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Director Ncqa Accreditation Jobs (NOW HIRING)

SF Health Plan

Program Manager, NCQA

San Francisco, CA · Hybrid

$90K - $105K/yr

Reporting to the Director, Regulatory Affairs, the NCQA Program Manager is an experienced healthcare professional. You will manage and lead activities associated with SFHP's NCQA Accreditation. These ...

Senture

Medical Director

Raleigh, NC · On-site

This role ensures compliance with NCQA accreditation standards, applicable state and federal regulations, and organizational credentialing requirements. The Medical Director is responsible for ...

Senture

Medical Director

Raleigh, NC · Remote

This role ensures compliance with NCQA accreditation standards, applicable state and federal regulations, and organizational credentialing requirements. The Medical Director is responsible for ...

Phsorg

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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$170.5K

How much do director ncqa accreditation jobs pay per year?

As of Aug 23, 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 the key skills and qualifications needed to thrive as a director of NCQA Accreditation?

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 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 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.

How do you become a Director NCQA Accreditation?

To become a Director of NCQA Accreditation, candidates typically need extensive experience in healthcare management, quality improvement, or compliance, along with a thorough understanding of NCQA standards and accreditation processes. Earning relevant certifications and demonstrating leadership skills are also important for advancing to this role.
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Director Ncqa Accreditation jobs near you
Infographic showing various Director Ncqa Accreditation job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $108,675 per year, or $52.2 per hour.

Program Manager, NCQA

San Francisco Health Plan

San Francisco, CA • On-site

$90K - $105K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 4 days ago

Job description

Reporting to the Director, Regulatory Affairs, the NCQA Program Manager is an experienced healthcare professional. You will manage and lead activities associated with SFHP's NCQA Accreditation. These activities include ongoing monitoring and analysis of plan performance against the NCQA standards. Additionally, the manager coordinates all NCQA-related activities across the organization. The goal of these efforts is to maintain and prepare for ongoing NCQA accreditation and future categories of NCQA accreditation.
Position activities involve frequent daily interface with SFHP internal departments to support NCQA accreditation standards. Be the departmental contact for all matters related to NCQA accreditation. We are looking for someone who can manage a dynamic workload and adapt to evolving needs. And works independently while also motivating and supporting others.
Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office.
Salary: $90,000 - $105,000 per year
WHAT YOU WILL DO:
  • Responsible for project timelines and professional inquiries, submissions and responses to NCQA.
  • Lead the NCQA-impacted department communications and activities.
  • Transition our framework from obtaining NCQA accreditation as a project to an ongoing operational effort to maintain NCQA accreditation through the renewal process.
  • Manage the accreditation processes and resources required to renew SFHP's accreditation status, including working with staff to ensure the submission of HEDIS and CAHPS data for the renewal survey.
  • Evaluate, interpret, and summarize accreditation guidelines at least annually. Manage the process for accreditation activities, including communicating year-to-year changes in the standards. Assist departments with updating policies, procedures, workflows, and reports, and to comply with updated standards.
  • Identify appropriate resources and accountabilities within departments involved with accreditation and ensure engagement by all impacted departments.
  • Lead coordination and communication with NCQA consultants.
  • Conduct the ongoing evaluation and interpretation of accreditation standards to ensure compliance through department leads, reporting and measurement studies/ methodologies.
  • Be an expert resource to internal staff across the organization.
  • Facilitate project management and develop comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines.
  • Work in collaboration with the Compliance team to monitor activities for compliance with NCQA standards together with compliance activities related to compliance with state regulatory and contractual requirements.
  • Inform and train staff on changes in NCQA accreditation standards and tools.
  • Refer substantive questions, important business issues to subject matter experts and follow up to ensure resolution and escalates.
  • Assess problems and develop solutions following general procedures and escalate to manager.
  • Assist manager with budget related to NCQA expenses, including processing invoices and variance reports.
  • Lead efforts to manage projects for implementing DHCS, CMS, and DMHC All-Plan Policy letters on an as-needed basis.

WHAT YOU WILL BRING:
  • Bachelor's degree or equivalent work experience
  • 3 or more years of experience Project management experience
  • Successful NCQA accreditation process completion and continuous process improvement experience in an NCQA setting
  • Experience analyzing and providing guidance on studies that go along with NCQA
  • Possess a strong quality improvement background that includes managed care and NCQA, specifically within the Medicaid and government-sponsored programs environments.

WHAT WE OFFER:
  • Health Benefits
    • Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
    • Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
    • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
  • Retirement � Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
  • Time off � 23 days of Paid Time Off (PTO) and 13 paid holidays.
  • Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:
Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.
San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
San Francisco Health Plan is an E-Verify participating employer.
Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.
#LI-Hybrid
(Hybrid remote/in-office)

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