Accreditation, Quality & URL Specialist

Accreditation, Quality & URL Specialist

Med Impact Healthcare Systems, Inc.

Exemption Status:
United States of America (Exempt)

Salary Range: $68,571 – $93,600 – $118,628

This position is not eligible for Sponsorship.

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At Med Impact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making.

Responsible for the execution of the annual accreditation and UR assessment process and work plan to maintain Med Impact accreditation and state UR licensure requirements. Coordinates with internal partners to accomplish assigned accreditation and compliance activities.

• Performs accreditation and quality management related audits and activities with an emphasis on obtaining or maintaining accreditation and UR licensure.
• Participates in onsite audits/reviews, agency inquiries, and training employees, as needed. Performs ongoing monitoring to ensure the organization is meeting accreditation standards.
• Analyzes data, workflows, policies and procedures to assess program effectiveness. Interprets significance of routine-intermediate findings to identify areas of improvement, make and implement recommendations for improvement.
• Defines and documents accreditation and compliance process steps (i.e., policy and procedures) in accordance with current state, federal, and independent accreditation and UR licensing requirements.
• Communicates and consults with internal partners to assist with the implementation of accreditation and compliance recommendations for assigned area(s).
• Serves as accreditation subject‑matter expert for all or specific program sections, to consult and update internal partners on accreditation efforts and requirements. May recommend and provide training to employees regarding accreditation and compliance requirements and procedures.
• Stays current with accreditation and regulatory requirements, as well as PA/UM programs in an effort to consult and provide a mutually beneficial resolution.

No supervisory responsibilities.

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; respond promptly to client needs; solicit client feedback to improve service; respond to requests for service and assistance from clients; meet commitments to clients.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 3 years of SME in respective areas.

Intermediate working knowledge of Microsoft Office Suite (Word/Excel/Access/Outlook) and Adobe Acrobat.

Based on the clinical nature of the work, unencumbered healthcare related license is required. Examples of applicable licenses include Pharmacy Technician (CPT), Medical Assistant (MA), and/or Registered Nurse (RN).

• Experience managing operational projects from inception to completion as well as team leadership and facilitation responsibilities.
• Ability to gather requirements as well as prepare and maintain detailed product/project plans to support accreditation and quality management activities.
• Good interpersonal skills with the ability to work independently and as part of a cohesive team.
• Ability to work in a dynamic environment with constantly changing deliverables.

• Ability to apply common sense…