Quality and Accreditation Specialist

Why Comagine Health? Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our success. We go beyond merely providing a remote work option; we support and embrace it. We offer opportunities to make a difference from anywhere in the U.S. and enjoy better work-life balance. An annual stipend gives you the freedom to enhance your workspace with options that suit your needs. We believe in an environment that allows you to thrive both personally and professionally. That’s why we offer benefits that include:

• Medical, dental and vision insurance
• Paid time off for vacation, illness and volunteering
• Retirement savings plan with employer contribution
• Adoption financial assistance
• Paid parental leave
• And much more!

About the Role

Comagine Health is seeking a Quality & Accreditation Specialist to support and advance our Care Management Quality Management Program. In this role, you will work closely with Care Management leaders and staff to lead accreditation and reaccreditation efforts while driving quality improvement initiatives that support excellent clinical and operational outcomes. This position plays a critical role in leading accreditation standards, maintaining high-quality care management practices, and supporting continuous improvement across the department.

Key Responsibilities

• Quality Management Program Support (20%)
• Partner with the AVP of Care Management and the Manager of Quality & Process Improvement to lead and facilitate the Care Management Quality Management Program.
• Coordinate quality management meetings, prepare and collect presentation materials, facilitate meetings, disseminate information, and document action items and meeting notes.
• Quality Improvement Initiatives (20%)
• Track, monitor, and support (or lead) quality management actions and initiatives related to Quality Improvement Plans (QIPs) and other quality-focused projects.
• Policy & Program Documentation (30%)
• Lead and coordinate annual updates to Care Management department policies and documentation.
• Maintain and update program evaluations, quality management plans, care management program overviews, URAC standards documentation, and the Care Management Business Continuity Plan.
• Accreditation & Reaccreditation Leadership (30%)
• Serve as Comagine Health’s primary Point of Contact (POC) with URAC.
• Lead and coordinate the URAC accreditation and reaccreditation process, including planning, scheduling, desktop submissions, and onsite visits.
• Manage document submissions through the URAC web-based portal.
• Collaborate with Care Management leaders to prepare annual URAC deliverables, update policies to meet standards, and respond to URAC requests and directives.

Qualifications

Education

• Bachelor’s degree (BA/BS) required
• Advanced clinical degree from an accredited institution (preferred)

Licensure

• Current, active, unrestricted RN license required
• (May be substituted with additional years of relevant medical, dental, behavioral health, or healthcare experience)

Experience

• Minimum of 7 years of healthcare experience
• At least 2 years of experience with leading accreditation programs such as URAC, NCQA, or JCAHO

Core Competencies

• Intermediate communication skills
• Intermediate interpersonal and relationship-building skills
• Intermediate professionalism, integrity, and reliability
• Advanced self-management skills
• Foundational knowledge of quality improvement and process optimization
• Intermediate project and program management skills
• Intermediate clinical knowledge

Equal Opportunity Employer Comagine Health is an equal opportunity employer and is committed to creating a diverse, equitable, and inclusive workplace. Physical Requirements & Work Environment This position is primarily remote and performed in a home-based setting, requiring reliable internet access and a workspace free from significant distractions. The role involves frequent use of computers, phones, and virtual communication tools. Employees must be able to sit for extended periods, communicate effectively. Some positions may require operating a motor vehicle for business purposes; in such cases, employees must maintain a valid driver’s license and meet the organization’s driving eligibility requirements. Occasional travel may be required for meetings, training, or other work-related events. Reasonable accommodations will be provided to enable individuals with disabilities to perform essential functions. Apply tot his job Apply To this Job