Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic ...
Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic ...
Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic ...
Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic ...
Accreditation Consultant Senior /Manager
Hanover, MD · Hybrid
$69K - $97K/yr
... and NCQA. Primary duties may include, but are not limited to: * Interfaces with internal and ... Manages the overall accreditation processes and resources required to successfully lead the team.
Accreditation Consultant Senior /Manager
Hanover, MD · Hybrid
$69K - $97K/yr
... and NCQA. Primary duties may include, but are not limited to: * Interfaces with internal and ... Manages the overall accreditation processes and resources required to successfully lead the team.
The Director ensures all Case Management, Complex Case Management, Transition of Care, and Population Health Management activities are administered in accordance with NCQA standards, CMS requirements ...
The Director ensures all Case Management, Complex Case Management, Transition of Care, and Population Health Management activities are administered in accordance with NCQA standards, CMS requirements ...
Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic ...
Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic ...
The Vice President of Quality provides leadership for all activities relating to the development and management of the Plan's quality improvement and accreditation activities including NCQA ...
The Vice President of Quality provides leadership for all activities relating to the development and management of the Plan's quality improvement and accreditation activities including NCQA ...
VP Quality Health Plan
Albuquerque, NM · On-site
The Vice President of Quality provides leadership for all activities relating to the development and management of the Plan's quality improvement and accreditation activities including NCQA ...
VP Quality Health Plan
Albuquerque, NM · On-site
The Vice President of Quality provides leadership for all activities relating to the development and management of the Plan's quality improvement and accreditation activities including NCQA ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
Quality Improvement Manager
Los Angeles, CA · On-site
$85K - $110K/yr
Position Summary: The Quality Improvement (QI) Manager reports to the Director of Quality ... The position ensures alignment with HRSA, CMS, NCQA-PCMH, HEDIS, UDS, and payer requirements while ...
Quality Improvement Manager
Los Angeles, CA · On-site
$85K - $110K/yr
Position Summary: The Quality Improvement (QI) Manager reports to the Director of Quality ... The position ensures alignment with HRSA, CMS, NCQA-PCMH, HEDIS, UDS, and payer requirements while ...
The Quality Care Manager plays a key role in coordinating peer review activities, conducting medical record reviews, supporting quality audits, and ensuring compliance with NCQA, CMS, and State of ...
The Quality Care Manager plays a key role in coordinating peer review activities, conducting medical record reviews, supporting quality audits, and ensuring compliance with NCQA, CMS, and State of ...
NCQA). * Provide behavioral health representation at the Inter-disciplinary department team meetings or Inter-disciplinary care team meetings, as well as other ad-hoc meetings or organizational ...
NCQA). * Provide behavioral health representation at the Inter-disciplinary department team meetings or Inter-disciplinary care team meetings, as well as other ad-hoc meetings or organizational ...
NCQA). * Provide behavioral health representation at the Inter-disciplinary department team meetings or Inter-disciplinary care team meetings, as well as other ad-hoc meetings or organizational ...
NCQA). * Provide behavioral health representation at the Inter-disciplinary department team meetings or Inter-disciplinary care team meetings, as well as other ad-hoc meetings or organizational ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
... management operations across PacificSource ... Ensures compliance with regulatory and accreditation requirements (e.g., NCQA), maintains provider ...
Director of Clinical Audit & Performance Excellence
Long Beach, CA · On-site
$165K - $185K/yr
... NCQA, DMHC, DHCS, delegated health plan requirements, and enterprise policies while driving ... Lead the enterprise Clinical Audit Program across UM, Case Management, Appeals, Medical Director ...
Quick apply
Director of Clinical Audit & Performance Excellence
Long Beach, CA · On-site
$165K - $185K/yr
... NCQA, DMHC, DHCS, delegated health plan requirements, and enterprise policies while driving ... Lead the enterprise Clinical Audit Program across UM, Case Management, Appeals, Medical Director ...
Manages the program delivery, oversight and maintenance for NCQA and URAC accreditations, including implementation of standards updates and changes * Manages new client implementation including ...
Manages the program delivery, oversight and maintenance for NCQA and URAC accreditations, including implementation of standards updates and changes * Manages new client implementation including ...
