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Ncqa Jobs in Iowa (NOW HIRING)

Imh

RN Ambulatory Care Manager

Nevada, IA

Assesses patients per NCQA standards as appropriate. * Care Plan Management : Develops, maintains, and monitors patient care plans consistent with NCQA and department policies/guidelines, ensuring ...

Pwc

Payer Healthcare Data Scientist, Manager

Des Moines, IA · On-site

$99K - $232K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... NCQA HEDIS specifications and CMS Star Ratings - Knowledge of government payer programs and Medicaid - Experience with NLP or unstructured clinical text - Exposure to social determinants of health ...

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Ncqa information

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 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 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 popular job titles related to Ncqa jobs in Iowa?

For Ncqa jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Ncqa jobs in Iowa look for?

The top searched job categories for Ncqa jobs in Iowa are:

What cities in Iowa are hiring for Ncqa jobs?

Cities in Iowa with the most Ncqa job openings:

Ncqa jobs near you
Infographic showing various Ncqa job openings in Iowa as of August 2026, with employment types broken down into 5% As Needed, 81% Full Time, 12% Part Time, and 2% Contract. Highlights an 74% Physical, 3% Hybrid, and 23% Remote job distribution.

Practitioner Mgmt Coord (US)

Millennium Physician Group

Nevada, IA

$24.20 - $43.56/hr

Full-time

Posted 5 days ago

Millennium Physician Group rating

6.3

Company rating: 6.3 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

670th of 887 rated healthcare providers

Job description

Job Description Summary

The Credentialing & Enrollment Specialist is responsible for coordinating and maintaining provider credentialing and enrollment activities to ensure compliance with organizational, regulatory, and health plan requirements. This role manages initial credentialing and recredentialing inventories, supports provider enrollment processes, conducts outreach for missing documentation, communicates credentialing decisions, and serves as a liaison between providers, network partners, and internal stakeholders. The position requires strong organizational skills, attention to detail, proficiency in Microsoft Excel, and excellent written and verbal communication skills.

How will you make an impact & Requirements

  • Manage and maintain assigned initial credentialing and recredentialing inventories to ensure timely completion and compliance with established turnaround times.
  • Review credentialing and enrollment applications for completeness and accuracy.
  • Conduct outreach to providers, provider groups, and internal stakeholders to obtain missing or required documentation.
  • Track and monitor credentialing and enrollment status through various systems and reports.
  • Communicate credentialing approvals, denials, and status updates to providers and internal business partners.
  • Support provider enrollment activities with government and commercial payers.
  • Maintain accurate provider records, files, and databases.
  • Monitor shared departmental email inboxes and respond to inquiries in a timely and professional manner.
  • Collaborate with network partners, health plans, provider offices, delegated entities, and internal departments to resolve credentialing and enrollment issues.
  • Prepare and maintain Excel spreadsheets, tracking logs, and reports for operational and audit purposes.
  • Ensure compliance with NCQA, CMS, state regulatory, and organizational credentialing requirements.
  • Assist with credentialing audits, data validation, and special projects as assigned.
  • Escalate complex issues and aging inventory items as appropriate.

Required Education and Experience

  • High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
  • Minimum of 2 years of healthcare credentialing and/or provider enrollment experience.
  • Experience working with health plans, provider groups, or managed care organizations preferred.
  • Knowledge of provider credentialing, recredentialing, and enrollment processes.

Knowledge, Skills, and Abilities

  • Strong proficiency in Microsoft Excel, including sorting, filtering, reporting, and data management.
  • Excellent verbal and written communication skills.
  • Strong attention to detail and organizational skills.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Experience maintaining shared mailboxes and managing high-volume communications.
  • Ability to work independently and collaboratively with cross-functional teams.
  • Customer service oriented with strong problem-solving skills.
  • Knowledge of credentialing regulations, accreditation standards, and provider data management preferred.
Preferred Experience
  • Experience with NCQA credentialing standards.
  • Experience with provider enrollment systems, CAQH, PECOS, NPPES, Availity, and state Medicaid enrollment portals.
  • Experience supporting delegated credentialing or managed care network operations.

Compensation Range:

$24.20

to

$43.56

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

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