serve as Comagine Health’s primary Point of Contact (POC) with URAC
- Lead and coordinate the URAC accreditation and reaccreditation process, including planning, scheduling, desktop submissions, and onsite visits
- Manage document submissions through the URAC web-based portal
- Collaborate with Care Management leaders to prepare annual URAC deliverables, update policies to meet standards, and respond to URAC requests and directives
- Skills
- Bachelor's degree (BA/BS) required
- Current, active, unrestricted RN license required (May be substituted with additional years of relevant medical, dental, behavioral health, or healthcare experience)
- Minimum of 7 years of healthcare experience
- At least 2 years of experience with leading accreditation programs such as URAC, NCQA, or JCAHO
- Intermediate communication skills
- Intermediate interpersonal and relationship-building skills
- Intermediate professionalism, integrity, and reliability
- Advanced self-management skills
- Foundational knowledge of quality improvement and process optimization
- Intermediate project and program management skills
- Intermediate clinical knowledge
- Advanced clinical degree from an accredited institution
- Benefits
- Medical, dental and vision insurance
- Paid time off for vacation, illness and volunteering
- Retirement savings plan with employer contribution
- Adoption financial assistance
- Paid parental leave
- And much more!
- Company Overview
- Comagine Health is a healthcare consulting firm & they work collaboratively with patients, providers, payers and other stakeholders. It was founded in 2018, and is headquartered in Portland, Oregon, USA, with a workforce of 201-500 employees. Its website is https://comagine.org/.
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