Quality Reporting & Accreditation Specialist

Position Overview: 

The Quality Reporting and Accreditation Specialist will serve as the primary project manager for CBH’s effort to maintain National Committee for Quality Assurance (NCQA) Managed Behavioral Healthcare Organization (MBHO) accreditation, Certified Review Entity Certification, and HealthChoices Reporting.   The Quality Reporting and Accreditation Specialist will also assist the Manager of Quality Improvement in the monitoring, documenting, and reporting of quality management activities.

Essential Functions: 

• Serves as project manager for coordinating and collaborating with accreditation and certification entities and the Office of Mental Health and Substance Abuse Services to ensure compliance with accreditation, certification, and HealthChoices requirements. Prepares CBH for accreditation, certification, and HealthChoices submissions and reviews. 
• Develops tools that assist in determining exposure to quality risks and identifies opportunities to manage and mitigate those risks. 
• Compiles information for quality improvement and monitoring activities, and accreditation/certification for internal use and external audits, and maintains relevant records. 
• Works with internal departments to develop metrics to accomplish program objectives and monitors action plans relating to improving compliance with accreditation/certification requirements and quality improvement activities. 
• Makes recommendations to CBH Officers and Quality Improvement Committee for improvements or remediation to ensure compliance to accreditation, certification, HealthChoices requirements.
• Assist in assuring both internal and external program integrity by being alert to and reporting suspected instances of provider and employee fraud, waste or abuse.
• Responsible for coordinating messaging of quality improvement and monitoring activities to internal and external stakeholders

Position Requirements: 

• Education: Master’s degree in behavioral health, healthcare, public administration, or social sciences. 
• License/Certification (if applicable): Certified Practitioner in Healthcare Quality preferred
• Relevant Work Experience: Minimum of 3 years post-graduate experience in project management 
• Skills:
• Mid to high level proficiency with Microsoft Office applications
• Excellent written and verbal communication skills
• Knowledge of HealthChoices regulations and requirements
• Knowledge of NCQA requirements
• Detail-oriented and highly organized
• Knowledge of quality management, assurance, and improvement principles
• Ability to work effectively with all levels of staff
• Ability to manage ongoing projects and prioritize appropriately to meet deadlines

Covid-19 Vaccine Requirement: 

• The safety and well-being of our candidates, our people, and their families continues to be a top priority. Subject to applicable law, please be aware that CBH requires all employees to be fully vaccinated as a condition of employment.

Equal Employment Opportunity:  

• We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation: 

• CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired. 
• If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment@Phila.gov