ACCREDITATION MANAGER JOB DESCRIPTION

Accreditation Manager means something specific in healthcare: the difference between a hospital that clears its next Joint Commission or URAC survey without incident and one that scrambles to close findings under a corrective action plan. Few roles demand equal fluency in CMS Conditions of Participation, state licensing requirements, and the interpersonal work of coaching clinical department heads who were not hired to think about compliance. The role owns the continuous readiness posture, not just the survey week. It reports upward to compliance leadership and outward to regulatory bodies, serving as the single accountable voice for the organization's accreditation standing.

As the Accreditation Manager, you direct the full cycle of healthcare accreditation and re-accreditation activity, translating regulatory standards from bodies such as CARF, URAC, and the Commission on Cancer into operational programs that keep clinical and non-clinical teams survey-ready year-round. You work across inpatient, outpatient, and ancillary service lines, reporting to a Compliance or Privacy Officer, and your outputs reach the board level through executive compliance reports and mandatory attestations.

Career Impact: Owning the URAC or CARF accreditation program - not just supporting it - establishes you as the recognized internal authority on healthcare compliance standards, a credential that carries across health systems and managed care organizations.

Business Impact: When a hospital licensing survey or CARF renewal succeeds, it protects the organization's ability to bill CMS, retain state licensure, and continue operating - outcomes that flow directly from the readiness infrastructure this role builds.

Growth Opportunity: The audit and risk assessment skills developed here translate directly into Director of Compliance or VP of Quality roles, where ownership of the entire regulatory affairs function - not just accreditation - becomes the mandate.

• Manage enterprise-wide accreditation readiness programs, coordinating surveys, inspections, and licensing activities for applicable regulatory bodies.
• Audit clinical and non-clinical departments against current CARF, URAC, CMS, and state licensing standards to identify compliance gaps.
• Coach interdisciplinary teams on regulatory requirements, translating complex accreditation standards into actionable departmental practices.
• Develop and maintain compliance policies, procedures, and corrective action plans in response to audit findings and regulatory changes.
• Prepare and present compliance status reports to committees, senior leadership, and the board of directors.
• Investigate HIPAA, billing, and accreditation concerns, document findings, and partner with business owners to implement remediation.
• Monitor completion of required compliance training and quality improvement plans across departments, following up to ensure timely resolution.
• Coordinate with external accreditation bodies during surveys, completing required documentation and serving as the primary organizational liaison.

• Bachelor's degree in nursing, healthcare administration, or a related field, or equivalent work experience.
• 5 or more years of healthcare compliance or accreditation experience, with demonstrated success coordinating at least one formal accreditation survey.
• Knowledge of major healthcare accreditation and regulatory frameworks, including CMS Conditions of Participation, HIPAA privacy and security requirements, and state licensing standards.
• Ability to conduct risk assessments, develop formal audit reports, and recommend corrective action programs to senior management.
• Demonstrated skill in translating regulatory requirements into staff-facing training content and operational procedures.
• Ability to work effectively with clinical providers, executives, and external regulatory officials within a single engagement.
• Strong organizational and analytical skills, with the ability to manage multiple audit cycles and reporting deadlines simultaneously.
• Excellent written and verbal communication skills, including preparation of executive-level compliance reports.

• Active clinical licensure in nursing or a related healthcare discipline, providing a direct provider perspective on scope-of-practice requirements.
• Certification in Healthcare Compliance (CHC) or a CARF, URAC, or Commission on Cancer program-specific credential.
• Experience managing accreditation programs across multiple facilities or sites of care within a health system.
• Familiarity with Learning Management System administration for compliance training tracking and completion reporting.

