Accreditation Specialist

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

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Responsibilities:

Reporting to the Manager of Accreditation, the Accreditation Specialist supports accreditation activities to ensure compliance with NCQA standards across assigned health plan lines of business. This role assists with documentation, process alignment, and survey readiness to support successful accreditation outcomes.

• Support accreditation activities and ongoing compliance efforts for assigned line(s) of business

• Collaborate with cross-functional teams to support process execution, documentation updates, and alignment with accreditation standards

• Assist with monitoring new and existing NCQA standards, including contributing to gap assessments and implementation activities under guidance

• Maintain and update accreditation documentation, tracking tools, and reporting (e.g., dashboards) to ensure accuracy and timeliness

• Participate in survey preparation, readiness activities, and ongoing audit/monitoring processes

• Track assigned activities and support routine compliance review and audit efforts

• Accreditation scope may include NCQA Health Plan, Complex Case Management, and Credentialing & Provider Network (CR/PN)

Education/Experience:

• Bachelor's degree in healthcare, business, or related field, or equivalent experience; RN preferred

• 3-5 years of experience in healthcare, accreditation, compliance, or quality-related roles

• Knowledge of accreditation standards (e.g., NCQA, Joint Commission) preferred

Skills & Competencies

• Strong organizational, analytical, and problem-solving skills

• Effective written and verbal communication skills

• Ability to collaborate across teams and manage multiple priorities

• Attention to detail with a focus on accuracy and compliance

• Proficiency in Microsoft Office and standard reporting tools

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.