Talent.com
Director, Enterprise Accreditation(Preferred Managed care Experience)
Director, Enterprise Accreditation(Preferred Managed care Experience)CareSource • Dayton, OH, United States
Director, Enterprise Accreditation(Preferred Managed care Experience)

Director, Enterprise Accreditation(Preferred Managed care Experience)

CareSource • Dayton, OH, United States
1 day ago
Job type
  • Full-time
Job description

Job Summary :

The Director, Enterprise Accreditation is responsible for the Accreditation strategy, readiness, surveys and outcome results across all markets and products through oversight of accreditation staff and market engagement for all aspects of accreditation, and prioritizing workloads of all assignments and productivity outcomes.

Essential Functions :

  • Responsible for the development and implementation of accreditation strategy across the enterprise
  • Evaluates readiness and escalates the organizational risks related to accreditation requirements to the AVP of Enterprise Quality Assurance and Accreditation
  • Provides leadership and oversight to the development and implementation of action plans with enterprise-wide business owners to mitigate risks
  • Develops and oversees accreditation pipeline, prioritizes accreditation work according to timelines
  • Provide oversight to accreditation repositories
  • Develops and manages the accreditation workplan across all markets and products
  • Creates structures to support an accreditation state of readiness
  • Develops reports related to accreditation
  • Ensures a state of enterprise-wide accreditation readiness
  • Manages the accreditation budget, including forecasting and monthly reconciliation.
  • Oversees master schedule or documents for accreditation standard(s)
  • Oversees the collection and preparation of accreditation submissions (documented process, reports, and materials)
  • Coordinates accreditation submission with NCQA, accreditation team and other stakeholders
  • Coordinates onsite surveys with external stakeholders
  • Corresponds with NCQA and consultants as necessary
  • Participates in applicable committees
  • Ensures inventory of up-to-date accreditation standards
  • Maintain familiarity with accreditation standards and communicate those changes to leadership
  • Continuously pursues and identifies best practices as well as opportunities for improvement
  • Oversees SharePoint site for Accreditation documents
  • Oversees process ensuring master document naming conventions and document version control are consistent and accurate
  • Manages review of communication materials related to accreditation
  • Manages Quality Improvement Activities related to accreditation
  • Oversees management of key project initiatives including the development of detail work plans, setting deadlines, assigning responsibilities and monitoring / summarizing project progress
  • Perform any other job duties as requested

Education and Experience :

  • Bachelor's Degree or equivalent years of relevant work experience is required
  • A minimum of three (3) years of experience in and Accreditation, Quality Improvement, or Project Management role is required
  • Prior leadership experience is required
  • Managed Care experience is required
  • Competencies, Knowledge and Skills :

  • Expert skill in Microsoft Excel, Access, PowerPoint and Word
  • Expert skill level with SharePoint
  • Visio experience preferred
  • Knowledge of state requirements related to Health Services Quality Monitoring Program & Accreditation
  • Communication skills
  • Management / Leadership skills and experience
  • Ability to work independently and within a team environment
  • Strict attention to detail
  • Familiarity of the healthcare field
  • Knowledge of Medicaid, Medicare, Exchange and Commercial products
  • Critical listening and thinking skills
  • Training / teaching skills
  • Proper grammar usage
  • Ability to coordinate complex projects and multiple meetings
  • Time management skills
  • Proper phone etiquette
  • Customer service oriented
  • Decision making / problem solving skills
  • Analytical and organizational skills
  • Licensure and Certification :

  • CPHQ is preferred
  • Working Conditions :

  • General office environment; may be required to sit or stand for extended periods of time
  • May be required to travel - estimated at 10%
  • Compensation Range :

    $110,800.00 - $193,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

    Compensation Type : Salary

    Competencies :

  • Create an Inclusive Environment
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business
  • This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

    #LI-SW2

    Create a job alert for this search

    Director Managed Care • Dayton, OH, United States

    Related jobs
    Director of Nursing (DON)

    Director of Nursing (DON)

    The Laurels of Huber Heights • HUBER HEIGHTS, Ohio, United States
    Full-time
    Are you looking for a nursing leadership opportunity with a growing organization? The Laurels of Huber Heights has an exceptional opportunity for a Director of Nursing (DON) to join our team.As the...Show more
    Last updated: 30+ days ago • Promoted
    Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    LifeStance Health • Huber Heights, OH, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show more
    Last updated: 30+ days ago • Promoted
    Travel Occupational Therapist

    Travel Occupational Therapist

    PRIDE Health • Englewood, OH, US
    Full-time
    PRIDE Health is seeking a travel Occupational Therapist for a travel job in Englewood, Ohio.Job Description & Requirements. PRIDE Health is the minority-owned healthcare recruitment division of ...Show more
    Last updated: 9 days ago • Promoted
    Child Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    Child Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    LifeStance Health • Pleasant Plain, OH, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show more
    Last updated: 30+ days ago • Promoted
    Residential Clinical Director

    Residential Clinical Director

    Compassion Care Group Lp • Dayton, OH, US
    Full-time
    Compassion Care Group Residential Treatment Facility (Dayton, OH).Position : Clinical Director, Residential Youth Facility (Girls). Division : Adolescent Treatment Program.Reports to : Executive Direct...Show more
    Last updated: 29 days ago • Promoted
    Sr. Director, Utilization Management - Behavioral Health

