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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Enterprise Accreditation Specialist III - **Company:** CareSource - **Location:** United States (Remote available) - **Experience:** Experienced - **Salary:** $62,700.0 - $100,400.0 - **Contract:** Permanent contract - **Skills:** Microsoft Word, Microsoft Excel, Adobe Acrobat, Data Analysis, Microsoft Office, Microsoft SharePoint, Marketplace - **Published:** August 10, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=a8a9bbef77e1c2ca ## About the Role * Bachelor's degree in science, arts, healthcare or other related field or equivalent years of relevant work experience is required. * Minimum of three (3) years of experience in a Managed Care Organization or other healthcare related field is required * Project Management Experience is preferred * Accreditation experience is required * Knowledge of IHI, DMAIC, or other process improvement methodologies preferred Competencies, Knowledge and Skills: * Knowledge of accreditation bodies and various forms of accreditations, distinctions and recognitions. * Expert knowledge of the NCQA Submission process * Strong interpersonal skills and high level of professionalism * Strong critical thinking/listening skills * Excellent problem-solving skills with strong attention to detail * Excellent written and verbal communication skills * Ability to work independently and within a team environment * Ability to develop, prioritize and accomplish goals * Analytical and organizational skills * Ability to coordinate complex projects and multiple meetings * Proficient in Microsoft Office Suite to include Word, Excel, Adobe Pro and SharePoint * Excellent written and verbal communication skills * Proficient knowledge of the healthcare field and with Medicaid, Medicare, and Marketplace * Training/teaching and technical writing skills ## Description The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This person will serve as the subject matter expert for various accreditations, including but not limited to NCQA Health Plan Accreditation, LTSS Distinction, Health Equity, UM, and Population Health. This person will work cross-functionally with business owners to identify gaps and deficiencies between current processes and the accreditation requirements and assist in implementing any necessary mitigation activities as needed. They will also ensure all changes made by accrediting bodies are communicated and incorporated into business processes., * Serve as subject matter expert in accreditation standards, including NCQA Health Plan, LTSS Distinction, Health Equity, UM and Population Health. * Clearly define deliverables associated with delegation agreements including appropriate responsible parties * Maintain a strong understanding of the business processes within the assigned Market * Collaborate with the business owners to obtain documents, reports, and materials for accreditation submission * Provide oversight and monitoring of all surveys and deliverables within assigned Market * Monitor, track, and document deliverables related to accreditation process by applying accreditation standards to CareSource processes and documents in conjunction with the business owners * Act as advisor to business areas on appropriate documentation and data analysis needs for required improvement opportunities to meet the intent of the NCQA standards * Maintain an in-depth knowledge of the standards within the scope of work and ensure that changes made by NCQA are communicated and incorporated into business processes * Review and analyze documents, reports, and materials for submission. Ensures accuracy prior to submission * Facilitate ongoing annual qualitative and quantitative analyses, assuring business owners are acting on their opportunities for improvement * Responsible for preparing materials including but not limited to updating and reformatting for submission to accrediting entities in accordance with standards, coordinating efforts with internal business owners, and tracking readiness against work plans and timelines * Manage survey submission process for assigned Market * Maintain accreditation roadmaps/workplans * Identify and communicate survey status, gaps, and escalations and ensure mitigation plans are implemented, gaps are closed and escalations are resolved * Provide management recommendations for improvement related to accreditation processes and document processes * Ensure all workplans and dashboards are updated for reporting * Manage and execute on multiple module activities * consistency * Perform a variety of complex work in planning, coordinating, and managing accreditation activities * Provide education to staff and business owners on accreditation standards and provide timely updates to affected departments including accreditation activities, survey dates and timelines for deliverables * Act as a mentor to the Accreditation Specialist II * Assist with the onboarding of new team members on module and Market specific requirements * Participate in Market Quality Committees and other applicable committees as required * Perform any other job duties as assigned ## Related Videos - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [Launching a marketplace on-time: A lesson in taking shortcuts using spreadsheets!](https://www.wearedevelopers.com/videos/477-launching-a-marketplace-on-time-a-lesson-in-taking-shortcuts-using-spreadsheets) - [Data Science in Retail](https://www.wearedevelopers.com/videos/586-data-science-in-retail) - [How to Monetize Your APIs](https://www.wearedevelopers.com/videos/749-how-to-monetize-your-apis) - [Data Science on Software Data](https://www.wearedevelopers.com/videos/162-data-science-on-software-data) - [Single Server, Global Reach: Running a Worldwide Marketplace on Bare Metal in a Cloud-Dominated World](https://www.wearedevelopers.com/videos/1206-single-server-global-reach-running-a-worldwide-marketplace-on-bare-metal-in-a-cloud-dominated-world) ## Related Articles - [What Are The Top Skills Required For Azure Developers?](https://www.wearedevelopers.com/magazine/77-what-are-the-top-skills-required-for-azure-developers) - [Best Coding Boot Camps in Germany](https://www.wearedevelopers.com/magazine/237-best-coding-boot-camps-in-germany) - [How Developers Can Focus on Maintaining Satisfaction With Accessibility](https://www.wearedevelopers.com/magazine/109-how-developers-can-focus-on-maintaining-satisfaction-with-accessibility) - [What’s the Difference between a Junior, Mid, and Senior Developer?](https://www.wearedevelopers.com/magazine/238-what-s-the-difference-between-a-junior-mid-and-senior-developer) - [System change: restart as developer?](https://www.wearedevelopers.com/magazine/39-system-change-restart-as-developer) - [Best Companies to Work For in Germany: Top 25 Companies in 2023 ](https://www.wearedevelopers.com/magazine/33-best-companies-to-work-for-in-germany-top-25-companies-in-2023)