Enterprise Accreditation Program Manager in Plantation, Florida at Pediatric Associates

PRIMARY FUNCTION The Enterprise Accreditation Program Manager is responsible for leading the development, implementation, and ongoing management of enterprise-wide accreditation programs across Pediatric Associates Family of Companies (PAFC), including accreditation site visits, site surveys, and compliance surveys. This role serves as the subject matter expert for accreditation standards including AAAHC and NCQA and is responsible for supporting organizational readiness, compliance with standards, and successful accreditation outcomes across the organization. The Program Manager leads accreditation program governance, readiness planning, internal audits, and cross-functional coordination with clinical, operational, and administrative departments. The role is also responsible for driving implementation of accreditation standards across departments and ensuring accountability for project compliance, timelines, and deliverables. In addition, this role supports enterprise initiatives related to managed care incentive program identification, and the development of accreditation-related tools, guidelines, and educational materials. ESSENTIAL DUTIES AND

RESPONSIBILITIES

This list may not include all the duties that may be assigned. 1. Manages and participates in the development, implementation, and ongoing management of enterprise accreditation program governance, monitoring, and compliance 2. Manages accreditation site surveys, visits, and accreditation communications, in collaboration with department leadership 3. Serves as the subject matter expert for accreditation standards, ensuring consistent interpretation and implementation across the organization 4. Manages accreditation readiness and survey preparation efforts, including planning, documentation review, internal audits, and coordination with operational leadership 5. Manages implementation of accreditation standards across clinical, operational, and administrative departments, ensuring enterprise-wide adoption, consistency, and compliance 6. Establishes expectations, timelines, and deliverables for accreditation-related activities and ensures accountability for execution across departments and stakeholders 7. Conducts and manages ongoing mock audits and internal readiness assessments to evaluate compliance, identify gaps, and ensure continuous survey readiness and monitor compliance 8. Leads coordination and preparation for accreditation surveys, including readiness reviews, documentation validation, and cross-functional alignment. Collaborates with Managed Care team to identify and support implementation of performance based incentive opportunities aligned with accreditation and quality initiatives 10. Supports review of contracts, agreements, and program requirements, as assigned, to ensure alignment with accreditation standards and regulatory expectations 11. Manages accreditation workflows including coordination of data reporting, document submission, and alignment with quality performance metrics 12. Manages Accreditation Coordinators, including workload prioritization, task assignment, training, and performance oversight in collaboration with department leadership 13. Develops and implements structured work plans, training programs, and operational guidance to ensure efficient execution of accreditation activities 14. Ensures accuracy, quality, and consistency of accreditation documentation, portal management, and reporting processes 15. Develops tools, checklists, guidelines, and educational materials to support accreditation readiness and operational compliance 16. Provides regular status updates, reporting, and executive-level summaries to leadership, including monthly program updates and readiness reporting 17. Engages stakeholders across departments to support accreditation readiness, compliance initiatives, and successful survey outcomes 18. Manages post-survey activities including corrective action planning, plan of correction submissions, and ongoing compliance monitoring 19. Performs other duties as assigned

QUALIFICATIONS EDUCATION: • Minimum Bachelor’s degree is required, but a strong portfolio and demonstrable experience in accreditation management will be considered in lieu of a degree. Master’s degree preferred. EXPERIENCE: • Minimum of 5 years of professional experience in healthcare operations, compliance, public health, program management, or business administration required. CERTIFICATION: • Project Management Professional (PMP) certification or equivalent formal project management training strongly preferred KNOWLEDGE, SKILLS AND ABILITIES • Strong interpersonal communication skills, both written and verbal. • Strong analytical skills. • Ability to use data to support program needs. • Knowledge of healthcare systems and accreditation program requirements and processes. • Demonstrated ability to interpret accreditation standards and translate them into operational workflows, policies, and procedures. • Strong understanding of audit methodologies, mock survey processes, and continuous readiness practices.

• Ability to lead cross-functional initiatives and collaborate effectively with clinical, operational, and administrative stakeholders. • Strong project management skills, including planning, prioritization, time management, and execution of complex initiatives. • Ability to manage multiple priorities simultaneously while maintaining high levels of accuracy and attention to detail. • Effective organizational skills across multiple active projects. • Ability to develop policies, procedures, guidelines, and educational materials aligned with accreditation standards • Proficiency in Microsoft Office applications and experience working with data systems, reporting tools, and accreditation or compliance portals • Self-starting; requires the ability to think and work independently with limited guidance beyond goal identification and initial priority setting. TYPICAL WORKING CONDITIONS • Non-patient facing, though vendor outreach is often required • Indoor office work environment; remote work possible • Full time during normal business hours • Traveling expected to be less than 10% of work time OTHER PHYSICAL REQUIREMENTS • Ability to remain stationary for extended periods of time • Ability to wear PPE as required • Intact senses relevant to the role Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.