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Ncqa Accreditation Jobs (NOW HIRING)

Bcbsa

Accreditation Program Specialist

Chicago, IL · Hybrid

Acts as the primary resource and administrator for NCQA's Interactive Survey Tool, and URAC's web-based application (e.g., AccreditNet) used for evidence of accreditation compliance. Serves as ...

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 ...

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How much do ncqa accreditation jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for ncqa accreditation in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.

What is an NCQA Accreditation?

An NCQA Accreditation job involves ensuring that healthcare organizations comply with the National Committee for Quality Assurance (NCQA) standards. Professionals in this role manage the accreditation process, conduct quality assessments, and implement policies to meet NCQA requirements. They collaborate with healthcare teams to improve patient care and organizational performance. Strong knowledge of NCQA guidelines, healthcare regulations, and quality improvement practices is essential for success in this role.

What are the key skills and qualifications needed to thrive in the NCQA Accreditation position, and why are they important?

To excel in NCQA Accreditation roles, you need a strong understanding of healthcare quality standards, accreditation requirements, and regulatory compliance, typically backed by clinical or health administration experience. Familiarity with NCQA guidelines, audit tools, tracking software, and industry certifications (such as Certified Professional in Healthcare Quality, CPHQ) is vital. Excellent analytical skills, attention to detail, and the ability to collaborate with interdisciplinary teams are soft skills that distinguish top candidates. These abilities are crucial for ensuring organizations meet or exceed accreditation standards, which directly impacts care quality and organizational reputation.

What are some common challenges faced in an NCQA Accreditation role, and how are they typically addressed?

Professionals working in NCQA Accreditation often encounter challenges such as keeping up with regularly updated accreditation standards, ensuring complete and accurate documentation, and coordinating compliance efforts across multiple departments. Addressing these challenges typically involves ongoing education, strong project management skills, and fostering open communication between clinical, quality, and administrative teams. Many organizations support their accreditation staff with cross-functional training sessions and regular updates on evolving compliance requirements. By being adaptable and proactive, team members can efficiently navigate these challenges and contribute to the organization's continuous quality improvement initiatives.

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Ncqa Accreditation jobs near you
Infographic showing various Ncqa Accreditation job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 15% Part Time, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.

NCQA Quality & Accreditation Specialist (Full Time, Remote, North Carolina Based)

Alliance

Remote

$69K - $88K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

The NCQA Quality & Accreditation Specialist serves as the project management lead and subject matter expert for assigned NCQA standard areas and manages the assessment of related business functions for corresponding departments within the scope of NCQA standards (e.g. Provider and Member Services, Utilization Management, Population Health, Care Management, Provider Network, Member and Provider Communications, Delegation Oversight) to support high-quality performance and ensure successful NCQA Accreditation process.
This position is fulltime remote. While there is no expectation of being in the office routinely, they may be required to report to the Alliance Home Office (Morrisville, North Carolina) for business meetings as needed.
Responsibilities & Duties
Implement and Monitor Accreditation Workplan

  • Project management lead for assigned NCQA standard categories within the organization’s QI workplan to achieve and maintain Health Plan Accreditation with LTSS distinction and any additional accreditations Alliance Health pursues
  • Identify gaps and risks and provide regular status reports from NCQA tracker to leadership
  • Serve as lead for NCQA Accreditation reviews for assigned standard categories by gathering all necessary documents and information from business areas, managing timely document submissions to NCQA, facilitating NCQA requests for additional information, and coordinating onsite review activities
  • Review and update policies and procedures, reports, materials, and files for completeness, accuracy, and compliance with NCQA Standards
  • Maintain calendar of documentation due dates, ongoing collection and tagging relevant policies/procedures, reports, materials, and files as appropriate
  • Participate in Delegation Oversight and audits as appropriate
Drive Organizational Accreditation Efforts
  • Provide technical support and education to staff regarding NCQA Health Plan Accreditation and LTSS Distinction Standards and supporting documentation
  • Assess business area functions against current and upcoming NCQA standards and identify potential performance gaps and associated risks and update NCQA tracker upon release of new/updated standards
  • Serve as the accreditation subject matter expert within organizational wide, cross-functional, and multi-disciplinary teams to bring each business area to a state of readiness
  • Identify and facilitate business area process improvements via means such as policies, workflows, and processes; follow-up to ensure improved outcomes
  • Coordinate and collaborate with cross-departmental teams to identify and implement organization-wide strategic initiatives that support quality performance
  • Communicate reporting due dates and reminders to business leads and leadership as appropriate
  • Maintain clear status updates regarding NCQA Readiness on NCQA Tracker, communicating risks as appropriate
Minimum Requirements
Education & Experience
Required:
Bachelor’s degree in Healthcare, Human Services, Public Health Administration, Nursing, Business, or related field and three (3) years of project management experience in a managed care or healthcare setting with knowledge and practical experience health care quality or NCQA Health Plan accreditation processes and requirements.
Preferred:
Experience with NCQA Accreditation standards.
Knowledge of regulatory reporting, compliance requirements, and auditing procedures.
Project management.
Knowledge, Skills, & Abilities
  • Knowledge of NCQA accreditation processes and standards
  • Knowledge and understanding of federal and state regulations
  • Planning, project management and organizational skills
  • Excellent communication skills (written and verbal).
  • Interpersonal skills which are effective, respectful, and sensitive to a diverse and multicultural population of children, families, and co-workers,
  • Problem-solving, mediation, and conflict resolution skills
  • Teamwork and collaboration skills
  • Microsoft Project, Excel, Word (Edits and Tracking), and PowerPoint skills
  • Facilitation skills
  • Ability to work in a fast-paced environment with frequent interruptions
  • Ability to work under minimal supervision
Salary Range
$69,592 - $88,729/ Annual
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity
An excellent fringe benefit package accompanies the salary, which includes:
    • Medical, Dental, Vision, Life, Long Term Disability
    • Generous retirement savings plan
    • Flexible work schedules including hybrid/remote options
    • Paid time off including vacation, sick leave, holiday, management leave
    • Dress flexibility

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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