Ensures compliance with NCQA, CMS, state, and organizational requirements. * Identifies and ... Manages hiring, onboarding, performance evaluations, and workforce planning activities.
Ensures compliance with NCQA, CMS, state, and organizational requirements. * Identifies and ... Manages hiring, onboarding, performance evaluations, and workforce planning activities.
Ensures compliance with NCQA, CMS, state, and organizational requirements. * Identifies and ... Manages hiring, onboarding, performance evaluations, and workforce planning activities.
Ensures compliance with NCQA, CMS, state, and organizational requirements. * Identifies and ... Manages hiring, onboarding, performance evaluations, and workforce planning activities.
Quality Care Manager
Tallahassee, FL · On-site
The Quality Care Manager plays a key role in coordinating peer review activities, conducting medical record reviews, supporting quality audits, and ensuring compliance with NCQA, CMS, and State of ...
Quick apply
Quality Care Manager
Tallahassee, FL · On-site
The Quality Care Manager plays a key role in coordinating peer review activities, conducting medical record reviews, supporting quality audits, and ensuring compliance with NCQA, CMS, and State of ...
Manager Ncqa information
See salary details
$27.5K - $37.5K
9% of jobs
$37.5K - $47.5K
13% of jobs
$50K is the 25th percentile. Wages below this are outliers.
$47.5K - $57.5K
12% of jobs
$57.5K - $67.5K
9% of jobs
The median wage is $74.7K / yr.
$67.5K - $77.5K
9% of jobs
$77.5K - $87.5K
5% of jobs
$87.5K - $97.5K
4% of jobs
$97.5K - $107.5K
6% of jobs
$110.5K is the 75th percentile. Wages above this are outliers.
$107.5K - $117.5K
22% of jobs
$117.5K - $127.5K
6% of jobs
$127.5K - $137.5K
3% of jobs
$27.5K
$81.7K
$137.5K
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?
| Aspect | Manager Ncqa | Quality Assurance Manager |
|---|---|---|
| Certifications | NCQA accreditation, healthcare quality certifications | ISO, Six Sigma, QA-specific certifications |
| Work Environment | Healthcare organizations, insurance companies | Manufacturing, software, healthcare, various industries |
| Industry Usage | Primarily in healthcare and managed care | Broadly across multiple industries |
| Primary Focus | Healthcare quality standards, compliance, NCQA accreditation | Product/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:
Other
Posted 11 days ago
McLaren Health Care rating
6.7
Based on 221 frontline employees who took The Breakroom Quiz
533rd of 887 rated healthcare providers
Job description
McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a National Committee for Quality Assurance Specialist to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
Position Summary:
The NCQA Specialist coordinates quality improvement activities and supports various functions within the scope of the Plan quality improvement program, working both independently and as a team member. The functions may include but are not limited to committee support; regulatory and accreditation standard adherence; delegation oversight; performance monitoring and assessment; data collection and analysis; and the continual advancement of the quality improvement process to achieve the Health Plan's goals of excellence.
Essential Functions and Responsibilities:
- Accountable for assigned standards from National Committee for Quality Assurance (NCQA), which may involve oversight of delegated activities.
- Works with Plan departments, such as Quality, Contracting, Provider Relations, Member Services, Appeals and Grievances, Pharmacy Services, Utilization and Medical Management, Credentialing, and other departments and delegates to ensure that NCQA standards are met, and appropriate documentation is maintained.
- Counsels, guides and instructs Health Plan employees on adherence to accreditation standards, NCQA-focused activities and other quality improvement initiatives.
- Supports the Plan committee functions and activities as assigned. Ensures that meetings are organized, well documented and that they meet the Plan goals and objectives and the individual Committee's roles and responsibilities.
- Leads quality projects as directed, including appropriate audits and state projects and requirements.
- Assumes project management as directed.
#LI-KH1
Qualifications:
Required:
- Associate degree in a health care field or equivalent work.
- Four (4) years' experience with a government regulated health organization or a managed care setting with at least two (2) years' experience performing complex quality management activities including HEDIS, NCQA etc.
- Bachelor's in healthcare or related field.
- Experience writing quantitative and qualitative analysis.
- Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic tenets of continuous quality improvement.
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About McLaren Port Huron
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Port Huron, MI, US