• Number of open accreditation findings per survey cycle, measuring how thoroughly continuous readiness is maintained between reviews.
• Corrective Action Plan closure rate within 90 days, reflecting how effectively audit findings are remediated with business owners.
• Compliance training completion rate by department, tracking whether staff knowledge requirements are met on schedule.
• Survey outcome score or accreditation status retained without conditional findings is the primary measure of program-level readiness.
• Time from regulatory change notification to updated policy implementation, indicating how quickly the compliance program adapts.
• Typical tools: accreditation management software (commonly Accreditrak or similar); LMS platforms (commonly HealthStream or equivalent)

• Base Salary Range: $75,000 to $105,000 annually, depending on health system size and market
• Bonus: Annual performance bonus, typically 5% to 10% of base salary
• Equity: Generally not offered in healthcare; some large systems offer deferred compensation
• Health Benefits: Medical, dental, and vision coverage; some systems include on-site employee health clinics
• PTO: 15 to 22 days annually, plus 8 to 10 observed holidays
• Common Perks: Continuing education reimbursement, professional certification support, and 403(b) retirement match

Figures are estimates based on general US market benchmarks and may be outdated. Adjust based on location, company size, and seniority level.

Work authorization in the United States is required for all applicants. Employment in this role is contingent on successful completion of a background check and, where applicable, a drug screening consistent with healthcare industry standards. All qualified applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected under federal, state, or local law. Reasonable accommodations are available to individuals with disabilities throughout the application and employment process upon request.

The Accreditation Manager owns a portfolio of accreditation programs tied to circular economy, recycling, and sustainability standards, directing internal audits, quality control systems, and staff development to ensure procedural compliance. Working with program managers, committee chairs, and external accreditation bodies, this role shapes the organization's accreditation posture by identifying risks, interpreting policy, and leading training initiatives that drive consistency and innovation across standards development.

Key Responsibilities

• Recognize and manage standards responses to technologies related to the circular economy, recycling, and sustainability of products in a standards portfolio.
• Maintain and interpret standards development policy and process for internal and external audiences, including policy guidance documents and accreditation manuals.
• Leverage participation in external forums to drive positive change and innovation in accreditations.
• Contribute to and seek out best practices from the standards development community.
• Manage work programs and standards portfolios under applicable accreditation bodies.
• Oversee external and internal audits related to accreditation compliance.
• Identify and provide recommendations for potential changes to accreditation body requirements.
• Provide guidance to program managers and committee chairs on accreditation risks and procedural compliance concerns.
• Direct internal and external training initiatives related to standards development policy and process.
• Employ a robust quality control and internal audit system based on risk assessment for accredited procedures.
• Serve as coordinator and point of contact for complaints, appeals, and duplication concerns.
• Collaborate with accreditors to determine the applicability of accreditation requirements to smart standards solutions.
• Develop and maintain adequate staff and processes, and establish budgets.
• Lead staff development through supervision of selection, training, and employee relations, including succession planning and performance management.

Required Qualifications

• 4-year degree in social science, physical science, engineering, or a related technology discipline, plus eight years of directly related work experience.
• Advanced degree preferred.
• Broad expertise in applied accreditations, with recognition as a thought leader internally and/or externally.
• Detailed knowledge of conformity assessment services, accreditation requirements, and processes.
• Demonstrated ability to develop and implement strategies and build business plans.
• Demonstrated ability to manage and mediate conflict, negotiate, and influence others.
• Demonstrated ability to lead staff.
• Ability to manage multiple projects while maintaining high quality.
• Ability to utilize sophisticated analytical thought processes to exercise judgment and identify innovative solutions.
• Excellent communication skills.

Embedded within a healthcare enterprise, the Accreditation Manager manages a regulatory and accreditation continuous readiness program, coordinating hospital licensing surveys, inspections, and investigations across inpatient and outpatient environments. Working closely with interdisciplinary teams, medical staff, and regulatory agencies, this role advances the organization's compliance standing by coaching teams on clinical standards, consulting on site expansion risks, and chairing a Clinical Continuous Readiness Cooperative.

Core Functions

• Manage an enterprise regulatory and accreditation continuous readiness program, providing survey coordination and facilitation for applicable accrediting and regulatory bodies.
• Serve as an internal organizational consultant on accreditation and regulatory processes and issues.
• Manage an accreditation and regulatory affairs program and team, collaborating across the organization.
• Oversee the coordination of hospital licensing and related healthcare regulatory surveys, inspections, and investigations.
• Maintain an enterprise-wide continuous readiness program, including auditing and monitoring activities and accreditation software application programs.
• Lead clinical department rounding at sites of care.
• Coach and mentor interdisciplinary teams in the assessment of and compliance with clinical, regulatory, and accreditation requirements.
• Provide ongoing communication of applicable local, state, and federal clinical regulations and accreditation program standards to employees and medical staff.
• Prepare and present information to various audiences and committees regarding the enterprise's continuous readiness for regulatory and accreditation programs.
• Consult on regulatory and accreditation requirements to support site expansion and growth strategies, identifying risks and partnering to mitigate them.
• Provide guidance and interpretation of the clinical scope of practice.
• Chair of a Clinical Continuous Readiness Cooperative.
• Act in a supportive role for surveys and inspections performed by applicable agencies.

