Accreditation And Compliance Specialist

Premier Foods

Remote
Base: $62,000 - $93,000; bonus/equity: not specifi...
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Utilization review state licenses
Regulatory research for licensing
Urac and ncqa accreditation standards
** Premier Foods is seeking an Accreditation and Compliance Specialist to oversee the coordination of licensing and compliance initiatives related to Utilization Review state licenses. The role involves collaboration with legal and various stakeholders to ensure adherence to regulatory standards and quality improvement processes. **

Job Summary

  • The Accreditation and Compliance Specialist will be the owner of, and the primary individual responsible for interdepartmental coordination of monitoring and preparing submissions for initial and renewal of Utilization Review (UR) state licenses.
  • This position will also support the Sr. Director, Quality and Utilization Management in developing, implementing, monitoring and updating quality improvement and utilization management initiatives as well as policies, procedures and processes.
  • Qualified full-time and part-time employees also receive access to the following benefits: Health, dental, vision, life and disability insurance, 401k retirement program, Paid time off, Participation in Premier’s employee incentive plans, Tuition reimbursement and professional development opportunities.

Matching Summary

Match Score: 75

** Premier Foods is seeking an Accreditation and Compliance Specialist to oversee the coordination of licensing and compliance initiatives related to Utilization Review state licenses. The role involves collaboration with legal and various stakeholders to ensure adherence to regulatory standards and quality improvement processes. **

Salary

Base: $62,000 - $93,000; Bonus/Equity: Not specified; Benefits: Health, dental, vision, life and disability insurance, 401k retirement program, Paid time off, Participation in Premier’s employee incentive plans, Tuition reimbursement and professional development opportunities

Skills & Requirements

Must-have

  • utilization review state licenses
  • regulatory research for licensing
  • URAC and NCQA accreditation standards
  • monitoring quality improvement initiatives
  • documenting and tracking licensing requirements

Nice-to-have

  • stay apprised of regulatory changes
  • work within time frames to meet deadlines
  • strong attention to detail and quality
  • ability to communicate effectively

Key Requirements

  • 2 or more years of applicable experience
  • High School Diploma or GED
  • Associate’s degree or equivalent experience in compliance
  • CHC certification, preferred

Work Rights

Not specified

Tailored Resume

Cover Letter