Quality Assurance Officers

The Quality Reporting and Accreditation Specialist will serve as the primary project manager for CBH’s effort to obtain and maintain National Committee for Quality Assurance (NCQA) accreditation Managed Behavioral Health Organization Accreditation, Certified Review Entity Certification, and HealthChoices Reporting. The Quality Reporting and Accreditation Specialist will also assist the Director of Quality Improvement in the monitoring, documenting, and reporting of quality management activities.
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. 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, and 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.
Certified Professional in Healthcare Quality (CPHQ) preferred; Project Management Professional (PMP) certification is preferred.
Relevant Work Experience: Minimum of 3 years post-graduate experience.
Mid to high level proficiency with Microsoft Office applications
Knowledge of quality management, assurance, and improvement principles
Ability to manage ongoing projects and prioritize appropriately to meet deadlines
CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. 403B Retirement Plan

• Employee Assistance Program
• Health, Dental, Vision Insurance
• Medical, Prescription Drug Insurance
• Tuition Reimbursement
• Flexible Spending

Encourage unity and help remove barriers to productivity and success.
Treat each other and our members and stakeholders with respect and sensitivity, recognizing the importance of diversity.
Challenge ourselves to be forward-thinking and committed to providing total member and stakeholder satisfaction, first-in-class service and high quality, innovative programs.
Recognize and promote the necessity to hire, assess, develop and retain high quality talent. Acknowledge strengths and weaknesses in team members through an ongoing performance management process that provides timely feedback in order to help them develop and enhance performance.

The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. 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.

CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. 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.