Accreditation Consultant Sr at Elevance Health

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

BA/BS in a health care field
Minimum of 3 years healthcare-related experience
Minimum of 2 years experience in a QA/QI related position (or any combination of education and experience providing equivalent background)
Reside within commuting distance of a Pulse Point office location
Ability to travel to worksite, client locations, and other sites as necessary

Responsibilities

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
Assumes responsibility for the more complex and critical accreditation activities

Skills

Accreditation Standards

URAC

NCQA

Quality Improvement

Project Management

Data Analysis

Compliance Reporting

Evidence Compilation

Survey Coordination

Quantitative Analysis

Qualitative Analysis

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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