Accreditation Analyst

TLDR

The Accreditation Analyst oversees workflows for establishing and maintaining specialty pharmacy accreditations for partnering health systems, ensuring compliance with clinical and operational reports

Overview: The Accreditation Analyst is responsible for numerous workflows involved in establishing and maintaining specialty pharmacy accreditations on behalf of each partnering health system.

Key Responsibilities

  • Play a key role in the assessment and fulfillment of clinical and operational reporting requirements mandated by accreditors;
  • Participate in the preparation and submission of applications related to accreditation access on behalf of Shields partners;
  • Conduct primary and secondary research in support of data needs for the accreditation process; with a focus on URAC and ACHC specialty pharmacy standards;
  • Aggregation of data for Quality Management Committees and Quality Management Program activities such as Quality Improvement Projects (QIPs) and collection of Performance Indicator (PI) data, using a variety of software, system reports, and other tools;
  • Analyze and prepare data, including recognizing discrepancies, errors, duplications, etc.;
  • Support workstreams related to accreditation data aggregation for QMC meeting minutes and any other requested data needs;
  • Independently manage data from numerous workstreams related to accreditation purposes;
  • Assist Accreditation teammates in providing exceptional and timely customer service to our partners on all matters related to accreditation data;
  • Identify solutions to non-standard requests and problems;
  • Willingness to do whatever is necessary for the betterment of the Company;
  • Protect organization's value by keeping information confidential;
  • Other duties as assigned

Education & Experience

  • Bachelor’s degree or equivalent experience
  • 1-3 years experience with data analytics
  • Proficiency in Excel, Smartsheets, Outlook, Adobe, Word, and other Microsoft tools
  • Experience with data aggregation and presentation of data
  • Ability to communicate results in a clear and concise manner via Excel tables, email communication, and PowerPoint slides
  • Exceptionally organized and data driven
  • Comfortable and successful handling numerous concurrent work streams
  • Preferred: Project management and/or, healthcare contracting experience; clinical, pharmacy, 340B, or specialty pharmacy accreditation
  • Traits: Organized, high-integrity, strict attention to detail, dependable, quality focus, empathetic, good listener/communicator, self-motivated
  • Other: Energetic, highly motivated, team player, extreme discretion and confidentiality are essential as this position deals with highly sensitive and private data in a HIPAA compliant environment

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.  

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Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Shields Health Solutions integrates specialty pharmacies within hospitals, delivering innovative pharmacy management services that enhance patient outcomes and drive growth. Targeting healthcare systems, they leverage comprehensive programs and data platforms to reduce costs and elevate the quality of patient care.

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