Accreditation Program Coordinator

Health Care Service Corporation • Richardson, TX • 1d ago

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

Summary:

This position is responsible for the successful completion of projects and written documentation of standards to meet external accreditation requirements (NCQA, URAC, etc.). Also responsible for coordinating the activities with internal areas at the Enterprise and plan levels of the company and with external accreditation agencies. Will monitor department activities for accreditation and maintain data integrity for the Credentialing Committee Operations and adhere to reporting requirements.

Required Job Qualifications:

Bachelor degree OR 4 years managed care experience involving independent judgment.

5 years' experience in accreditation programs (i.e., NCQA or URAC programs) or experience in quality review.

3 years leadership experience.

Verbal and written communications skills in preparing recommendations and written documentation in appropriate format and facilitating work groups.

Project management experience and skills.

Quantitative analysis and organizational skills with skills to handle multiple priorities.

Experience identifying and developing strategy and executing according to plan, while functioning collaboratively within a team to achieve organizational goals and objectives.

Preferred Job Qualifications:

Credentialing Committee Experience - Highly Preferred

Project Management experience.

Previous experience in oversight of credentialing/claims activities.

Knowledge of Power Point, Visio and Access.

Sponsorship will not be provided for this role.

Hybrid: Work in office 3 days a week; work from home 2 days a week (after training)

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location.

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

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