    Sr. Director, Utilization Management - Behavioral Health

    CareSource • Dayton, OH, US
    Full-time
    Senior Director, Utilization Management Behavioral Health.The Senior Director, Utilization Management Behavioral Health is responsible for leading and overseeing all aspects of behavioral health ...Show more
    Last updated: 2 days ago • Promoted
    Executive Director

    Executive Director

    The Indigo at Beavercreek • Beavercreek, OH, US
    Full-time
    We are seeking a strong and compassionate .Assisted Living and Memory Care community.This position is responsible for overall daily operations, including staff leadership, budgeting, occupancy...Show more
    Last updated: 11 days ago • Promoted
    Treatment Center Director

    Treatment Center Director

    BayMark Health Services • Dayton, OH, US
    Full-time
    Quick Apply
    Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to understand the needs of patients undergoing treatment...Show more
    Last updated: 30+ days ago
    Assistant Director of Nursing (ADON)

    Assistant Director of Nursing (ADON)

    The Laurels of Huber Heights • HUBER HEIGHTS, Ohio, United States
    Full-time
    Assistant Director of Nursing (ADON) •Registered Nurse (RN) •.The ADON nurse acts as the educator for the facility, conducts orientation and other in-service educational programs for the nursing sta...Show more
    Last updated: 30+ days ago • Promoted
    Occupational Therapist

    Occupational Therapist

    Encompass Health • Greenville, OH, US
    Full-time +1
    Occupational Therapist Career Opportunity.Your Calling, Close to Home and Heart.Are you in pursuit of a career that's more than a job, one that aligns with your heart and community? We believe ...Show more
    Last updated: 10 days ago • Promoted
    Director, Enterprise Accreditation

    Director, Enterprise Accreditation

    CareSource • Dayton, OH, US
    Full-time
    Director, Enterprise Accreditation.The Director, Enterprise Accreditation is responsible for the Accreditation strategy, readiness, surveys and outcome results across all markets and products throu...Show more
    Last updated: 1 day ago • Promoted
    Unit Manager (RN / LPN)

    Unit Manager (RN / LPN)

    The Laurels of Huber Heights • HUBER HEIGHTS, Ohio, United States
    Full-time
    Are you an RN or LPN looking for a leadership role? Do you have a passion for leading and teaching other skilled nursing staff? As an RN / LPN Unit Manager, provide, plan, coordinate, or manage nursi...Show more
    Last updated: 30+ days ago • Promoted
    Travel Occupational Therapist

    Travel Occupational Therapist

    Trustaff Allied • Englewood, OH, US
    Full-time
    Trustaff Allied is seeking a travel Occupational Therapist for a travel job in Englewood, Ohio.Job Description & Requirements. As an Occupational Therapist, you'll help patients live their l...Show more
    Last updated: 1 day ago • Promoted
    Licensed Marriage & Family Therapist (LMFT)

    Licensed Marriage & Family Therapist (LMFT)

    LifeStance Health • Pleasant Plain, OH, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show more
    Last updated: 30+ days ago • Promoted
    Licensed Mental Health Therapist (LPCC / LCSW / LMFT)

    Licensed Mental Health Therapist (LPCC / LCSW / LMFT)

    LifeStance Health • Fayetteville, OH, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show more
    Last updated: 30+ days ago • Promoted
    Enterprise Accreditation Specialist II

    Enterprise Accreditation Specialist II

    CareSource • Dayton, OH, US
    Full-time
    Enterprise Accreditation Specialist II.The Enterprise Accreditation Specialist II is responsible for being the subject matter expert for select NCQA accreditation standards, analysis, and readiness...Show more
    Last updated: 22 days ago • Promoted
    Director of Nursing

    Director of Nursing

    Cincinnati ASC LLC • Dayton, OH, US
    Full-time
    University Endoscopy Center (UEC) is an ambulatory surgical center located in the historical area of Montgomery, Ohio.Established in 1996, UEC specializes in and exclusively provides endoscopy proc...Show more
    Last updated: 1 day ago • Promoted
    Clinical Director (Legacy Impact Residential)

    Clinical Director (Legacy Impact Residential)

    Atlantic Health Strategies • Dayton, OH, US
    Full-time
    Quick Apply
    Legacy Impact is dedicated to empowering individuals on their journey toward lasting recovery and mental wellness.We believe that with compassionate support, evidence-based care, and a strong sense...Show more
    Last updated: 11 days ago
    Travel Operating Room RN - Orthopedics

    Travel Operating Room RN - Orthopedics

    ADEX Healthcare Staffing LLC • Greenville, OH, US
    Full-time
    ADEX Healthcare Staffing LLC is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Greenville, Ohio. Job Description & Requirements.Pay package is based on 8 hour shifts a...Show more
    Last updated: 18 days ago • Promoted
    Travel Pediatric Occupational Therapist

    Travel Pediatric Occupational Therapist

    Core Medical Group • Greenville, OH, US
    Permanent +1
    Core Medical Group is seeking a travel Pediatric Occupational Therapist for a travel job in Greenville, Ohio.Job Description & Requirements. Pediatric Occupational Therapist.Client in OH seeking...Show more
    Last updated: 15 days ago • Promoted