Qualifications & Experience

• BA/BS in Nursing or Medicine.
• Active state Nursing or Medicine license.
• At least 5 years of relevant work experience in a healthcare environment, including at least 2-3 years of proven experience in successful coordination of a hospital accreditation survey.
• Experience in outpatient and inpatient healthcare environments.
• Extensive familiarity with healthcare accreditation and regulatory environments.
• Experience managing an accreditation and regulatory affairs program for a hospital or hospital system.
• Experience as a healthcare provider.
• Ability to translate complex and technical information.
• Ability to work effectively with personnel at all levels within an organization.
• Ability to excel in a team environment while operating with individual autonomy.
• Ability to prioritize and execute without direction.
• Excellent communication, presentation, and interpersonal skills.
• Proficiency with the Microsoft Office product suite.

Reporting to senior leadership, the Accreditation Manager coordinates evidence collection, stakeholder outreach, and committee support for a comprehensive institutional accreditation review in a higher education setting. Partnering with diverse campus units, federal compliance committees, and peer review teams, this role builds the organization's accreditation infrastructure by managing the assurance argument, curating documentary evidence, and leading campus visit logistics to deliver a successful review outcome.

Primary Duties

• Manage evidence collection and support the work of evidence committees.
• Support committee co-chairs by responding to information requests, coordinating outreach to university units, and managing the collection and storage of evidence documents.
• Facilitate the compilation of committee recommendations and the preparation of reports to senior leadership.
• Coordinate and assist a federal compliance committee, managing outreach, scheduling meetings, and supporting new policy creation.
• Coordinate with diverse campus units to develop and manage an accreditation website for a comprehensive review.
• Develop a campus and community communication strategy for all university locations.
• Facilitate and collaborate on the development of information resources for different stakeholder groups.
• Coordinate completion of an assurance argument, uploading, curating, and managing required documentary evidence in the relevant system.
• Coordinate the review of draft narrative sections with applicable stakeholders and collect feedback.
• Link applicable documentary evidence to the assurance argument narrative in the accreditation system.
• Manage peer team travel, campus visit logistics, and stakeholder meetings across all locations.

Skills & Qualifications

• Minimum of 3 years of related experience.
• Experience in higher education or an understanding of higher education organization and culture.
• Knowledge of or experience working across organizational units and at different levels of an organization.
• Project management experience preferred.
• An equivalent combination of education and experience may be considered.
• High degree of organizational, communication, attention to detail, and problem-solving skills.
• Ability to self-direct, multi-task, and balance multiple project deadlines simultaneously.

Sitting at the intersection of quality assurance and organizational compliance, the Accreditation Manager leads enterprise-wide accreditation and re-accreditation efforts with public and private bodies while serving as the primary internal expert on quality principles and accrediting body standards. Operating across clinical and non-clinical teams, government agencies, and all organizational levels, this role delivers measurable compliance outcomes through data-driven process improvement, cross-functional leadership, and sustained engagement with accreditation agencies.

Duties

• Create and manage organization-wide awareness of the value of accreditation and ensure it is reflected in ongoing processes and procedures.
• Lead organization-wide efforts to obtain accreditation or re-accreditation from relevant public and private accrediting bodies.
• Lead and support organizational efforts to maintain ongoing practices in support of re-accreditation and other quality-based projects and initiatives.
• Interface with relevant governmental agencies on accreditation and quality-related issues.
• Act as key contact for accreditation agencies and as the accreditation expert for internal staff at all levels.

