Auditing operations compliance with accreditation and regulatory requirements for HCSC. Researching and reporting on trends, preparing monthly summaries, and implementing technical solutions.
Responsibilities
Responsible for auditing operations compliance with accreditation and regulatory requirements in assigned areas.
Ensuring compliance with Plan, BCBSA, NCQA and State and Federal requirements.
Researching and reporting monthly on trends.
This will include monthly documented summaries, receipts, and how these impact accreditation requirements.
Recommending and implementing technical solutions and communicating to the management team of the need/gap.
Gathering data, analyzing data, and preparing reports including disseminating information from various sources and systems.
Supporting projects and initiatives and resolving issues by working with staff within the department or across departments.
Requirements
Bachelor’s degree and 2 years of insurance experience OR 6 years’ insurance experience.
Knowledge of health care regulatory and legislative process; experience reading and interpreting legislation.
Knowledge or experience reviewing accreditation standards and evaluating level of compliance, identifying challenges and proposing solutions.
Knowledge or experience monitoring compliance and managing evidence documents.
Experience preparing monthly reports and forecasting.
Research and analytical skills.
Detail orientation and organizational skills; experience meeting deadlines on time.
Clear and concise verbal and written communication skills.
PC proficiency to include Word, Access, Excel and Cognos.
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