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Ncqa Jobs in Florida (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 ...

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.

Childrens Health Of Ocala

Medical Assistant

Ocala, FL · On-site

$16.50 - $21.25/hr

We are a Patient Centered Medical Home certified by the National Committee for Quality Assurance (NCQA), making us the premier choice pediatric clinic for Marion County.

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Ncqa information

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.

What are the most commonly searched types of Ncqa jobs in Florida? The most popular types of Ncqa jobs in Florida are:
What are popular job titles related to Ncqa jobs in Florida? For Ncqa jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Ncqa jobs in Florida look for? The top searched job categories for Ncqa jobs in Florida are:
What cities in Florida are hiring for Ncqa jobs? Cities in Florida with the most Ncqa job openings:
Ncqa jobs near you
Infographic showing various Ncqa job openings in Florida 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.

Physician / ENT / Florida / Locum or Permanent / Quality Improvement Senior Director- (NCQA) Certifi

Premier Health Careers, Inc / Premier Paths

Hollywood, FL

Full-time

Re-posted 22 days ago

Job description

Are you a RN with a strong Quality background with hands on experience with NCQA accreditation expereince? Do you have this expereince in a Managed Care setting? If you have answered YES to these two important questions, read on you just might be a match for this job!
THIS IS A NEWLY CREATED POSITION AT THIS COMPANY.
Here is more of what our qualified candidate looks like:
  • 7+ years of healthcare operations experience, including quality improvement experience. Managed care experience is highly desired.
  • Certified Professional in Health Care Quality preferred
  • Has been Responsible for National Committee for Quality Assurance (NCQA) IMPORTANT Requirement: Hands on experience with NCQA accreditation experience. Experience going through NCQA accreditation and GONE through and RAN whole process when surveyors onsite. Looking for Director level candidates or above. Managers okay if with a large healthcare organization.
  • Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance.
  • Hands on expereince ensuring health plan is compliant and becomes/remains accredited with NCQA
  • Has formulated and established policies, operating procedures, and goals in compliance with internal and external guidelines.

This position reports to the VP of Quality Improvement. You will have direct reports.
Six figure salary, plus 20% performance bonus, plus full comprehensive benefits package. Please specify salary requirements.
To learn more, please email your resume will full contact details.

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