Education & Experience

• Bachelor's degree or an equivalent combination of education, training, and experience in a related field.
• Master's degree in a related field preferred.
• At least 5 years of healthcare or managed care experience, with 2+ years in a quality or accreditation position.
• Demonstrated competence in successful interactions with accrediting bodies.
• Previous project management experience.
• Understanding of quality principles, including CQI and TQM.
• Ability to conduct data mining and facilitate process improvement efforts.
• Ability to develop and utilize metrics and other oversight mechanisms.
• Ability to lead cross-functional groups and interact with all levels and areas of an organization, including both clinical and non-clinical teams.
• Highly developed organizational and analytical skills with sharp attention to detail.
• High proficiency in Microsoft Office, including Word, Excel, PowerPoint, and Visio.
• Strong ability to foster relationships, build consensus, and demonstrate interpersonal skills.

A key member of a government-facing cybersecurity team, the Accreditation Manager leads accreditation and reaccreditation efforts for DoD and federal deployments, developing system security plans and guiding development teams in engineering compliant, secure configurations. Collaborating across program offices, hosting agencies, software management, and system owners, this role delivers Authority to Operate outcomes by managing risk management framework processes, coordinating compliance timelines, and maintaining documentation throughout each reaccreditation cycle.

Functions

• Plan, execute, and oversee accreditation and reaccreditation efforts for deployments of a product on government sites or used by government personnel.
• Develop system security plans and related artifacts documenting system security posture and process them through government compliance tracking systems.
• Coordinate with software management to plan changes to software or deployment environments necessary to achieve compliance with accreditation requirements.
• Guide a development team in engineering security into systems and configurations.
• Conduct periodic activities required between reaccreditation cycles to support the demonstration of compliance at the next reaccreditation cycle.
• Interface with system owner program offices, system hosting agencies, and other partners with a role in system accreditation posture.

Technical Qualifications

• Bachelor's degree in computer science, engineering, cybersecurity, or a related field, or 10+ years of experience instead of a degree.
• 6 years of experience with the DoD accreditation process and with successful completion resulting in system ATOs.
• 4 years of relevant experience with a Master's degree in a related field.
• Any certification approved for IAT Level II under DoD 8570, including CCNA Security, CySA+, GICSP, GSEC, Security+ CE, CND, or SSCP.
• Strong familiarity with the Risk Management Framework as described in NIST 800-53.
• Strong familiarity with DoD Security Technical Implementation Guidelines.
• Familiarity with the accreditation of systems deployed on AWS GovCloud is preferred.
• Excellent time management, planning, and writing skills, with attention to detail and consistency across documentation.
• Ability to work collaboratively with technical staff.

Sustained cancer program recognition depends on the Accreditation Manager, who assures compliance with Commission on Cancer standards across assigned sites, including rectal and breast programs, QOPI, and radiation oncology, while driving re-accreditation of all current programs. Based within a hospital service line and partnering with bone marrow transplant programs to achieve FACT accreditation, this role enables continued oncology program quality by identifying new accreditation opportunities and developing survey-ready reports.

Accountabilities

• Assure compliance with Commission on Cancer standards across assigned sites, including rectal and breast programs, QOPI, and radiation oncology.
• Compile data and report results to the Cancer Committee.
• Assure re-accreditation of all current programs.
• Partner with bone marrow transplant programs to ensure FACT accreditation is accomplished.
• Identify needs for additional areas of accreditation across the service line.
• Develop reports for use during various surveys.

Requirements

• Ability to function with minimal supervision and exercise independent judgment.
• Ability to communicate and relate with high-level staff within the hospital and community.
• Proficiency in word processing, databases, and spreadsheets.
• Tact, diplomacy, and good judgment skills.
• Ability to organize, manage time, and maintain control of own workflow.
• Occasional travel to other facilities required.

As the Accreditation Manager, this role creates and maintains internal documentation supporting DoD IT certification and accreditation requirements, overseeing record-keeping, compliance logs, and operator training certifications under applicable DoD directives. The cybersecurity team relies on this work to ensure certification currency, accurate Individual Development Plans, and on-the-job training checklists that track operator progress and support worldwide deployment readiness.

