Searching for a seasoned NCQA accreditation clinician to join our consulting company as an independent contractor working part-time to full-time to provide services to clients across the US. Although the firm is located in Michigan, the consultant works from their home office with minimal travel at this time. Hours are flexible as long as client needs are met. There is no need to learn how to run a business, as the firm manages client acquisition, invoicing, and client management. Formal onboarding and orientation provided, along with collegial and mentoring support from the consulting team.

SKILLS:

• RN preferred, LPN accepted with direct work with utilization management or case management reviews/auditing/standards review.
• Current NCQA surveyor preferred, but non-surveyors accepted.
• MUST have at least three years of current hands-on experience with taking health plans through the NCQA health plan accreditation process. Hands-on means that you were directlyinvolved in the evaluation of documents against the standards, assisted business owners in meeting requirements, and preparing documents for submission (highlighting, bookmarking, and pdf development). Hands-on also means review of denial files and/or case management files against the standards. PLEASE do not apply if this basic and critical requirement is not met.
• Recent (2019-2022) NCQA health plan accreditation experience
• Ability to conduct a detailed evaluation of client documentation against NCQA standards.
• Possess strong analytical and critical thinking skills with great attention to detail - mandatory
• Ability to provide direction to clients at different levels (line staff/managers/directors/VPs) on gap mitigation and removal of organizational barriers
• Develop documentation to meet standards' requirements, if requested by the client
• Ability to conduct business in a manner that meets clients where they are in a non-judgmental fashion and mentor, coach, and guide them to meet standards in a meaningful way.
• Demonstrated experience in conducting workgroup meetings
• Possess demonstrated abilities to educate, train and mentor individuals
• Be self-motivated and able to work independently
• Ability to meet client's and firm's timeliness requirements
• Possess organization skills
• Have the ability to work with multiple clients on assignments with competing needs and timelines
• Possess the ability to identify issues early and proactively
• Demonstrated ability to communicate in a clear, concise, efficient, and directive manner
• Ability and desire to work in a team environment
• Commitment to work 20 - 30 billable hours a week

Must be at least medium proficiency on Microsoft Office, be able to use Adobe for bookmarking, and web-based technologies, and have 1 - 2 computers, a telephone line (usually your cell phone), and a secluded workspace for confidential discussions and information.

Bachelor’s degree accepted. A master's degree in health services, public policy, or business is also useful, but not required.

To Apply: 

Please contact Susan Moore, CEO via email ([email protected]ManagedHealthcareResources.com) to schedule an informal interview. Please make sure to include a copy of your Resume or Curriculum Vitae. 

Searching for a seasoned NCQA accreditation professional to join our consulting company as an independent contractor working part-time to full-time to provide services to clients across the US. Although the firm is in Michigan, the consultant works from their home office currently with minimal travel. Hours are flexible as long as client needs are met. There is no need to learn how to run a business, as the firm manages client acquisition, invoicing and client management. Formal onboarding and orientation provided, along with collegial and mentoring support of the consulting team.

SKILLS:

• Ability to manage the NCQA health plan accreditation process for clients, including strategizing and prioritizing activities needed to complete the process for different health plan lines of business.
• Experience with other NCQA products, such as health equity, population health programs, and long term services and supports distinction a plus.
• Current NCQA surveyor preferred, but non-surveyors accepted.
• Possess strong analytical and critical thinking skills with great attention to detail - mandatory
• Ability to conduct detailed evaluation of client documentation against NCQA standards.
• MUST have at least three years of recent (2019-2022) hands-on experience with taking health plans through the NCQA health plan accreditation process. Hands-on means that you were directly involved in evaluation of documents against the standards, assisted business owners in meeting requirements, and prepared documents for submission (highlighting, bookmarking and pdf development). Hands can also mean review of appeal files and/or credentialing and recredentialing files against the NCQA standards. PLEASE do not apply if this basic and critical requirement is not met.
• Ability to provide direction to clients at different levels in their organization (line staff/managers/directors/VPs) on readiness for surveys, gap mitigation and creative methods to remove organizational barriers
• Develop documentation to meet standards' requirements, if requested by client
• Ability to conduct business in a manner that meets clients where they are in a non-judgmental fashion and mentor, coach and guide them to meet standards in a meaningful way.
• Demonstrated experience in conducting work group meetings
• Possess experience and the ability to educate, train and mentor individuals
• Be self-motivated and able to work independently
• Ability to meet client's and firm's timeliness requirements
• Possess organization skills
• Have ability to work with multiple clients on assignments with competing needs and timelines on both sides
• Possess ability to identify issues early and proactively
• Demonstrated ability to communicate in a clear, concise, directive, and efficient manner via emails, readiness assessments, and verbally
• Ability and desire to work in a team environment
• Commitment to work 20 - 30 billable hours a week

Must have at least a moderate proficiency with Microsoft Office (Word, Excel, PowerPoint), be able to use Adobe for bookmarking, ease with web-based technologies, and have 1 - 2 computers, a telephone line (usually your cell phone) and a secluded workspace for confidential discussions and protection of confidential and proprietary information.

