BCBSAZ

Director, NCQA Accreditation (Hybrid)

AZ Blue Phoenix, AZ 85021 · Director · Full-time

Sponsorship not specifiedDetected 30 days ago

Data ScienceForecastingBudgetingCustomer SupportPublic HealthLeadershipCommunicationOrganizational Skills

About the role

Develop and implement an Accreditation Program to include organization wide training and preparation for accreditation surveys, and ongoing readiness activities
Develop and train staff on the use of processes and tools to assess compliance with accreditation standards
Develop and implement an ongoing accreditation readiness assessment program
Prepare and deliver Executive Summary reports.
Plan, organize and direct staff to optimize the day to day operations of the quality and accreditation department.
Maintain effective working relationships to ensure teamwork in achieving corporate goals.
Manage use of corporate funds including budgeting, financial management, and reporting. Monitor and report on quarterly budget variances. Identify opportunities to achieve administrative efficiencies while maintaining service.
Perform all other duties as assigned.
Maintain Business Continuity Plan for the Quality Department annually.
Develops, implements and oversees the Medicaid Segment of AZBLUE's Accreditation Plan resulting in successful attainment of Accreditation.

Required Work Experience
10 years of experience in the application of managed care practices
10 years of quality and management experience
5 years of accreditation experience
5 years of Medicare or Medicaid experience
Required Licenses
Required Certifications
Required Education
Bachelor's degree in a Health Service related field
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a registered nurse (RN).

Preferred Work Experience ·
10 years' experience in Quality Management, continuous quality improvement and outcomes reporting
3 years of experience in developing short and long range strategic plans, forecasting, and budgeting
Preferred Licenses
Preferred Certifications
Coordinate and oversee regulatory activities to ensure integration and cohesion throughout accredited divisions
Act as resource to staff and other departments in the area of accreditation and quality improvement
Coordinate and submit applications, attestations, and required accreditation documents to the accrediting body and CMS

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.
Works collaboratively with the broader AZ Blue accreditation and quality teams to support reaccreditation and jointly operated health plans.
Provide leadership and recommend change management principles to ensure they maximize benefit and alleviate unnecessary disruption.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work.

This listing is sourced directly from BCBSAZ's careers page and normalized into a canonical job model.