Director, NCQA Accreditation

Develops, implements and oversees the Medicaid Segment of AZBLUE’s Accreditation Plan resulting in successful attainment of Accreditation. Develops and directs accreditation preparation activities and accrediting body reviews. Responsible for maintaining and ensuring all policies and procedures are up to date and in compliance with all accrediting and regulatory bodies for the Medicaid Segment to include NCQA, URAC, CMS and AHCCCS. Works collaboratively with the broader AZ Blue accreditation and quality teams to support reaccreditation and jointly operated health plans. Works collaboratively in a matrixed relationship with compliance and legal to insure all regulatory, compliance and legal requirements are met by the Medicaid Segment. Facilities and drives the completion of work requirements of all departments accountable for accreditation deliverables for the Medicaid Segment under the authority of the Medicaid Segments Chief Medical Officer and the entire Medicaid Segment’s leadership team.