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/.