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Neighborhood Health

The Director develops a thorough understanding of The Joint Commission accreditation requirements, the NCQA recognition standards for Patient-Centered Medical Home recognition, and the HRSA ...

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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.

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NCQA jobs near you
Infographic showing various Ncqa job openings in the United States as of August 2026, with employment types broken down into 6% As Needed, 82% Full Time, 9% Part Time, and 3% Contract. Highlights an 75% Physical, 3% Hybrid, and 22% Remote job distribution, with an average salary of $131,052 per year, or $63 per hour.

Quality Accreditation Coordinator

SOLIS Health Plans

Miami, FL • On-site

Other

Posted 17 days ago

Job description

POSITION SUMMARY
The Quality and Accreditation Coordinator supports the organization's quality improvement, regulatory compliance, and NCQA accreditation activities. This role is responsible for assisting the Director of Quality Operations in coordinating quality programs, monitoring performance measures, supporting NCQA health plan accreditation surveys, maintaining required documentation, and collaborating with internal departments to ensure compliance with federal, state, and NCQA health plan accreditation standards. The coordinator assists in driving continuous quality improvement initiatives that improve member outcomes, operational performance, and health plan effectiveness.
Position is onsite Monday-Friday.
ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Review and analyze data across various areas, including claims, authorizations, grievances, appeals, case management, network adequacy, membership composition, and other related fields.
  • Assist with QOC investigation, QIC Prep, monitoring, and auditing.
  • Supports with preparation of evidence files and documentation for NCQA health plan accreditation surveys.
  • Collects reporting for measurement and benchmarking of performance measures in relation to best practices for NCQA, CMS, and internal business objectives.
  • Ensures data is accurate, reliable, and reported timely.
  • Collects performance indicator reports and benchmark narratives for review by Director of Quality Operations for performance improvement recommendations.
  • Assists with monitoring quality performance, outcomes, and/or metrics to make recommendations for targeted process improvement projects.
  • Prepares overviews and interpretation of reports; and following up on assigned action items for various projects, meetings, and committees.
  • Assists with accreditation and quality-related education to staff as needed.
  • Assists with problem analysis for strategic planning initiatives.
  • Solves data integrity issues as they arise, and monitor the addition of new data, analytics, and reporting systems.
  • Assist with interpretation and translation of data for senior management for use in meaningful decision making, and strategic planning purposes.
  • Assists with internal and external audits and preparation of audit responses.
  • Collects supporting documentation to support review of Quality-of-Care concern investigations.
QUALIFICATIONS AND EDUCATION
  • HS Diploma required or Associate's degree in Healthcare Administration, Nursing, or related field.
  • 2+ years of experience in managed care, Medicare, Medicaid, or health plan setting.
  • Bilingual in English and Spanish.
  • Relevant experience may substitute for the educational requirement on a year-for-year basis.
  • Experience with NCQA health plan accreditation standards
  • Knowledge of federal regulations and industry standards.
  • Strong data analytical and problem-solving skills.
  • Excellent communication and documentation abilities.
  • Attention to detail with a focus on data integrity.
  • Experience using Microsoft applications.
  • Expert knowledge in Excel.
WORKING CONDITIONS
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The noise level in the work environment is usually moderate.
  • Fast-paced office environment.
  • Highly regulated environment.
  • Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.
This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period.
The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or listen. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
PERFORMANCE MEASUREMENTS
  • Duties accomplished at the end of the day/month.
  • Attendance/punctuality.
  • Compliance with Company regulations.
  • Safety and Security.
  • Quality of work.

This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties.
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.

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