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Accreditation Consultant Sr  (RN Preferred) Eagan, MN PS6321 in Eagan, MN at Anthem, Inc.

Date Posted: 11/30/2018

Job Snapshot

  • Employee Type:
  • Location:
    Eagan, MN
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Your Talent. Our Vision. At Anthem, Inc., the Government Business Division is focused on serving Medicaid, Medicare and uninsured individuals. Our commitment and focus on government health programs is the foundation upon which we’re creating better care for our members, greater value for our customers and better health for our communities. Join us and together we will drive the future of health care.
Join one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the Minnesota Medicaid Program.

Accreditation Consultant Senior - Eagan, MN PS6321

Responsible for providing advanced accreditation services which are necessary for attaining and maintaining accreditation from various accrediting organizations, such as URAC and NCQA. 
Primary duties may include, but are not limited to: 
• Interfaces with internal and external clients, quality committees, and departments in the review of quality improvement data and in the implementation of appropriate interventions to effect improvement. 
• Evaluates, interprets and summarizes accreditation guidelines and manages the process for accreditation activities. 
• Compiles evidence and documentation that standards have been met. 
• Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies. 
• Facilitates project management and develops comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines. 
• Coordinates activities for successful accreditation surveys. 
• Provides accreditation subject matter expertise to enterprise business owners. 
• Writes content for newsletters and forums. 
• Performs quantitative and qualitative analysis of quality related data and reports activities, improvements, and recommendations to the quality committee. 
• Associates at this level assume responsibility for the more complex and critical accreditation activities. 

• Requires BA/BS in a health care field, and 3-5 yrs healthcare-related experience in addition to 2-3 years experience in a QA/QI related position, project management, and strong quantitative, qualitative and analytical skills or any combination of education and experience, which would provide an equivalent background.
• NCQA and URAC accreditation experience strongly preferred.
• MS Office (Word, Excel and Powerpoint).
• Strong and effective written and verbal communication skills.
• Proven successful time management skills.

•  Clinical background - RN preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.