Senior Manager, Accreditation and Quality
Ready for a new chapter? We're hiring a Senior Manager, Accreditation and Quality for a fully remote role open to folks across the US.
This is a remote Senior Manager, Accreditation and Quality role open to anyone in Washington, DC. It's a full time gig.
About the Role
The opening is in charge of management of the Quality and Accreditation Operations department, its products, and deliverables.
Responsible for organization strategy for improving the Quality of Care, Customer Service and Resource Use (QCR) measures, incorporating FEP capacity and Plan needs.
Serves as resource to BCBSA and Plans in support of primary division initiatives and accreditor requirements.
Provides a vision to continually improve the health of the total FEP membership.
Functions as content expert for quality improvement, Plan operations, FEP operations and accreditor standards and operations.
Incorporates clinical insights into program development and member communications and provides clinical support to various FEP departments.
Key Responsibilities
- Capable of design and interpret quantitative and qualitative member research, including developing and reviewing qualitative research scripts and editing study reports for compliance with accreditor standards
- Excellent interpersonal and communication competencies, including both presentation and written. Advanced PowerPoint expertise a requirement.
- Able to perform clinical and technical oversight for accreditation operations and HEDIS and CAHPS quality improvement, including research.
- Technical proficiency with information technologies (e.g. Microsoft Office and in particular, PowerPoint presentations).
- Develops presentation content for the FEP National Conference, Business Operations and Technical Conference, the Quality Oversight Group, the HEDIS Improvement Unit Town Hall Call and the Accreditation Town Hall Call. Serves as a conduit of information from customers to appropriate BCBSA staff.
- Required Bachelor's Degree in related discipline or Registered Nurse, equivalent clinical discipline or equivalent work experience
- Demonstrated background in leading significant cross-functional work with multiple subject matter experts and functional teams.
- Excellent project management skills.
- Subject matter expert in HEDIS and NCQA and URAC accreditation standards and processes.
- Lead and manage a group with the aim of driving effective performance management, fostering professional growth, and creating a positive and inclusive work environment. This position is dedicated to utilizing strong leadership and communication skills to motivate and inspire crew members, ensuring they are aligned with and committed to achieving the organization’s goals.
- Familiarity with health care improvement literature.
- Able to interpret empirical studies from the medical literature and apply the concepts to the FEP and Plan applications.
Skills & Tools Mentioned
- Communication
- Customer service
- Leadership
- Project management
Frequently Asked Questions
Can I work from home for this Senior Manager, Accreditation and Quality role?
Absolutely! This Senior Manager, Accreditation and Quality job is 100% remote.
What kind of job is this Senior Manager, Accreditation and Quality position?
It's a full time role.
What skills are needed for this Senior Manager, Accreditation and Quality role?
Key skills include Communication, Customer service, Leadership, Project management. These are core to succeeding in this role.
How do I apply for this Senior Manager, Accreditation and Quality job?
Easy! Just tap Apply Now above and follow the steps.
Don't wait too long — roles like this fill up fast. Apply today!