at PacificSource in Boise, Idaho, United States
Job Description
Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Health Equity Accreditation Program Manager is responsible for leading and managing the organization's compliance with the National Committee for Quality Assurance (NCQA) health equity standards and ensuring the successful implementation, maintenance, and improvement of NCQA health equity accreditation and related quality initiatives. This role collaborates with internal and external stakeholders to implement policies, monitor program effectiveness, and support continuous improvement efforts related to health equity.
Essential Responsibilities:
- anage the NCQA Health Equity accreditation process, including planning, coordinating, and maintaining compliance with all applicable NCQA standards.
- Oversee the NCQA Health Equity accreditation work plan and lead multidisciplinary teams to ensure continuous readiness for accreditation.
- Develop and manage workflows, policies, and procedures that support health equity initiatives.
- Maintain accurate documentation and reports for accreditation audits and regulatory reviews.
- Prepare and present reports on quality improvement activities and accreditation status to leadership.
- Represent the organization during accreditation site visits, audits, and meetings.
- Offer functional and technical expertise on health equity standards to all departmental staff and conduct educational sessions as needed.
- Assist in developing and implementing health equity programs to address health disparities, focusing on measurement and quality improvement.
- Collaborate with internal teams to collect and analyze data related to health disparities, population health trends, and social risk factors.
- Collaborate with cross-functional teams to integrate equity-focused initiatives into care management, member engagement, and provider networks.
- Monitor performance metrics and recommend program improvements to enhance health equity efforts.
- Stay current with the latest NCQA Standards and regulatory requirements, ensuring that updates are applied accordingly.
- Support internal training and education on cultural competency, implicit bias, and health equity best practices.
- Assist in organizing workgroups, meetings, and advisory committees focused on equity-driven healthcare initiatives.
- Actively participate in various strategic and internal committees to disseminate information and represent company philosophy.
- Develop, review, and update policies and procedures to align with health equity standards.
Supporting Responsibilities:
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum of five (5) years of healthcare accreditation, quality management, or related healthcare program management experience required. Experience working with NCQA standards is highly preferred.
Education, Certificates, Licenses: Bachelor's degree in healthcare administration, public health, or a related field, or equivalent years of additional relevant experience in lieu of degree required. Master's degree preferred. Certified Project Manager (PMP) or ability to obtain certification within 1 year required.
Knowledge: Knowledge of NCQA health equity accreditation and health plans is strongly preferred. Ability to lead cross-functional teams. Familiarity with health equity frameworks, culturally and linguistically appropriate services, and culturally competent care models. Knowledge of data collection, program evaluation, and health disparity analysis. Strong project management, organizational, and analytical skills. Proficiency in Microsoft Office Suite and healthcare analytics tools. Ability to work independently and collaboratively across departments.
Competencies
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
Continuous Improvement
Contributing to Team Success
Planning and Organizing
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
- We practice open communication at all levels of the company to foster individual, team and company growth.
- We actively participate in efforts to improve our many communities-internally and externally.
- We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
- We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times. To view full details and how to apply, please login or create a Job Seeker account
