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Manager Ncqa Jobs (NOW HIRING)

NCQA

Chief of Staff

Washington, DC

... of NCQA's quality measurement approach, and evolution of NCQA's strategic direction. The CoS ... Exceptional planning and prioritization skills; ability to manage competing priorities, coordinate ...

symplr

Manager, Quality Assurance (Credentialing)

$55K - $75K/yr

Ensure compliance with NCQA, CMS, federal, and state regulations related to credentialing and ... Manage QA resources effectively and efficiently to meet department goals * Foster a culture of ...

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How much do manager ncqa jobs pay per year?

As of Jun 5, 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 are the key skills and qualifications needed to thrive as a Manager NCQA, and why are they important?

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 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 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 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
Credential Analyst-NCQA, URAC and CMS

Credential Analyst-NCQA, URAC and CMS

Dearborn Group

Lombard, IL • On-site

$38K - $80K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 16 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 Summary
Under 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

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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 for associates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject 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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