Accreditation Director
Core
Leading all accreditation activities to attain and maintain accreditation from organizations like URAC and NCQA for a line of business or region.
Role type
Director-level Clinical Quality & Accreditation Lead
Builds
Compliance with healthcare accreditation standards and quality improvement interventions
Domain
Healthcare operations / Quality Assurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare accreditation process management, Quality Improvement (QI) leadership, Data analysis (quantitative/qualitative), Project management, Stakeholder management, Regulatory compliance interpretation
Preferred skills
NCQA/URAC accreditation experience, Nursing background, Case management, Clinical healthcare experience, Bilingual English/Spanish fluency, Leadership experience
Technologies
URAC, NCQA
Responsibilities
Manage overall accreditation processes and resources, Evaluate and interpret accreditation guidelines, Lead quality studies and projects, Interface with internal/external clients and quality committees, Perform data analysis to report improvements and recommendations, Establish deliverables and timelines for team members
Seniority
Director, strategic leadership & operational oversight