Operational Focus

• Create and maintain internal documentation supporting emergent certification and accreditation requirements.
• Facilitate and track annual updates to policies, procedures, and standard operating procedures.
• Oversee all record-keeping, including oversight and compliance logs, operator training, and certification records.
• Track all training certifications, requirements, and artifacts, including operator requirements under applicable DoD directives.
• Build and maintain draft Individual Development Plans and On-the-Job Training requirements and checklists, and track operator progress.

Position Requirements

• Active DoD Top Secret clearance with an SCI caveat granted by the Defense Counterintelligence and Security Agency.
• Bachelor of Science degree in computer networks, cybersecurity, or a related major; commensurate experience may be substituted instead of a degree.
• Working knowledge of DoD IT system and network certification and accreditation processes, including system security authorization agreements.
• Expert knowledge of Microsoft Office Suite, including the ability to prepare written reports, white papers, and PowerPoint presentations.
• Effective oral and written communication skills.
• Ability to adhere to required immunizations for worldwide deployment and to federal requirements related to vaccinations.
• Ability to operate in all operational and physical environments and work collaboratively with government, military, and civilian personnel.

Accreditation Manager leads institution-wide assessment activities and regional accreditation planning, reporting to the Dean of Fulbright Undergraduate Studies while overseeing specialized accreditation initiatives aligned with the university's goal of US regional accreditation qualification. The work directly supports continuous improvement across curriculum development, student learning assessment, and strategic planning accountability by producing annual assessment reports, collaborating with faculty and staff, and advancing an evidence-based assessment culture campus-wide.

Key Deliverables

• Oversee the development and implementation of an institution's regional accreditation plan.
• Ensure the university follows best practices of assessment in conducting assessments and complying with accreditation standards.
• Support the institutional strategic planning process with data to track progress.
• Maintain assessment resources, including course evaluation and faculty assessment tools.
• Manage the university's plan to assess student learning and institutional effectiveness.
• Support curriculum development to ensure appropriate assessment methods are embedded in program outcomes.
• Work with the Registrar's Office on academic policy and assessment-related matters.
• Provide inputs on academic, curricular, and faculty evaluation review.
• Summarize findings, write annual assessment reports and executive reports, and present results to executives and large groups.
• Collaborate with faculty and staff to provide assessment support at the unit level, fostering student learning and enhancing student experience.
• Promote campus-wide awareness of an assessment culture and evidence-based practice.

Background & Experience

• Master's degree in a related field; doctorate preferred.
• Demonstrated experience in higher education administration with a broad understanding of current practices and frameworks around learning and assessment.
• Demonstrated experience in quantitative data management and advanced statistical analysis.
• Demonstrated experience in US higher education accreditation standards and processes.
• Demonstrated experience representing an institution with international accrediting bodies and other commissions.
• Experience working with multiple faculties, students, staff, and external visitors.
• Demonstrable record of discretion regarding confidential information and ability to manage detailed reporting and multiple deadlines.
• Ability in qualitative data collection and analysis techniques, including focus group interviews and survey design.
• Strong analytics, problem-solving, and project management skills.
• Excellent interpersonal, oral, and written communication skills, including the ability to explain assessment processes to non-specialists.

The Accreditation Manager produces a performance-based certification program by owning the overall strategy, managing exam development projects end-to-end, and working with subject matter experts and vendors to deliver legally defensible exams on schedule. Collaborating with courseware developers, internal technical teams, and a diverse pool of internal and external SMEs, this role advances a large ecosystem of skilled customers, partners, and employees by aligning exams to business objectives, audience profiles, and certification framework models.

Strategic Responsibilities

• Own the overall certification strategy and plan for increasing the number of certified individuals.
• Manage specific exam development projects and schedules from start to finish, working with a diverse pool of internal and external subject matter experts to deliver legally defensible exams on schedule.
• Produce exams aligned to key business objectives and audience profiles, including appropriate cognitive complexity, alignment to training, and alignment to certification framework models.
• Consistently produce and deliver quality exams in a timely and transparent manner.
• Project-manage the overall schedule and resources required for all exam development projects.
• Compile and communicate meaningful exam performance metrics to determine when exam updates are required.

