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Humana logo

Senior Accreditation Professional

Humana
Posted 1 weeks ago
🇺🇸United States🏠Remote💰$86.3K–$118.7K📁Healthcare/Clinical
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Become a part of our caring community The Senior Accreditation Professional works with CenterWell Pharmacy Inc. leadership to successfully demonstrate their ability to meet regulatory requirements and standards, established by recognized Pharmacy accreditation organizations (URAC, NABP, and ACHC). The Senior Pharmacy Practice Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Accreditation Professional emphasizes quality assurance and a commitment to continuous quality enhancement. Begins to influence department’s strategy in meeting accreditation compliance through existing polices, processes and procedures. Makes decisions on moderately complex to complex issues regarding compliance to the accreditation organization’s standards. Exercises considerable latitude in determining objectives and approaches to assignments. The Senior Accreditation Professional work assignments involve moderately complex to complex issues to maintain audit readiness to avoid risk, focus on metrics not being met aligning with impacted business owners, and resolution of unmet metrics. Use your skills to make an impact Required Qualifications Bachelor's degree or 2-3 years of pharmacy accreditation experience 2 or more years experience in pharmacy accreditation (URAC, ACHC, NABP, NCQA, JACHO), process improvement, data analytics, Compliance and Risk Management Previous experience working with senior leadership in Pharmacy and driving a successful accreditation outcome Exceptional analytical skills, including both problem solving and technical proficiency Demonstrated advanced skills in Excel, Access, and database creation/management Demonstrated excellent time management skills with proven ability to be flexible, adapt to changing environment, handle multiple tasks and deadlines and manage multiple priorities Commitment to continuous process improvement Exceptional verbal and written communication skills Demonstrated successful relationship building Ability to put context around data and identify problems and solutions Must be passionate about contributing to an organization focused on continuously improving consumer experiences Experience working with cross-functional business areas Work-At-Home Requirements WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Preferred Qualifications Clinical and/or Pharmacy accreditation experience Demonstrated experience with process improvement Excellent research and investigative skills Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-26-2026 About us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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