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Ncqa Accreditation Jobs (NOW HIRING)

HealthCare Partners

Director, Case Management

Garden City, NY · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Provides oversight of Complex Case Management (CCM), Transition of Care (TOC), and Population Health Management (PHM) programs to ensure compliance with NCQA accreditation standards. Ensures annual ...

UST HealthProof

Quality Management Nurse

Detroit, MI · On-site

Provide support in maintaining NCQA accreditation and compliance with regulatory standards. Responsibilities includes analyzing, summarizing, and preparing accreditation reports, collaborating with ...

Mercyhealth

Health and Wellness Educator

Janesville, WI

$49K - $78K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Demonstrates knowledge of NCQA Accreditation Standards and HEDIS Standards and participates in initiatives to achieve and maintain accreditation and improve HEDIS compliance rates. * Assists in the ...

CareFirst

NCQA Quality Manager (Hybrid)

Baltimore, MD · Hybrid

  • Retirement

PURPOSE: The NCQA Quality Manager oversees the NCQA Health Plan and Health Outcomes accreditation process from end to end for all LOBs. They will project manage the efforts and deliverables ...

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How much do ncqa accreditation jobs pay per hour?

As of Aug 14, 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, 81% Full Time, 16% 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.

Quality & Accreditation Specialist, Michigan

McLaren Integrated HMO Group

Flint, MI

Full-time

Re-posted 15 days ago

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:

  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.

 #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.

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.

Additional Information
  • Schedule: Full-time
  • Requisition ID: 26002953
  • Daily Work Times: 8:30 am - 5:00 pm
  • Hours Per Pay Period: 80
  • On Call: No
  • Weekends: No

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