Professional Experience

• Bachelor's degree or Master's degree in a relevant field, or equivalent work experience.
• Strong understanding of exam development best practices, processes, and tools, including item development, reviews, publishing, and maintenance practices for both knowledge-based and skills-based testing.
• Experience developing exams for a major certification program.
• Strong background in technical education or certification services.
• Experience working with technical teams to enable the delivery of certification exams.
• Excellent verbal and written communication skills.
• Problem-solving skills and tenacity in overcoming obstacles when designing certification materials.
• Ability to drive results under tight deadlines while functioning both collaboratively and autonomously.

Embedded within a healthcare compliance function, the Accreditation Manager develops and oversees CARF accreditation programs, document management systems, and compliance training under the direction of the Corporate Compliance and Privacy Officer. Working closely with department managers, compliance committees, business owners, and the Learning Management System, this role refines organizational readiness for CARF, CMS, and HIPAA requirements by conducting audits, investigating concerns, and implementing remediation plans that reduce compliance risk across all programs.

Day-to-Day Responsibilities

• Support periodic review and revision of the compliance program in light of changes in the organization's needs, laws and regulations, and accreditation requirements.
• Support efforts to ensure organizational compliance with applicable accreditation standards, including CARF, CMS, and state licensing requirements.
• Conduct billing, coding, reimbursement, and documentation audits based on the fiscal year compliance work plan.
• Support investigations of compliance and HIPAA concerns under the direction of the Compliance and Privacy Officer.
• Review the compliance work plan and recommend changes to audit frequency based on annual risk assessments and findings.
• Conduct ongoing audits of CARF accreditation programs to ensure continuous compliance readiness.
• Prepare summary reports for compliance committees as needed.
• Monitor completion of Quality Improvement Plans, Annual Conformance to Quality Reports, Performance Improvement Plans, and Corrective Action Plans.
• Identify compliance and accreditation risk areas and recommend development of formal audit reports.
• Ensure audit reports contain findings and recommended solutions, and work with business owners to implement remediation plans.
• Develop content for educational and training programs to improve compliance and ensure staff knowledge of applicable codes of conduct and laws.
• Monitor completion of compliance, HIPAA, and ethics training in the Learning Management System and follow up with managers to ensure timely completion.
• Investigate and respond promptly to compliance and accreditation-related queries.
• Prepare reports to identify trends in LMS and CARF data.
• Supervise document management specialists; and oversee document retention, destruction, and archiving policies and procedures.

Minimum Qualifications

• Bachelor's degree plus at least 5 years of work experience in compliance, HIPAA privacy, accreditation standards, or healthcare audit experience.
• CARF knowledge and acumen highly desirable.
• Experience in records management and document management highly desirable.
• Certification in Healthcare Compliance or Privacy Compliance preferred.
• Working knowledge of research and investigative procedures, with the ability to interface effectively with a wide range of constituencies.
• Operative knowledge of MS Office and Google programs.
• Effective written and verbal communication, interpersonal, organizational, and time management skills.
• Ability to operate independently and handle confidential and sensitive information.

Reporting to senior management and the board of directors, the Accreditation Manager develops and maintains corporate compliance and professional standards programs, including URAC accreditation, state licensure, and internal audit functions for a healthcare organization in Portland, OR. Partnering with cross-departmental stakeholders, accreditation authorities, regulatory bodies, and client organizations, this role strengthens the company's compliance infrastructure by researching regulatory changes, overseeing business processes, managing privacy violation investigations, and representing AllMed as spokesperson to external bodies.

Scope of Work

• Develop and maintain policies, procedures, and systems that ensure effective compliance with applicable laws and regulations and prevent unethical or improper conduct.
• Identify areas of compliance vulnerability and develop corrective action programs as necessary.
• Provide reports to management and the board of directors regarding compliance issues.
• Research and track changes in federal and state healthcare statutes and regulations, and implement corresponding changes in policies and procedures.
• Oversee business processes to ensure policies and procedures comply with regulatory requirements.
• Develop, deliver, and coordinate compliance training and orientation for all employees, peer reviewers, contractors, and business associates.
• Prepare and lead internal and client-based audits, including annual delegation audits and random compliance audits.
• Review contracts before execution and identify compliance requirements for the population served.
• Maintain updated knowledge of URAC accreditation and NCQA delegation requirements, and prepare applications for accreditation and state certification or licensure.
• Respond to surveys, complete mandatory attestations, and provide reports to accreditation and licensing bodies.
• Establish processes and reporting systems to track access to protected health information as required by law.
• Establish and administer the process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning privacy policies and procedures.
• Investigate, remediate, and report potential and actual privacy violations, and cooperate with relevant legal entities in privacy reviews.
• Assist staff to ensure the integrity of the case review process.

