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Director, AI Accreditation & Assurance Programs

AAPC

Role overview

Qualifications

  • 10+ years of healthcare quality, accreditation, compliance, assurance, certification, governance, or related experience
  • Demonstrated success developing or managing standards-based programs
  • Strong understanding of healthcare operations, regulatory environments, and quality frameworks
  • Experience working across multiple stakeholder groups including healthcare organizations, technology companies, consultants, and regulators

Responsibilities

  • Lead development of new healthcare assurance and certification programs
  • Design assessment methodologies, standards frameworks, review procedures, and surveillance processes
  • Establish governance models, operational policies, and quality management processes
  • Monitor emerging healthcare, technology, regulatory, and compliance trends and incorporate them into program design

Key facts

  • Remote from: Anywhere
  • Full time
  • Expert & Leadership (>10 years)
  • English

Hard skills

Healthcare Quality Program Development Common Assessment Framework Stakeholder Engagement Risk Management ISO 20022

Other skills

  • Governance
  • Leadership
  • Communication
  • Program Management

About the company

AAPC logo

AAPC

Professional & Trade Associations

AAPC was founded in 1988 to provide education and professional certification to physician-based medical coders and to elevate the standards of medical coding by providing student training, certification, ongoing education, networking, and job opportunities. Since then, AAPC has expanded beyond coding to include training and credentials in documentation and coding audits, regulatory compliance, and physician practice management. AAPC's membership includes over 200,000 healthcare professionals worldwide, of which more than 100,000 are certified. AAPC has the largest network of billing, coding, auditing, and practice management professionals. We provide a suite of software and services that support healthcare organizations with training, accreditation, and the tools necessary to ensure revenue optimization. Learn more at this link: https://www.aapc.com/business/auditing-and-coding-services.aspx AAPC certifications encompass the entire business side of provider care, with physician coding (CPC®), hospital outpatient facility (COC®), hospital inpatient facility (CIC®), risk adjustment coding (CRC®), payer perspective coding (CPC-P®), practice management (CPPM™), and more. All certifications demonstrate a hands-on, working knowledge to support cleaner claim submissions, faster reimbursement, fewer denials, and better run practices. Specialty coding credentials are currently offered in 20 different fields of expertise. AAPC offers continuing education for all credentials through local chapters, workshops, webinars, a monthly newsmagazine (Healthcare Business Monthly), other publications, and conferences.

Company details

IndustryProfessional & Trade Associations
Company size51 - 200

Links

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Job description

This is a remote role

Position Summary


Position Summary
AAPC is seeking an experienced leader to oversee innovative healthcare accreditation / assurance programs that support trust, transparency, operational excellence, and industry best practices related to medical coding and use of AI. 
This role will lead the development of new program frameworks, assessment methodologies, governance models, and industry-facing assurance offerings designed to advance quality, accountability, and confidence across evolving healthcare environments.
The successful candidate will work closely with healthcare organizations, technology companies, industry experts, regulators, and strategic partners to develop scalable assurance programs that address emerging industry needs.
Responsibilities
  • Lead development of new healthcare assurance and certification programs.
  • Design assessment methodologies, standards frameworks, review procedures, and surveillance processes.
  • Establish governance models, operational policies, and quality management processes.
  • Monitor emerging healthcare, technology, regulatory, and compliance trends and incorporate them into program design.
  • Collaborate with internal and external subject matter experts to develop standards and assessment criteria.
  • Support pilot programs, market validation efforts, and strategic partnerships.
  • Develop assessor qualification requirements and reviewer training programs.
  • Represent AAPC in industry forums, advisory groups, and stakeholder meetings.
  • Support commercialization, adoption, and growth of new assurance offerings.
  • Build scalable operational infrastructure supporting long-term program expansion.
Preferred Experience
  • Healthcare accreditation, certification, or assurance programs.
  • HITRUST, Joint Commission, NCQA, URAC, SOC 2, ISO, or similar frameworks.
  • Healthcare compliance, governance, quality, or risk management.
  • Healthcare technology assessment and evaluation.
  • Program development and implementation.
  • Stakeholder engagement and industry collaboration.
Qualifications
  • 10+ years of healthcare quality, accreditation, compliance, assurance, certification, governance, or related experience.
  • Demonstrated success developing or managing standards-based programs.
  • Strong understanding of healthcare operations, regulatory environments, and quality frameworks.
  • Experience working across multiple stakeholder groups including healthcare organizations, technology companies, consultants, and regulators.
  • Exceptional leadership, communication, and program management skills.
What We Offer
  • Competitive salary and benefits package.
  • Flexible, remote work environment.
  • The opportunity to make a significant impact on our business and work with a fun, collaborative team.
  • Professional development and growth opportunities.

About AAPC:
AAPC (www.aapc.com) is the world’s largest and fastest-growing training, certification, and solutions association in healthcare.

AAPC Values:

DRIVEN | Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.

HUMBLE | Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.

TRANSPARENT| Integrity-centered, honest, truthful, and trustworthy in all aspects of work. Keeps commitments to external and internal parties. Holds self strictly accountable, valuing the trust placed in them by others.

SUPPORTIVE | Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.

INNOVATIVE | Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.

AAPC is an Equal Opportunity Employer.
This company is committed to fairness and equal opportunity in our hiring practices. We do not discriminate on grounds unrelated to a candidate's ability to perform the duties of the job. Our focus is on finding the best person for each role, based on merit and fit, to ensure success both for our company and for the individual’s professional growth.

We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.

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Marcus Rivera

Chief Revenue Officer

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