Credentialing & Population Health Accreditation Coordinator - PFK

Credentialing & Population Health Accreditation Coordinator

1.0FTE, 40 hours per week

Full-time benefits.

Monday - Friday, 8am - 5pm

The Credentialing and Population Health Accreditation Coordinator assists in the delegation relationships and accreditation requirements regarding credentialing and population health. Provides related project management support, performs a variety of complex work in planning, coordinating, and managing accreditation activities.

The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children's Hospital, Where Passion Meets Purpose.

Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.

We're 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we'll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

Ask anyone with a Nationwide Children's badge what they do for a living. They'll tell you it's More Than a Job. It's a calling. It's a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

Nationwide Children's Hospital. A Place to Be Proud.

* Serves as subject matter expert in accreditation related to Credentialing and Population Health Management.
* Prepares desk audits, coordinates on-site and virtual audits, and pre-delegation surveys according to Ohio Department of Medicaid, payor and National Commission on Quality Assurance (NCQA) requirements.
* Evaluates, interprets, and summarizes accreditation guidelines and manages the process.
* Coordinates Continuous Quality Improvement including recommending, tracking, and reporting metrics to support accreditation and achieve best outcomes.
* Collaborates with leaders from multiple departments on compliance improvement activities and provides guidance to department managers.
* Facilitates educational sessions and collaborates across functions to improve performance.

Education Requirement:
* BA or BS in healthcare field, required.
* Master's Degree, preferred.

Skills:
* Strong working knowledge of the NCQA Submission process.
* Quality Improvement, project management, strong quantitative, qualitative, and analytical skills.
* Proficient in Microsoft Office Suite to include Word, Excel, and SharePoint; Proficient in Adobe Pro.

Experience:
* At least 2 years in healthcare or other organizations with NCQA accreditation, required.
* Previous accreditation experience, preferred.

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision. EOE M/F/Disability/Vet