Knowledge, Skills & Abilities

• Bachelor's degree or equivalent four-year degree.
• 3+ years of healthcare professional standards experience.
• Proven ability to perform risk assessments and advise senior management on the best course of action.
• Professional exposure to URAC, NCQA, or other accreditation program standards.
• Understanding of CMS, HHS, and ERISA standards and regulations.
• Ability to partner with cross-departmental stakeholders on compliance requirements.
• Ability to effectively explain the potential impacts of compliance requirements on the business in written and verbal communications.
• High degree of computer literacy with demonstrated proficiency in MS Office and web-based applications.
• Ability to effectively present information to regulatory officials, referring entities, and office staff.

Sitting at the intersection of federal cybersecurity compliance and cloud-based software delivery, the Accreditation Manager organizes, tracks, and reports on DoD Risk Management Framework and FedRAMP accreditation timelines for multiple simultaneous federal projects. Operating across operations, product, field engineering, delivery management, and customer cybersecurity representatives, this role develops documentation, manages software configuration compliance, and escalates resource constraints to ensure Authority to Operate outcomes are achieved without disrupting project schedules.

Work Activities

• Organize, track, and report on the execution of each federal project's cybersecurity accreditation process timeline.
• Work closely with lead engineers and project delivery managers to ensure deployed software product configurations meet customer cybersecurity requirements.
• Work with delivery managers to ensure all cybersecurity accreditation efforts are properly integrated into project execution schedules.
• Interface with customer cybersecurity and information assurance representatives to ensure understanding of requirements, delivery of required artifacts, and continued communications on progress.
• Understand the detailed steps and engagement points of the DoD Risk Management Framework and FedRAMP accreditation processes.
• Understand the software DevSecOps process and articulate the infrastructure, software, and approval processes required to implement a software solution in multiple target environments.
• Work with operations, product, and field engineering teams to ensure the accomplishment of engineering actions necessary for cybersecurity accreditation.
• Escalate issues of limited resources or required executive engagement before they become blockers impacting project success.
• Serve as the subject matter expert on the execution of cybersecurity accreditation operations.

Experience & Qualifications

• Bachelor's degree in Computer Science, Engineering, or Analytics preferred.
• Cybersecurity and network certifications preferred.
• Active DoD security clearance (Secret or higher) preferred.
• 2+ years of project experience, including the ability to define and monitor project dependencies, milestones, and timelines.
• 3+ years of experience in software or cybersecurity positions with an emphasis on cloud.
• Experience with cloud infrastructure, DevSecOps, software system architecture, software lifecycle development, cloud computing and operations, networking, storage, security practices, application and infrastructure monitoring, virtualization, database technology, business continuity, disaster recovery, high availability, scalability, continuous integration and delivery, and automated infrastructure management.
• Demonstrable experience with complex documentation management and associated tools.
• Knowledge of building and operating scalable cloud environments on at least one of AWS, Azure, or GCP.
• Knowledge of Linux, Kubernetes, and security concepts is an advantage.
• Excellent written and verbal communication skills, with the ability to explain technology solutions in business terms.
• Detail-oriented with a track record of working collaboratively and productively with business partners.

A key member of a festival production team, the Accreditation Manager oversees the build and implementation of a festival database covering credentialing, travel and logistics, asset requests, and related functions, ensuring all work conforms to pre-established specifications and standards. Collaborating across core planning and event operations teams, Production Managers, Technical Directors, Producers, and key vendors, this role develops reporting and metrics, resolves technical database issues, and manages on-site accreditation office processes to support smooth pre-production, production, and post-production operations.

