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Ncqa Validation Analyst Jobs (NOW HIRING)

Betterhealthgroup

Quality Analyst

Tampa, FL · On-site

$60 - $80/hr

Validate data accuracy and investigate discrepancies across multiple systems. * Perform root cause ... Support compliance with CMS, NCQA, HEDIS, Medicare Advantage, and organizational quality standards.

Betterhealthgroup

Quality Analyst

Tampa, FL · On-site

Validate data accuracy and investigate discrepancies across multiple systems. * Perform root cause ... Support compliance with CMS, NCQA, HEDIS, Medicare Advantage, and organizational quality standards.

Prime Therapeutics

Regulatory Analyst - Remote

Home, WA · Remote

$66K - $106K/yr

... NCQA, participate in commercial and Client driven external audits, annual reviews, and pre ... samples, validating regulatory requirements, and review and validation of processes against ...

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How much do ncqa validation analyst jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for ncqa validation analyst in the United States is $27.91, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $34.13 per hour, depending on experience, location, and employer.

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Population Health Manager

Manhattan, NY • On-site

Apicha Community Health Center
Outpatient Health Care • 51 - 200 employees
Learn more about Apicha Community Health Centerexternal

$65K - $75K/yr

Full-time

Medical, Life, PTO

Posted 6 days ago

Job description

Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental health, and supportive services. The center is dedicated to delivering high-quality, culturally competent services that enhance the quality of life. It also advocates for and offers a welcoming environment for underserved and vulnerable populations.


Position Summary:

We are looking for a Population Health Manager for our Manhattan location.  They will collaborates with a multidisciplinary staff to meet Population Health and quality improvement goals through projects aligned with the mission of Apicha and its strategic goals. The Population Health Manager supports the implementation of strategies to drive clinical transformation toward value-based care delivery and addressing underlying health disparities and social determinants of health. The role encompasses analysis and review of trends and projections of key clinical metrics, supporting new program development, and making recommendations to ensure the viability of the organization over the short and long term. The position requires an understanding and awareness of a dynamic healthcare landscape, including evidence-based practice, value-based payment, and delivery system transformation in order to achieve high quality of care. 

 The major duties of the position include, but are not limited to: 

 Project Management 

  • Assist in the development of project scopes and statements of work under the guidance of the Director of Population Health Management
  • Monitor project progress by tracking milestones, resolving problems, and coordinating status update meetings with stakeholders
  • Development of workplans and protocols designed to guide team activities, ensuring delivery of key performance initiatives and goals
  • Coordinate data collection and reporting of member enrollment and quality performance indicators with Managed Care Organization value-based initiatives and related reviews

Data Analysis and Validation

  • Analyze complex healthcare data from multiple, disparate sources to identify best practices, care delivery trends and clinical practice variation
  • Utilize Excel and/or business intelligence tools (Tableau, Power BI, SAS) in the development of presentations, research abstracts, and agency-wide reports
  • Validate data using various electronic health record and population health management systems and identify data discrepancies with demographic or clinical information
  • Support efforts to ensure data integrity and validity, and perform ongoing quality assurance of data and reports, including NCQA PCMH accreditation, HEDIS/QARR, UDS, and HIV Treatment Cascade
  • Validate data accuracy of Population Health dashboards supporting improvement of patient health outcomes
  • Support implementation process and data optimization efforts to ensure data is accurate and reliable for use in performance improvement efforts

Quality Improvement 

  • QI/QA activities shall be a part of the PHM's daily responsibilities. 
  • Ensure implementation and update of QI/QA operating procedures and completion of assessments and reporting QI/QA outcomes
  • Lead QI initiatives by applying quality improvement methodologies (i.e., RCA, PDSA, DMAIC) and assists clinical and non-clinical teams in developing appropriate tracking metrics to monitor performance and ensure compliance with the Apicha QI/QA Plan
  • Assist Director of Medicine in the performance of root cause analyses and recommends appropriate actions to improve clinical and non-clinical outcomes; develops visual presentations of current QI projects and accomplishments
  • Collaborate with clinicians and staff to conduct quality assurance activities to meet various external reporting requirements including PCMH accreditation, HIVQUAL, UDS and RSR

Staff Management

  • Supervises Quality Improvement Coordinator (QIC) in meeting project goals and performance outcomes

Qualifications:

  • Bachelor’s degree in Nursing, Health Care Administration, or related field required; advanced degree in related field, such as MS, MPH, or MA, strongly preferred. 
  • Experience managing projects in health care quality improvement, performance improvement, and/or practice transformation preferred. 
  • Intermediate to advanced analytic skills and knowledge of research methods, data collection, and analytical methodologies
  • Ability to adapt with evolving Population Health quality performance standards and measures
  • Familiarity with medical terminology, ICD-10, and CPT coding strongly preferred 
  • Understanding of UDS, HEDIS, and NCQA PCMH accreditation quality standards
  • Excellent verbal and written communication skills; detail oriented; excellent proofreading and editing skills
  • Strong working knowledge of Microsoft Office applications (Word, Excel, PowerPoint)
  • Ability to work independently and in a team environment; ability to work with multidisciplinary staff with diverse backgrounds
  • Ability to stand, walk or sit for an extended period of time
  • Ability to hear within normal range
  • Ability to see within normal range
  • Noise level is moderate


At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City as such we are proud to offer our team members a competitive employee benefits package which include 12 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.