Qualifications: • Bachelor's degree; Master’s degree in clinical / healthcare management or related field• 3+ years experience managing NCQA or URAC accreditations• Demonstrated field experience having managed (led) Accreditations and / or Audits in related field• Experience with accreditation activity in a health care setting• Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases• Project Management experience• Risk Management• Experience with CMS and State Regulatory Agencies• Clinical / health care compliance knowledge• Ability to become or is a Certified Auditor, such as a CIAResponsibilities:• Acts as key contact for compliance and accreditation readiness committee(s) and working subgroup contributor. Performs follow - up activities / project management support. Coordinates the dissemination of performance assessment and regulatory updates to appropriate staff• Ensures the compliance and accreditation readiness program is in place by coordinating 'mock surveys' and collecting required supporting documentation, data and action plans. Participates in the development of educational resources for the general staff regarding standard/regulatory updates• Conducts observation audit and chart review to support prioritized opportunities for improvement of projects related to regulatory related topics. Contributes to the assessment of baseline performance and ensures improvement / corrective action plan durability. Manages data collection and recommends improvement to the process and improves workflow• Oversees and guides to ensure the policies and procedures’ adherence to applicable laws, regulations and accreditation standards that govern the programs:Overview: This position is responsible for administrative and coordinating functions Pre and Post accreditation/re-accreditation surveys (Application, communicates with service line leads regarding action plan and next step in preparation for or following inspection surveys, and coordinates response assessment dashboards, etc.) as well as other internal/external audits, large scale quality and safety survey coordination and compliance. Collaborates with the project managers, data abstractors, data analyst and other staff to create and customize tools and media regarding accreditation requirements. He/she also participates in the planning, implementation, monitoring, evaluation, reporting, and follow-ups on all Quality Management activities (accreditation and compliance) and Quality Improvement Projects.This professional ensures that processes are monitored and achieved for Business Process, Utilization Managment and associated products. Will also ensure a high customer satisfaction by adhering to contractual obligations, policies and procedures
About CognizantCognizant is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Our associates—connected by our global delivery network—are committed to using their strategic insight, technology expertise and deep industry and business process experience to help clients harness the forces shaping the future of work.As one of the fastest growing companies in the Philippines, our clients continually benefit from our award-winning client-first culture. We deliver a distinctly superior experience to our clients by nurturing strong relationships, continuing our investments in industry-leading processes and building strong local teams and capabilities.We deliver on our commitments by embodying our six Cultural Values namely Customer Focus, Passion, Collaboration, Integrity, Transparency, and Empowerment.We are gratified that our passion for building stronger businesses is consistently recognized by independent sources and customers. Recent accolades include:Ranked #185 on the Fortune 500 (July 2021)Ranked #524 in Forbes Global 2000 (May 2019)Named in the list of Financial Times Leading Management Consultant (Jan 2019)Ranked #461 in Forbes America's Best Employers (April 2019)Named among World’s Most Admired Companies by Fortune (Jan 2019)Ranked #483 in Forbes the Best Employers for Diversity (Jan 2019)Ranked #87 in Forbes Top 100 Digital Companies (Sept 2018)ICT Awards Best Company of the Year (2018)ICT Awards Best Company for Health Innformation Management Services (2018)ICT Awards Best C-Suite Team of the Year (2018)Recruitment Sites:11th Floor Hanston Square Bldg.No.17 San Miguel AvenueOrtigas Center, Pasig City 2nd Floor Science Hub Tower 4No. 110 Campus Avenue, McKinley HillFort Bonifacio, Taguig City 11th Floor Vector 3 Bldg.Northgate CyberzonEAlabang, Muntinlupa City 11th Floor Skyrise 4 Bldg.Block 2 Lot 4 Cebu IT ParkLahug, Cebu City Ground Floor Giga TowerBridgetowne, Libis Quezon CityTelephone number:(02) 7-976-2270World Headquarters500 Frank W. Burr Blvd.Teaneck, NJ 07666USA Phone: +1 201 801 0233Fax: +1 201 801 0243Toll Free: +1 888 937 3277European Headquarters1 Kingdom StreetPaddington CentralLondon W2 6BDPhone: +44 (0) 20 7297 7600Fax: +44 (0) 20 7121 0102
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