Senior Accreditation Professional-Remote US

Profile

Description

The Senior Accreditation Professional working in tandem with CenterWell Pharmacy Inc. and Humana Pharmacy Solutions (PBM) leadership to successfully demonstrate their ability to meet regulatory requirements and standards, established by recognized Pharmacy accreditation organizations (URAC, NABP, and ACHC).

Responsibilities

The Senior Accreditation Professional emphasizes quality assurance and a commitment to continuous quality enhancement. Begins to influence department's strategy in meeting accreditation compliance through existing polices, processes and procedures. Makes decisions on moderately complex to complex issues regarding compliance to the accreditation organization's standards. Exercises considerable latitude in determining objectives and approaches to assignments. The Senior Accreditation Professional work assignments involve moderately complex to complex issues to maintain audit readiness to avoid risk, focus on metrics not being met aligning with impacted business owners, and resolution of unmet metrics.

Required Qualifications

Bachelor's degree or 2-3 years of pharmacy accreditation experience

2 or more years experience in pharmacy accreditation (URAC, ACHC, NABP, NCQA, JACHO), process improvement, data analytics, Compliance and Risk Management

Previous experience working with senior leadership in Pharmacy and driving a successful accreditation outcome

Exceptional analytical skills, including both problem solving and technical proficiency

Demonstrated advanced skills in Excel, Access, and database creation/management

Demonstrated excellent time management skills with proven ability to be flexible, adapt to changing environment, handle multiple tasks and deadlines and manage multiple priorities

Commitment to continuous process improvement

Exceptional verbal and written communication skills

Demonstrated successful relationship building

Ability to put context around data and identify problems and solutions

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Experience working with cross-functional business areas

Work-At-Home Requirements

WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

Clinical and/or Pharmacy accreditation experience

Demonstrated experience with process improvement

Excellent research and investigative skills

Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Vaccination Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com