Schenectady, NY, 12307, USA
3 days ago
Professional, Accreditation and Quality Regulatory Compliance
**Join Us in Shaping the Future of Health Care** At MVP Health Care, we’re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference—every interaction, every day. We’ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. **What’s in it for you:** + Growth opportunities to uplevel your career + A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being + An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** . You’ll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities. This role assists the **Sr. Leader, Accreditation and Quality Regulatory Compliance** in strategic planning and management of the National Committee for Quality Assurance (NCQA) Health Plan Accreditation process. This role will work directly with leadership teams, key business owners or contributors across the organization, and key external stakeholders to support the design, implementation, and oversight of Quality Accreditation and Compliance strategic initiatives, along with the regulatory and operational responsibilities related to the Quality Committee Structure. This individual will serve as a subject matter expert and liaison for NCQA Standards interpretation, survey preparation, onsite/virtual survey file reviews and associated follow up activities based upon surveyor feedback. Will develop and maintain accreditation work plans, timelines and documentation. Assists business owners/leaders in ongoing NCQA Accreditation Standards training annually, develops and/or evaluates departmental policies and procedures for compliance with NCQA Health Plan Accreditation Standards. In conjunction with the Sr. Leader, Accreditation and Quality Regulatory Compliance, assumes ownership of the Quality trilogy documents, including the Quality Improvement Program Description, Quality Improvement Work Plan and the Quality Improvement Annual Report. Assures these trilogy documents are updated annually, establishes timeframes for documentation revisions and review by key stakeholders, reviews for requirement accuracy and brand standards and is submitted timely to the Quality Improvement Committee and the Board of Directors for final approval. Assists with the monthly Accreditation Workgroup meeting by developing and coordinating agenda topics, educational training slides and presentation of content as required or by the request of business owners. Performs other duties as assigned. POSITION QUALIFICATIONS **Minimum Education** : Bachelor’s degree required. BA/BS in Health Care Administration, Business Administration, Registered Nursing, Medical Compliance or related field required. Master’s degree in a related field strongly preferred. Equivalent amount of education and directly related experience may be considered. **Minimum Experience:** Professional level experience related to health care or health insurance programs, processes and/or operations required. NCQA Health Plan Accreditation experience with successful submission in the last 3 years. Other meaningful healthcare experience will be considered. **Required Skills** + Detail-oriented worker with excellent organizational skills, able to work on multiple projects simultaneously and meet deadlines. + Ability to organize, analyze and present data effectively + Strong analytical and critical thinking skills + Ability to work and make decisions independently + Exceptional time management skills + Excellent oral and written communication skills + Highly effective interpersonal and conflict management skills + Ability to use discretion in handling confidential information + Strong computer knowledge (Excel, PowerPoint, Microsoft Project, Access, and Word). **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. $95,748.00-$117,603.75 **MVP's Inclusion Statement** At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com .
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