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Manager Ncqa Jobs (NOW HIRING)

San Francisco Health Plan

Program Manager, NCQA

San Francisco, CA · On-site

$90K - $105K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

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 ...

SF Health Plan

Program Manager, NCQA

San Francisco, CA · Hybrid

$90K - $105K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

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 ...

CareFirst

NCQA Quality Manager (Hybrid)

Baltimore, MD · Hybrid

  • Retirement

PURPOSE: The NCQA Quality Manager oversees the NCQA Health Plan and Health Outcomes accreditation process from end to end for all LOBs. They will project manage the efforts and deliverables ...

NCQA

Head of Internal Communications

Washington, DC · Hybrid

$150K - $170K/yr

Create, edit, and manage high-quality content for various internal channels, including email ... NCQA is a drug free workplace. NCQA recruits, hires, trains and promotes individuals, and ...

NCQA

Executive Coordinator

Washington, DC

$95K - $105K/yr

Arrange travel requirements for CMO, ensuring all logistics are well-planned and managed. * Prepare expense reports in a timely manner for the CMO adhering to NCQA's policies and processes. QMRG ...

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How much do manager ncqa jobs pay per year?

As of Aug 14, 2026, the average yearly pay for manager ncqa in the United States is $81,677.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $116,500.00 per year, depending on experience, location, and employer.

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

AspectManager NcqaQuality Assurance Manager
CertificationsNCQA accreditation, healthcare quality certificationsISO, Six Sigma, QA-specific certifications
Work EnvironmentHealthcare organizations, insurance companiesManufacturing, software, healthcare, various industries
Industry UsagePrimarily in healthcare and managed careBroadly across multiple industries
Primary FocusHealthcare quality standards, compliance, NCQA accreditationProduct/service quality, process improvement

The Manager Ncqa primarily focuses on healthcare quality standards and NCQA accreditation within healthcare organizations, ensuring compliance with industry-specific regulations. In contrast, a Quality Assurance Manager oversees quality processes across various industries, emphasizing product or service quality and process improvements. While both roles involve quality management, the Manager Ncqa is specialized in healthcare accreditation and compliance, whereas the Quality Assurance Manager has a broader scope across different sectors.

What are the main challenges a Manager NCQA faces during accreditation cycles, and how can they address them?

A Manager NCQA often encounters challenges such as keeping up with changing accreditation standards, ensuring organization-wide compliance, and coordinating documentation across multiple departments. Successfully navigating these challenges requires strong project management skills, proactive communication, and ongoing staff education. Building collaborative relationships with clinical, quality, and administrative teams is essential to streamline processes and maintain readiness for audits, which ultimately supports both accreditation success and continuous quality improvement.

What are the key skills and qualifications needed to thrive as a Manager NCQA?

To thrive as a Manager NCQA, you need in-depth knowledge of NCQA accreditation standards, quality improvement processes, and a background in healthcare administration or a related field. Familiarity with quality management software, data analytics tools, and NCQA certification are typically required. Exceptional leadership, communication, and problem-solving skills help drive compliance and foster a culture of continuous improvement. These capabilities are crucial for ensuring organizational adherence to accreditation standards and enhancing healthcare quality outcomes.

What is a Manager NCQA?

A Manager NCQA is a professional responsible for overseeing an organization's compliance with NCQA (National Committee for Quality Assurance) standards and accreditation processes. This role typically involves managing quality improvement initiatives, ensuring adherence to NCQA guidelines, preparing for audits, and coordinating cross-functional teams to achieve accreditation. The Manager NCQA often works within healthcare organizations or health plans and plays a crucial role in maintaining high standards of patient care and operational excellence.

What cities are hiring for Manager Ncqa jobs?

Cities with the most Manager Ncqa job openings:

What are the most commonly searched types of Ncqa jobs?

The most popular types of Ncqa jobs are:

What states have the most Manager Ncqa jobs?

States with the most job openings for Manager Ncqa jobs include:

Manager Ncqa jobs near you

Program Manager, NCQA

San Francisco Health Plan

San Francisco, CA • On-site

$90K - $105K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 24 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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