Accreditation Manager

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

The Accreditation Manager will lead the Plan’s efforts to attain and maintain accreditation by designated oversight bodies. This involves collaboration with both internal and external partners to identify, launch, and implement projects and initiatives that support achievement and maintenance of accreditation.

Our Investment In You:

• Full-time remote work
• Competitive salaries
• Excellent benefits
  
  

Key Functions/Responsibilities:

• Creates and manages Plan-wide awareness of the value of accreditation and ensures that it is reflected in the company’s ongoing processes and procedures.
• Leads organization-wide efforts to obtain accreditation or re-accreditation from relevant public and private accrediting bodies.
• Leads and supports organizational efforts to maintain ongoing practices in support of re-accreditation efforts and other quality-based projects and initiatives.
• Interfaces with relevant governmental agencies on accreditation and quality-related issues.
• Acts as key contact for accreditation agencies.
• Acts as accreditation expert for internal staff at all levels.
  
  

Supervision Received:

• General supervision is received weekly.
  
  

Qualifications:

Education Required:

• Bachelor’s degree or an equivalent combination of education, training, and experience in related field.
  
  

Preferred/Desirable:

• Master’s degree in a related field.
  
  

Experience:

• At least 5 years of healthcare/managed care experience with 2+ years in a quality/accreditation position.
  
  

Preferred/Desirable:

• Demonstrated competence in successful interactions with accrediting bodies.
• Previous project management experience.
  
  

Certification Or Conditions Of Employment:

• Pre-employment background check
  
  

Competencies, Skills, And Attributes:

• Understanding of quality principles (i.e. CQI, TQM).
• Ability to conduct data mining.
• Ability to facilitate process improvement efforts.
• Ability to develop and utilize metrics and other oversight mechanisms.
• Highly developed organizational and analytical skills with sharp attention to detail.
• High proficiency in Microsoft Office including Word, Excel, PowerPoint and Visio.
• Strong ability to foster relationships and build consensus; strong interpersonal skills.
• Ability to lead cross-functional groups, interact will all levels and areas of the organization, and interact with both clinical and non-clinical teams or individuals.
  
  

Working Conditions And Physical Effort:

• Regular and reliable attendance is an essential function of the position.
• Work is normally performed in a typical interior/office work environment.
• No or very limited physical effort required. No or very limited exposure to physical risk.
  
  

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

Required Skills

Required Experience