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Description
Employer: WellPoint
Position: Accreditation Consultant ( Precision Rx)
Job Description
WellPoint is the nation's leading health benefits company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to be the most trusted choice for consumers and a leader in affordable quality care with an unyielding commitment to meeting the needs of our diverse customers.
Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
Job Title: Accreditation Consultant
Responsible for directing the accreditation activities for attaining and maintaining accreditation from multiple accrediting organizations (URAC, NCQA). Primary duties may include, but are not limited to: Interfaces with internal and external clients, QI committees, and departments in the review of quality improvement data and in the implementation of appropriate interventions to effect improvement. Manages the overall accreditation processes and resources required to successfully lead the team. Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities. Identifies appropriate resources and accountabilities for project teams involved with accreditation. Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies. Leads and provides oversight of QI studies/projects. Facilitates project management and develops comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines for team members. Performs quantitative and qualitative analysis of QI related data and reports activities, improvements, and recommendations to the QI Committee.
Qualifications
Requires BA/BS, preferably BSN, and 3 - 5 yrs clinical experience in addition to 3+ years experience in a QA/QI related position, or any combination of education and experience, which would provide an equivalent background. Current RN license strongly preferred. Project management and leadership skills required. Strong quantitative, qualitative and analytical skills required. Proficiency in MS Word and Excel also needed.
WellPoint is ranked No. 1 among health insurers on Fortune Magazine's annual list of America's Most Admired Companies and has been named as one of the Top 50 Companies for Diversity by DiversityInc Magazine. To learn more about our company please visit us at www.wellpoint.com.
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