Senior Accreditation & Licensing Professional

Become a part of our caring community The Senior Accreditation & Licensing Professional leads accreditation, licensing, regulatory compliance, audit readiness, and quality improvement initiatives to ensure compliance with accreditation standards, state and federal regulations, contractual requirements, and organizational policies. This role independently manages moderately complex to complex assignments, partners across the organization to identify and mitigate risks, drives continuous improvement efforts, and influences departmental strategy through data-driven recommendations.

The Senior Accreditation Professional accreditation emphasizes quality assurance and a commitment to continuous quality enhancement. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact

Lead accreditation readiness activities and support external reviews, audits, and surveys. Monitor compliance with accreditation standards, regulatory requirements, and organizational policies. Analyze performance measures and quality outcomes to identify improvement opportunities. Develop and implement corrective action plans to address compliance gaps. Serve as a subject matter expert on accreditation standards and quality management practices

Partner with Corporate Licensing to obtain, maintain, and renew Third Party Administrator (TPA) licenses. Coordinate licensing applications, renewals, and regulatory filings across applicable states. Lead governance meetings to monitor licensing status, timelines, and compliance requirements. Collaborate with Legal, Compliance, Risk Management, and operational teams to assess and pursue UM/UR licensure needs. Monitor regulatory changes and maintain licensing documentation, compliance calendars, and tracking tools

Lead preparation for internal audits and other compliance reviews. Coordinate audit documentation, responses, and stakeholder engagement. Identify compliance risks, control gaps, and operational vulnerabilities. Partner with business leaders to develop and implement corrective action plans. Maintain ongoing audit readiness and track remediation activities

Partner with cross-functional teams to support accreditation, licensing, compliance, and audit readiness initiatives. Analyze data and operational performance to identify risks, opportunities, and process improvements. Develop reports, metrics, dashboards, and tracking tools to support compliance and business decision-making. Lead process improvement and corrective action initiatives that enhance quality, efficiency, and regulatory compliance. Communicate findings, recommendations, and project outcomes to leadership and stakeholders.

Support departmental strategy and organizational growth through continuous improvement and regulatory excellence

• Bachelor’s degree
• Five (5) or more years of experience in accreditation, compliance, licensing, healthcare operations, quality management, risk management, analytics, process improvement, or program implementation
• Three (3) or more years of experience in process improvement, data analytics, compliance, risk management, and/or program management
• Strong analytical, problem-solving, and technical skills
• Advanced proficiency in Excel, Access, and database management
• Ability to translate data into actionable insights and solutions
• Experience working…