Bachelor’s degree accepted. A master's degree in health services, public policy, or business is also useful, but not required.

Virtual Assistant to the Founder & CEO and Operations Director
Part Time Position, Contractor: 20 – 25 hours per week

COMPANY OVERVIEW
Managed Healthcare Resources is passionate about accreditation and its role in continuous quality improvement, guiding, mentoring, and challenging organizations to meet NCQA accreditation requirements through our consulting practice. We are straightforward and transparent, interested in working with those who are totally committed to improving their organization. Our diverse team with deep roots in quality, continuous quality improvement, and accreditation has worked with many organizations and staff new to accreditation, and we support and shepherd them end to end through the entire complex process. Our non-judgmental flexible approach takes clients from where they are to where they need to be, using the vast experience of our seasoned team who trains staff on the standards to promote independence. We only want to have people who are committed to constant improvement, have a passion for excellence, and want to work collaboratively in a team environment.

POSITION OVERVIEW
We’re looking for a Virtual Assistant to support the Founder & CEO in her executive role (70%) and the Operations Director (20%) and the consulting staff (10%).

This is a flexible, part-time, work from home position starting at 20 hours a week. Ideally the candidate will work the same 4 hours a day M-F but have some flexibility. This is currently a contractor position.

An excellent candidate does not need to know how to use our Client Relationship Manager (CRM) already but needs to be comfortable with tech and have the confidence to learn and figure out new systems.

Our ideal candidate is confident in themself and their abilities, is organized, growth and goal oriented, is proactive and can identify activities that could be done (shows initiative) demonstrates a capability to meet deadlines consistently, and is honest and transparent in all they do.
Previous Virtual Assistant experience, especially to executive leadership, a plus.

RESPONSIBILITIES
As the Assistant to the founder and Operations Director, your primary role will be to support her and manage recurring tasks.
There are some detailed processes in place to guide the right candidate on how to begin in their position and be successful right away but others need development.

There are 7 main areas of work in the company:

1. Planning and document development
2. Generating and facilitating proposals and SOWs
3. Onboarding new clients in Client Relationship Manager (CRM) and communicating with appropriate individuals internally and externally
4. Nurturing potential clients – 1:1, through content and maintain the CRM
5. Generating routine and ad hoc reports from the CRM with direction from the Finance Manager and CRM Manager.
6. Website support: Posting blogs and newsletters, new team members
7. Administrative elements of the day-to-day activities

Specific activities this role will perform to assist the company:

• Scheduling/calendaring for the CEO and Operations Director
• Gathering data required to complete proposals and help create proposals by pulling together relevant assets as directed by the CEO
• Create PDFs
• Make simple changes to the website and coordinate large tweaks with web designer
• Assist with developing course material and other assets and load them into the course tool.
• Set up email automations and schedule/format emails
• Set up processes and workflows in the CRM
• Use templates to create simple landing pages on the website
• Help create and update processes and manuals
• Planning with CEO and Operations Director and creating schedules for everyone to stay on track
• Work with the Operations Director Maintain the Document Catalog

Skills Needed:

• Ability to work in Microsoft Office 365 (Word, Excel, PowerPoint, Teams, OneNote) and file sharing through Box Cloud document storage.
• Professional demeanor
• Ability to be detailed in work habits with excellent grammar skills
• Capability to work independently and without constant direct supervision.
• Comfortable in situations where all activities are not initially well-defined
• Ability to see work in logical, sequential steps and then follow them

You will be wildly successful in this position if you…

• Care deeply about the company and vision
• Enjoy learning and developing your skills with the company’s growth
• Have significant experience in an assistant role
• Work well in a team environment and can maintain good relationships internally and externally
• Are great at anticipating needs
• LOVE being an assistant and want to be the best at your role
• Are super organized and want to help the CEO be organized also
• Inherently professional, courteous, and dedicated to customer service
• Communicate simply and directly
• Are willing to figure anything out, even if you don’t know how yet and aren’t told how
• Resourceful and sharp (you can figure things out with little direction, and even improve the process as you do so)
• Are proactive
• Is honest and direct and comfortable with team members who are the same
• Strong ability to prioritize and work independently
• Comfortable learning, operating, and troubleshooting technical programs, such as the Client Relationship Manager
• Calm and focused under pressure
• Have a phone, computer and fast internet connection
• Fluent in written and spoken English

This position is NOT a good fit for someone…

• To do on the side while building another business
• Who loves the rush of last minute work and struggles to plan ahead
• Is not organized
• Has trouble with correct grammar
• Considers themselves really great at one aspect of the role but doesn’t really see themselves as someone who is excellent at bringing it all together
• Is trying to cram this position in and around a hectic life

COMPENSATION:
$30 per hour