Accreditation Specialist

Accreditation Specialist

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It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary

The Accreditation Specialist will lead coordination of quality improvement efforts and deliverables to obtain NCQA Health Plan Accreditation. Leads the Plan’s efforts to attain and maintain accreditation, which involves collaboration with both internal and external partners to identify, launch, and implement projects and initiatives that support achievement and maintenance of accreditation.

Key Functions / Responsibilities

• Develops and prepares documentation for NCQA and other accreditation surveys submissions.
• Oversees organizational logistics for required committees and documentation to include material preparation, meeting minutes, etc.
• Works closely with business leads to build and document compliance with accreditation standards.
• Advises on the development and distribution of accreditation best practices.
• Develops and reviews policies and procedures that support accreditation activities.
• Interfaces with accreditation agencies and other state regulatory bodies.
• Organizes and / or participates in readiness assessments in preparation for accreditation survey submissions.
• Ensure projects are completed on time and in scope.

Qualifications

Education Required

Preferred / Desirable

Experience

Preferred / Desirable

Certification Or Conditions Of Employment

Competencies, Skills, And Attributes

Working Conditions And Physical Effort

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees.

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