Health Equity Accreditation Program Manager
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Job Description
Health Equity Accreditation Program Manager at PacificSource focusing on NCQA compliance and health equity initiatives. Leading accreditation processes and quality improvement efforts across the organization.
Responsibilities:
- Manage the NCQA Health Equity accreditation process, including planning, coordinating, and maintaining compliance with all applicable NCQA standards.
- Oversee the NCQA Health Equity accreditation work plan and lead multidisciplinary teams to ensure continuous readiness for accreditation.
- Develop and manage workflows, policies, and procedures that support health equity initiatives.
- Maintain accurate documentation and reports for accreditation audits and regulatory reviews.
- Prepare and present reports on quality improvement activities and accreditation status to leadership.
- Represent the organization during accreditation site visits, audits, and meetings.
- Offer functional and technical expertise on health equity standards to all departmental staff and conduct educational sessions as needed.
- Assist in developing and implementing health equity programs to address health disparities, focusing on measurement and quality improvement.
- Collaborate with internal teams to collect and analyze data related to health disparities, population health trends, and social risk factors.
- Collaborate with cross-functional teams to integrate equity-focused initiatives into care management, member engagement, and provider networks.
- Monitor performance metrics and recommend program improvements to enhance health equity efforts.
- Stay current with the latest NCQA Standards and regulatory requirements, ensuring that updates are applied accordingly.
- Support internal training and education on cultural competency, implicit bias, and health equity best practices.
- Assist in organizing workgroups, meetings, and advisory committees focused on equity-driven healthcare initiatives.
- Actively participate in various strategic and internal committees to disseminate information and represent company philosophy.
- Develop, review, and update policies and procedures to align with health equity standards.
Requirements:
- Minimum of five (5) years of healthcare accreditation, quality management, or related healthcare program management experience required.
- Experience working with NCQA standards is highly preferred.
- Bachelor’s degree in healthcare administration, public health, or a related field, or equivalent years of additional relevant experience in lieu of degree required.
- Master’s degree preferred.
- Certified Project Manager (PMP) or ability to obtain certification within 1 year required.
- Knowledge of NCQA health equity accreditation and health plans is strongly preferred.
- Ability to lead cross-functional teams.
- Familiarity with health equity frameworks, culturally and linguistically appropriate services, and culturally competent care models.
- Knowledge of data collection, program evaluation, and health disparity analysis.
- Strong project management, organizational, and analytical skills.
- Proficiency in Microsoft Office Suite and healthcare analytics tools.
- Ability to work independently and collaboratively across departments.
Benefits:
- Health insurance
- Paid time off
- Professional development opportunities
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