This posting is inactive.

QI Compliance & Accreditation, Sr. Leader, Accreditation & Quality Regulatory Compliance

5455, 303 S Broadway # 321, Tarrytown, NY 10591, USA; Headquarters Office, 625 State Street, Schenectady, New York, United States of America; Rochester Office, 220 Alexander Street, Rochester, New York, United States of America; Virtual Req #586
Monday, August 10, 2020
Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people  with diverse backgrounds and experience—tech people, numbers people, even people people—to make health insurance more convenient, more supportive, and more personal. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP.

Status: Full-time, Exempt
 

This position may be a virtual position (worked remotely).
 
The Senior Leader, Accreditation and Quality Regulatory Compliance
directs the strategic management and planning of the National Committee for Quality Assurance (NCQA) Health Plan Accreditation process. Strategizes and leads organizational efforts to achieve and maintain accreditations. Develops and prepares accreditation work plans, timelines and documentation. Serves as the subject matter expert and liaison for standards interpretation, survey preparation, onsite reviews, and follow-up activities. Assists business leaders in training and education and evaluating/ developing compliant policies and procedures and on-going monitoring for compliance as established by NCQA for all accreditations. Coordinates the efforts to earn outstanding clinical performance and a positive customer experience as required for accreditation. Provides oversight and direction to assure compliance with Quality activities associated with regulatory agencies such as NYS Health Department, Federal Government and other relevant monitoring bodies, including activities and oversight related to the Quality behavioral health subcommittees, and including Performance Improvement Projects and Quality Improvement Strategy projects. Assumes ownership of the Quality Program Description and Annual reports, including timely submission to MVP’s Quality Improvement Committee and the Board of Directors. Provides input to the Quality department’s plans for continuous quality improvement activities and strategic direction. Performs other duties as assigned. 
 

POSITION QUALIFICATIONS

Minimum Education

Bachelor’s Degree in a clinical or public health-oriented field required. Master’s Degree preferred. 

RN or other clinical professional affiliation preferred.  


Minimum Experience

5 years related work experience 
Operational experience with NCQA Accreditation standards and survey process is required
Minimum of 3 years of supervisory/management experience is required
Health plan experience highly preferred
Project management experience preferred

Required Skills

  • Excellent verbal and written communication skills including the ability to interact professionally with all levels of the organization.
  • Strong analytical, reporting and problem-solving skills
  • Strong management/leadership skills
  • Strong organization skills and prioritizing ability
  • Team oriented
  • Ability to work independently, highly motivated
  • Proficient in MS Word and MS PowerPoint

MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details

  • Job Family Quality Improvement
  • Pay Type Salary
  • 5455, 303 S Broadway # 321, Tarrytown, NY 10591, USA
  • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
  • Virtual