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Director Ncqa Accreditation Jobs (NOW HIRING)

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Responsible for the annual HEDIS submission, PHP Medicare Star Program Ratings, NCQA accreditation, and regulatory and contractual compliance. * Directs the activities for Performance Improvement ...

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Director Ncqa Accreditation information

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$55.5K

$108.7K

$170.5K

How much do director ncqa accreditation jobs pay per year?

As of Aug 1, 2026, the average yearly pay for director ncqa accreditation in the United States is $108,675.00, according to ZipRecruiter salary data. Most workers in this role earn between $83,000.00 and $125,500.00 per year, depending on experience, location, and employer.

What does a Director of NCQA Accreditation do?

A Director of NCQA Accreditation oversees an organization’s efforts to achieve and maintain accreditation from the National Committee for Quality Assurance (NCQA). This role involves coordinating compliance with NCQA standards, leading internal audits, preparing documentation, and ensuring that operational processes meet quality benchmarks. The director also acts as a liaison between the organization and NCQA, staying updated on changes in accreditation requirements and training staff accordingly. Their work ensures that the organization demonstrates high-quality care and meets industry-recognized standards.

What are some common challenges faced by a Director of NCQA Accreditation during the accreditation process?

A Director of NCQA Accreditation often encounters challenges such as keeping up with evolving NCQA standards, coordinating documentation across multiple departments, and ensuring organization-wide compliance with quality measures. Effective communication and project management are crucial, as the role requires collaborating with clinical, IT, and administrative teams to gather evidence and implement process improvements. Additionally, the director must balance day-to-day operational responsibilities with the strategic planning necessary for successful accreditation outcomes.

What are the key skills and qualifications needed to thrive as a Director NCQA Accreditation, and why are they important?

To thrive as a Director NCQA Accreditation, you need a deep understanding of healthcare quality standards, NCQA guidelines, and regulatory compliance, typically supported by a relevant degree and experience in healthcare management. Familiarity with accreditation management software, quality improvement tools, and NCQA certification processes is crucial. Outstanding leadership, project management, and communication skills are essential for guiding teams and collaborating with stakeholders. These skills ensure that organizations achieve and maintain NCQA accreditation, which is vital for demonstrating high-quality care and operational excellence.

What is the difference between Director Ncqa Accreditation vs Quality Assurance Manager?

AspectDirector Ncqa AccreditationQuality Assurance Manager
Required CredentialsTypically requires healthcare management, nursing, or related certifications; knowledge of NCQA standardsOften requires quality assurance, healthcare, or related certifications; familiarity with industry standards
Work EnvironmentHealthcare organizations, accreditation bodies, compliance departmentsHealthcare facilities, clinics, or insurance companies focusing on quality processes
Employer & Industry UsageUsed in healthcare organizations seeking NCQA accreditationCommon in healthcare settings managing quality assurance programs

The main difference is that the Director Ncqa Accreditation oversees the accreditation process, ensuring compliance with NCQA standards, while the Quality Assurance Manager focuses on maintaining and improving quality within healthcare operations. Both roles require related certifications and work in healthcare environments, but their responsibilities differ in scope and focus.

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Director Ncqa Accreditation jobs near you
Infographic showing various Director Ncqa Accreditation job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 15% Part Time, and 1% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $108,675 per year, or $52.2 per hour.

Physician / ENT / Florida / Locum or Permanent / Quality Improvement Senior Director- (NCQA) Certifi

Premier Health Careers, Inc / Premier Paths

Hollywood, FL

Full-time

Re-posted 13 days ago

Job description

Are you a RN with a strong Quality background with hands on experience with NCQA accreditation expereince? Do you have this expereince in a Managed Care setting? If you have answered YES to these two important questions, read on you just might be a match for this job!
THIS IS A NEWLY CREATED POSITION AT THIS COMPANY.
Here is more of what our qualified candidate looks like:
  • 7+ years of healthcare operations experience, including quality improvement experience. Managed care experience is highly desired.
  • Certified Professional in Health Care Quality preferred
  • Has been Responsible for National Committee for Quality Assurance (NCQA) IMPORTANT Requirement: Hands on experience with NCQA accreditation experience. Experience going through NCQA accreditation and GONE through and RAN whole process when surveyors onsite. Looking for Director level candidates or above. Managers okay if with a large healthcare organization.
  • Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance.
  • Hands on expereince ensuring health plan is compliant and becomes/remains accredited with NCQA
  • Has formulated and established policies, operating procedures, and goals in compliance with internal and external guidelines.

This position reports to the VP of Quality Improvement. You will have direct reports.
Six figure salary, plus 20% performance bonus, plus full comprehensive benefits package. Please specify salary requirements.
To learn more, please email your resume will full contact details.

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