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Accreditation Program Manager Ncqa Sme Jobs (NOW HIRING)

SME

Program Manager - Events

Southfield, MI

Will play a key role in developing, managing, and supporting SME's technology and industry ... Plays primary role on technical program support as assigned including collaboration with SME ...

AlohaCare

Program Manager

Honolulu, HI

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... NCQA accreditation standards for the CCS program are met. Primary Duties and Responsibilities : * Provide administrative oversight of the CCS behavioral health program to ensure compliance with MQD ...

AlohaCare

Program Manager

Honolulu, HI · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... NCQA accreditation standards for the CCS program are met. Primary Duties and Responsibilities : * Provide administrative oversight of the CCS behavioral health program to ensure compliance with MQD ...

Prescient Edge

SME Program Manager

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Job Title SME Program Manager Location Washington, DC 20032 US (Primary) Category Intelligence Job Type Full-Time Career Level Staff Education Bachelor's Degree Travel Security Clearance Required TS ...

Serco USA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Program Manager Subject Matter Expert (SME), you will be supporting the Special Programs Division (AFLCMC/WAG) at Wright Patterson AFB, OH. This position is contingent upon the ability to ...

Qualis LLC

Program Manager SME

Dayton, OH · On-site

Qualis LLC is seeking a Program Manager SME in support of the M-Code Aviation Receivers Joint Program Office (MAR JPO) at Wright-Patterson AFB, OH. These positions support critical GPS User Equipment ...

Town of Warrenton

ACCREDITATION MANAGER

Warrenton, VA

$29.23 - $46.77/hr

Accreditation Program Administration. Administers and coordinates the Department's law enforcement ... Accreditation Managers Certification - Must have or being able to maintain and obtain within one ...

Hive Group LLC

Program Manager SME

Mclean, VA · On-site

We are seeking a Program Manager SME as part of a bid process associated with a Statement of Work supporting DHS USCIS . Candidates are encouraged to submit their information and resumes highlighting ...

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Accreditation Program Manager Ncqa Sme information

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$38.5K

$107.5K

$157K

How much do accreditation program manager ncqa sme jobs pay per year?

As of Aug 15, 2026, the average yearly pay for accreditation program manager ncqa sme in the United States is $107,460.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,500.00 and $132,500.00 per year, depending on experience, location, and employer.

What is the difference between Accreditation Program Manager Ncqa Sme vs Accreditation Coordinator Ncqa?

AspectAccreditation Program Manager Ncqa SmeAccreditation Coordinator Ncqa
CertificationsTypically requires NCQA accreditation-related certifications and experienceMay require basic knowledge of NCQA standards, less advanced certifications
Work EnvironmentLeads projects, manages teams, and ensures compliance with NCQA standardsSupports accreditation processes, assists with documentation and data collection
Employer & Industry UsageUsed in healthcare organizations, insurance companies, and consulting firmsCommon in healthcare facilities, clinics, and provider offices

The Accreditation Program Manager Ncqa Sme focuses on leading accreditation projects, managing teams, and ensuring compliance with NCQA standards. In contrast, the Accreditation Coordinator Ncqa primarily supports these efforts through documentation and data collection. Both roles require familiarity with NCQA requirements but differ in responsibility level and scope.

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Accreditation Program Manager Ncqa Sme jobs near you
Infographic showing various Accreditation Program Manager Ncqa Sme job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $107,460 per year, or $51.7 per hour.

Credential Audit Analyst-NCQA, URAC and CMS

Dearborn Group

Southfield, MI • Hybrid

$38K - $80K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 28 days ago

Job description

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryUnder supervision, this role is responsible for performing oversight on essential credentialing functions to attain and maintain quality providers in the dental network. This role also conducts audits for credentialing as well as network data quality. Understands credentialing policies and procedures per NCQA, URAC and CMS standards and other regulatory requirements. Serves as a liaison to delegated entities and vendors to ensure current and adequate credentialing process are in place. Develops and performs queries for data reporting purposes to include directories, ad hoc reports, and network management reports. Responsible for the monitoring and maintenance of credentialing and re-credentialing polies and program as well as state and federal requirements to ensure compliance is met. This role will provide operational and industry knowledge to ensure credentialing practices.
Required Job Qualifications:
  • Bachelor degree and 2 years of experience in accreditation programs (i.e., NCQA, URAC and CMS programs) or 6 years of experience in accreditation programs
  • Proficiency in accreditation program standards. (ex. NCQA, URAC, CMS)
  • Knowledge of state and federal requirements for contracting and credentialing.
  • Attention to detail and ability to track information to defined quality standards
  • Knowledge of documents and their contents used in provider contracting, including applications, agreements, fee schedules, and credentialing. Knowledge of provider contracting terms.
  • Analytical skills
  • Demonstrated experience understanding and maintaining detailed complex provider records.
  • Attention to detail and ability to enter data and meet defined quality standards
  • Experience balancing multiple priorities while meeting commitments for quality and delivery at agreed upon schedules.
  • Clear and concise verbal and written communication skills.
  • Proficient in Microsoft Office products, Excel, email and Internet.
  • Ability to work well in a team environment.
Preferred Job Qualifications:
  • Analytical skills
  • Knowledge of Dental industry

# LI-NV1

#LI-Hybrid

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Dearborn, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan,pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package forassociates.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

Dearborn Group Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$38,100.00 - $80,000.00

Exact compensation may vary based on skills, experience, and location.

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