Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health benefits companies and a Fortune Top 50 Company.
We are seeking someone with a comprehensive background and experience in NCQA Accreditation. You will work from home while supporting the Buffalo, NY health plan; a West NY Blue Alliance partner of BC/BS of WNY. You are responsible for providing accreditation services necessary for attaining and maintaining accreditation from various accrediting organizations, such as URAC and NCQA. You will receive training and the necessary supplies and equipment to work from home.
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.
-Coordinates activities for successful accreditation surveys.
-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.
Requires a BA/BS in a health care field, and a minimum of 3 yrs. of healthcare-related experience in addition to 2 years of experience in a QA/QI related position, or any combination of education and experience, which would provide an equivalent background. NCQA and/or URAC accreditation experience required.
-Project management experience preferred.
-Strong quantitative, qualitative and analytical skills required.
-Must be able to ask questions, work independently, and make decisions.
-Must be organized, detail oriented, with excellent time management skills.
-Excellent verbal and written communication skills
-Computer literate: MS office and web-based programs
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
*WARNING : Please beware of phishing scams that promote work-at-home opportunities and which may also pose as legitimate companies. Please be advised that an Anthem recruiter will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application.