Job Functions

• Oversee the build and implementation of a festival database, including credentialing, travel and logistics, asset requests, and related functions.
• Act as the main point of contact for the core planning and event operations teams, as well as key vendors.
• Collaboratively define and develop reporting and metrics across festival teams, and capture and export agreed-upon data.
• Work with vendors to troubleshoot and resolve all technical issues related to the database.
• Oversee the on-site accreditation office and processes, and enforce policies and procedures on-site.
• Ensure all work conforms to pre-established specifications and standards.
• Maintain discretion, diplomacy, confidentiality, and tact in high-pressure settings.

Required Qualifications

• Bachelor's degree and/or a minimum of 5 years of live event, entertainment, live theater, touring concert, or production experience.
• Experience with database or accreditation management for large-scale events helpful.
• Knowledge of RFID technology preferred.
• Strong knowledge of core event production elements, terms, and processes.
• Experience with database software and backend platforms helpful.
• Computer proficiency on Macintosh or Windows platforms using Microsoft Office, particularly Outlook, Excel, and PowerPoint.
• Attention to detail and ability to maintain database accuracy.
• Excellent interpersonal and communication skills, both verbal and written.
• Ability to function in a fast-paced and rapidly changing environment, multi-task, and take initiative.

Safeguarding the reputation of Bord Bia standards and member market access depends on the Accreditation Manager, who maintains and develops the Origin Green Assurance Scheme Accreditation Management System to ISO 17065, ISO 9001, and USDA PVP standards, while driving continuous improvement across the quality management system. Serving as scheme coordinator for assigned sustainability and quality assurance standards, this role manages certification scope changes, delivers on improvement opportunities, oversees a direct report, and supports audit body administration to uphold consumer trust.

Performance Expectations

• Maintain essential third-party certifications, including ISO 17065, ISO 9001, and USDA PVP.
• Manage changes to the scope of existing certifications and new accreditation or certification applications.
• Monitor, evaluate, and deliver on opportunities for continuous improvement in the Accreditation Management System.
• Monitor and report on stakeholder adherence with quality management system policies and procedures via an annual management review.
• Support the development of standards and proof-point programs required by the industry to ensure alignment with organizational policies and procedures.
• Act as scheme coordinator for assigned standards to support the implementation of sustainability and quality assurance schemes and associated programs through direct support of audit body administration.
• Manage the performance of a direct report through regular formal and informal feedback, coaching, and priority delegation.
• Manage assigned budgets in accordance with organizational procedures.

Qualifications & Experience

• Degree in a food-related or sustainability discipline, or equivalent area.
• High level of knowledge of assurance schemes and accreditation requirements.
• Proven record of quality management system development and implementation.
• High level of capability in the interrogation and interpretation of datasets.
• Effective project management skills to ensure projects run on time and on budget.
• Strong communication skills, particularly in influencing and collaborating.
• Excellent management skills.

As the Accreditation Manager, this role assures compliance with American College of Surgeons Commission on Cancer, NAPBC, and NQF standards at assigned facilities, attending Cancer Committee meetings, cancer conferences, and state and national educational activities to maintain full survey readiness. The oncology compliance team relies on this work to complete Survey Application Records, maintain documentation of committee activities, and support each facility's Annual Report on Cancer Activities, sustaining accreditation across all assigned programs.

Areas of Ownership

• Ensure all applicable Commission on Cancer standards are met at accredited facilities, and help facilities seeking accreditation develop programs following those standards.
• Lead survey preparation at each facility, completing the Survey Application Record and required documentation from the surveyor.
• Attend all Cancer Committee meetings and ensure that committee composition, meeting schedule, agenda, and minutes meet applicable standards.
• Maintain documentation of oncology committee activities using minutes and program activity tools in preparation for the survey.
• Assist with the completion of the Annual Report on Cancer Activities for each facility.
• Attend cancer conferences at each facility according to the established conference schedule.
• Attend state and national educational activities as approved by the director.
• Participate in required continuing education programs.

Education & Experience

• Associate's degree (2-year program).
• Bachelor's degree (4-year program) preferred.
• Certified Tumor Registrar credential required.
• 2 years of cancer registry operations and previous management experience; 4 years preferred.
• Knowledge of American College of Surgeons Commission on Cancer standards, National Accreditation Program for Breast Centers standards, NQF Measures of Quality, and other oncology-related standards.