ZipRecruiter

Log In

1

Ncqa Jobs (NOW HIRING)

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 ...

Independence Blue Cross

Supervisor Appeals

Philadelphia, PA · On-site

$22.25 - $27.50/hr

Educates staff on new or updated procedures, NCQA and state rule changes, and internal process improvements; monitors adoption of procedures to ensure consistency and accuracy. * Coaches, develops ...

Independence Blue Cross

Supervisor Appeals

Philadelphia, PA · On-site

$22.25 - $27.50/hr

Educates staff on new or updated procedures, NCQA and state rule changes, and internal process improvements; monitors adoption of procedures to ensure consistency and accuracy. * Coaches, develops ...

Spectraforce Technologies

Appeals Nurse

Des Moines, IA · On-site

National Committee for Quality Assurance (NCQA) guidelines, including overturning denied claims, upholding the denials and submitting cases to the Medical Director for review * Prepare case review ...

Sage Dental

Credentialing Specialist

Boca Raton, FL · On-site +1

Adhere to NCQA guidelines. * Audit Provider Licensure Files to NCQA guidelines. * Pull Monthly Delegated Verification Files in accordance with NCQA. * Knowledge of Delegated Verification Websites (ie.

CompHealth

Internal Medicine Physician

Raleigh, NC · On-site

Partnership opportunities are available within a Patient-Centered Medical Home recognized by NCQA. Practice Info * All adult practice setting * Patient volume of 16 - 20 patients per day

previous pagenext page

Showing results 21-40

All JobsNcqa Jobs

NCQA information

See salary details

$29K

$131.1K

$331.5K

How much do ncqa jobs pay per year?

As of Aug 10, 2026, the average yearly pay for ncqa in the United States is $131,052.00, according to ZipRecruiter salary data. Most workers in this role earn between $121,000.00 and $138,000.00 per year, depending on experience, location, and employer.

What skills and qualifications are needed for an NCQA position?

To thrive in an NCQA (National Committee for Quality Assurance) role, candidates typically need a strong background in healthcare quality assurance, data analysis, and knowledge of accreditation standards, often supported by a degree in healthcare administration or a related field. Familiarity with quality measurement tools, reporting systems like HEDIS, and NCQA accreditation processes or certifications is highly valued. Strong attention to detail, organizational skills, and the ability to communicate effectively with multidisciplinary teams set exceptional candidates apart. These skills are essential to ensure compliance, improve care quality, and navigate the complex requirements of healthcare accreditation.

Is NCQA a good place to work?

NCQA (National Committee for Quality Assurance) is a reputable organization known for its focus on healthcare quality standards. Employees often cite a professional work environment, opportunities for growth, and the importance of certifications and compliance in their roles. As with any organization, individual experiences may vary based on position and department.

What are the common responsibilities of an NCQA professional?

Professionals in NCQA roles are typically responsible for overseeing compliance with accreditation standards, conducting audits and quality assessments, and preparing documentation for NCQA reviews. They often collaborate with clinical and administrative staff to implement process improvements and ensure data accuracy in quality reporting systems such as HEDIS. Regular responsibilities may also include training teams on best practices, staying updated on changing quality standards, and leading initiatives to drive higher healthcare quality outcomes. This position offers meaningful opportunities to impact patient care and opens pathways to advanced roles in healthcare quality management.

What is an NCQA?

An NCQA job typically involves working with healthcare organizations to ensure compliance with the National Committee for Quality Assurance (NCQA) standards. Professionals in these roles help organizations achieve accreditation or certification by implementing quality improvement processes, conducting audits, and analyzing data. Common NCQA-related positions include quality assurance specialists, accreditation consultants, and analysts who focus on managed care, population health, and performance measurement. These roles require knowledge of NCQA guidelines, healthcare regulations, and data analysis to support quality improvement initiatives.

More about NCQA jobs
What cities are hiring for Ncqa jobs? Cities with the most 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 Ncqa jobs? States with the most job openings for Ncqa jobs include:
What job categories do people searching Ncqa jobs look for? The top searched job categories for Ncqa jobs are:
NCQA jobs near you
Infographic showing various Ncqa job openings in the United States as of August 2026, with employment types broken down into 84% Full Time, 11% Part Time, and 5% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $131,052 per year, or $63 per hour.

Quality & Accreditation Specialist, Michigan

McLaren Medical Group

Flint, MI • On-site

Other

Posted 7 days ago

Job description

National Committee For Quality Assurance Specialist

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.

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:

  1. Accountable for assigned standards from National Committee for Quality Assurance (NCQA), which may involve oversight of delegated activities.
  2. 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.
  3. Counsels, guides and instructs Health Plan employees on adherence to accreditation standards, NCQA-focused activities and other quality improvement initiatives.
  4. 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.
  5. Leads quality projects as directed, including appropriate audits and state projects and requirements.
  6. Assumes project management as directed.

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.

Preferred:

  • 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.

Apply