Quality & Accreditation Specialist

McLaren Health Care; Flint (MI); On-site; USD 60,000 - 80,000; Full time

Job summary

McLaren Health Care is seeking a National Committee for Quality Assurance Specialist to lead quality improvement initiatives. The ideal candidate will coordinate activities, ensure adherence to regulatory standards, and analyze data to advance quality processes.

This full-time position requires an associate degree in a health care field and four years of relevant experience, preferably in a managed care environment. Come join a dynamic team striving for excellence in health care delivery.

Qualifications

• Four years’ experience with a government regulated health organization.
• Two years’ experience performing complex quality management activities.

Responsibilities

• Coordinate quality improvement activities.
• Support regulatory and accreditation standard adherence.
• Conduct data collection and analysis for quality improvement.

Skills

Quality management

Data collection and analysis

Regulatory compliance

Team coordination

Education

Associate degree in a health care field

Bachelor’s in healthcare or related field

Job description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a National Committee for Quality Assurance Specialist, to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

Position Summary

The NCQA Specialist coordinates quality improvement activities and supports various functions within the scope of the Plan quality improvement program, working both independently and as a team member. The functions may include but are not limited to committee support; regulatory and accreditation standard adherence; delegation oversight; performance monitoring and assessment; data collection and analysis; and the continual advancement of the quality improvement process to achieve the Health Plan's goals of excellence.

Qualifications

Required:

• Associate degree in a health care field or equivalent work
• Four (4) years’ experience with a government regulated health organization or a managed care setting with at least two (2) years’ experience performing complex quality management activities including HEDIS, NCQA etc.

Preferred:

• Bachelor’s in healthcare or related field.
• Experience writing quantitative and qualitative analysis.
• Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic tenets of continuous quality improvement.

Additional Information

• Schedule: Full-time
• Requisition ID: 26002953
• Daily Work Times: 8:30 am - 5:00 pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No