Credentialing & Population Health Accreditation Coordinator - PFK
US-OH-Columbus
external
Req #: 52569
Type: Full Time
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Overview: Credentialing & Population Health Accreditation Coordinator 1.0FTE, 40 hours per week Full-time benefits. Monday - Friday, 8am - 5pm The Credentialing and Population Health Accreditation Coordinator assists in the delegation relationships and accreditation requirements regarding credentialing and population health. Provides related project management support, performs a variety of complex work in planning, coordinating, and managing accreditation activities. Responsibilities: * Serves as subject matter expert in accreditation related to Credentialing and Population Health Management. * Prepares desk audits, coordinates on-site and virtual audits, and pre-delegation surveys according to Ohio Department of Medicaid, payor and National Commission on Quality Assurance (NCQA) requirements. * Evaluates, interprets, and summarizes accreditation guidelines and manages the process. * Coordinates Continuous Quality Improvement including recommending, tracking, and reporting metrics to support accreditation and achieve best outcomes. * Collaborates with leaders from multiple departments on compliance improvement activities and provides guidance to department managers. * Facilitates educational sessions and collaborates across functions to improve performance. Qualifications: Education Requirement: * BA or BS in healthcare field, required. * Master's Degree, preferred. Skills: * Strong working knowledge of the NCQA Submission process. * Quality Improvement, project management, strong quantitative, qualitative, and analytical skills. * Proficient in Microsoft Office Suite to include Word, Excel, and SharePoint; Proficient in Adobe Pro. Experience: * At least 2 years in healthcare or other organizations with NCQA accreditation, required. * Previous accreditation experience, preferred. The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision. EOE M/F/Disability/Vet
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