Accreditation Specialist - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 156941
JOB SUMMARY: Responsible for working cross-functionally to support the organization in obtaining and maintaining NCQA Health Plan accreditation. This position uses knowledge of current NCQA Health Plan standards to work effectively with business owners to identify gaps and deficiencies between current processes and the requirements of accreditation standards and to assist in implementation of any necessary changes.
Education/Specialized Training/Licensure: Bachelor's Degree in Business, Social Work, Health Care, Project Management or related field required. Master's degree preferred
Work Experience (Years and Area): 3 years of managed care with proven experience with NCQA Health Plan standards. Quality Improvement or Project Management experience is preferred
Software Operated: Microsoft Office (Word, Excel, PowerPoint, Outlook) Visio, Adobe Pro, Proficient with Zoom and Microsoft Teams
Must be able to establish and maintain collaborative working relationships across the organization to meet accreditation standards
Able to communicate with business owners in ways to gain buy-in and support meeting accreditation standards.
Able to effectively and efficiently keep management updated and able to identify barriers and risks related to accreditation.
Proficient in annotating and uploading documents to the NCQA portal.
SPECIAL REQUIREMENTS: (Check Applicable Areas)
1. Communication Skills: Above Average Verbal (Heavy Public Contact) Writing /Composing: Correspondence / Reports
2. Other Skills: Research, MS Word, MS Excel
3. Advanced Education:
Bachelor's Degree Major: Bachelor's Degree in Business (BA), Social Work, Health Care, Project Management or related field required
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.