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Manager Ncqa Jobs in Georgia (NOW HIRING)

CINQCARE

Regional Quality Lead

Atlanta, GA · On-site

$110 - $160/hr

Lead Cross-Functional Execution Partners with clinical leadership, care management, operations ... NCQA, payers, and regulatory agencies. Ensure adherence to accreditation, contractual, and ...

CINQCARE

Regional Quality Lead

Atlanta, GA · On-site

$100K - $125K/yr

Lead Cross-Functional Execution • Partners with clinical leadership, care management, operations ... NCQA, payers, and regulatory agencies. • Ensure adherence to accreditation, contractual, and ...

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Manager Ncqa information

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 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 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 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 cities in Georgia are hiring for Manager Ncqa jobs?

Cities in Georgia with the most Manager Ncqa job openings:

Manager Ncqa jobs near you

Market Physician Executive

Monogram Health

Atlanta, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) to lead its in-home multi-specialty polychronic care model within an assigned market. This key clinical leadership role involves developing and overseeing clinical strategies, policies, and operations to improve patient health outcomes. The MPE will deliver exceptional outcomes through disease detection, evidence-based clinical pathways, and direct patient care, while also focusing on patient experience, population health, provider satisfaction, and cost reduction.

Practice Info

  • Lead an in-home multi-specialty polychronic care model in an assigned market.
  • Each market comprises 5-10 territories led by local APPs, RNs, LCSWs, and pharmacists.
  • Collaborate with Monogram Health's Multi-Specialty Platform to leverage employed specialists for in-home specialty care.
  • Oversee daily clinical and business operations through direct patient care, care management, social worker support, and pharmacy services.
  • Work remotely within the designated market with occasional in-home patient treatment visits and occasional domestic travel.

Responsibilities

  • Lead daily high-risk and concurrent review rounds.
  • Provide direct supervision of front-line clinical and operations team members, including regular shadowing/ride-alongs.
  • Oversee and delegate operational responsibility to the Market Manager for daily operations and P&L management.
  • Provide direct and indirect patient care, including diagnosis and treatment of acute and chronic diseases.
  • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
  • Conduct Peer to Peer consults with community, facility, and health plan partners.
  • Provide clinical guidance and direction to Market teams for Population Health Management activities.
  • Participate in Monogram On-Call rotation, which will vary (e.g., 7 days on call minimum once/quarter).

Compensation

  • Competitive compensation
  • 401k with employer match

Benefits

  • Medical, dental, and vision insurance
  • Employee assistance program
  • Employer-paid and voluntary life insurance
  • Disability insurance
  • Health and flexible spending accounts
  • Paid holidays
  • Flexible vacation time/PSSL
  • Paid parental leave
  • Work life assistance resources
  • Physical wellness perks
  • Mental health support
  • Employee referral program
  • BenefitHub for employee discounts

Shift & Schedule

  • Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter.

Requirements

  • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
  • Willingness to become licensed in multiple states.
  • MD or DO degree from an accredited medical school.
  • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.
  • Active, unrestricted state medical license required in each state within the market, and ability to obtain additional states as needed.
  • Demonstrated experience applying evidence-based clinical criteria.
  • Experience in multispecialty, geriatrics and/or value-based care.
  • Advanced management and communication skills.
  • Experience with high need Medicare Advantage and managed Medicaid populations.
  • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

Apply