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Ncqa Jobs in Minnesota (NOW HIRING)

Dietitian - Melrose Center

Minneapolis, MN · On-site

  • Medical

  • Dental

  • Retirement

This position requires credentialing, following the National Committee for Quality Assurance (NCQA) guidelines. * This position provides psychotherapy to patients and requires Park Nicollet to comply ...

The incumbent must maintain licensure to practice optometry in the State of Minnesota This position requires credentialing, following the National Committee for Quality Assurance (NCQA) guidelines.

Customer Care Representative - WFH Minnesota

Mendota Heights, MN · Remote

$15 - $16.37/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Be part of a company that exceeds NCQA standards for customer service. * Enjoy a supportive environment with multilingual services available 24/7, 365 days a year . If you're ready to transform lives ...

Contract Manager

Bloomington, MN · On-site

$60K - $132K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Interprets contractual requirements including federal and state regulations and NCQA. Required Qualifications: 5+ years of working knowledge in the healthcare industry, including competitor ...

Contract Manager

Saint Paul, MN · On-site

$60K - $132K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Interprets contractual requirements including federal and state regulations and NCQA. Required Qualifications: 5+ years of working knowledge in the healthcare industry, including competitor ...

MN · On-site

$136K - $204K/yr

  • Medical

  • Retirement

The incumbent must maintain licensure to practice optometry in the State of Minnesota This position requires credentialing, following the National Committee for Quality Assurance (NCQA) guidelines.

Showing results 21-40

Ncqa information

See Minnesota salary details

$28.2K

$127.3K

$322.1K

How much do ncqa jobs pay per year?

As of Aug 15, 2026, the average yearly pay for ncqa in Minnesota is $127,333.00, according to ZipRecruiter salary data. Most workers in this role earn between $117,565.00 and $134,083.00 per year, depending on experience, location, and employer.

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 Minnesota?

The most popular types of Ncqa jobs in Minnesota are:

What cities in Minnesota are hiring for Ncqa jobs?

Cities in Minnesota with the most Ncqa job openings:

Infographic showing various Ncqa job openings in Minnesota as of August 2026, with employment types broken down into 5% As Needed, 86% Full Time, 7% Part Time, and 2% Contract. Highlights an 74% Physical, 3% Hybrid, and 23% Remote job distribution, with an average salary of $127,333 per year, or $61.2 per hour.

Medical Director - Spine and Brain Surgery - Remote

UnitedHealth Group

Minneapolis, MN • On-site, Remote

$248K - $373K/yr

Full-time

Retirement

Re-posted 10 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers


Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Reviews surgical and other professional claims for correct coding using clinical record
  • Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable
  • Discusses cases and clinical coding situations with treating providers telephonically during scheduled hours
  • Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews
  • Composes, if needed, patient situation specific, clinical summaries and rationales for medical necessity decisions
  • Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers)
  • Provide Clinical support for staff that conduct initial reviews

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Current, active, and fully unrestricted medical license
  • Current board certification in Neurological Surgery through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA)
  • 5+ years of clinical experience with brain and spine surgeries post residency
  • MS Office (MS Word, Excel, and Power Point)

Preferred Qualifications:
  • Experience working for a managed care organization
  • Experience with professional claim coding / claim coding reviews
  • Knowledge of claim coding resources and techniques
  • Proficient computer skills and ability to learn to use clinical and claims software
  • Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Compensation for this specialty generally ranges from $248,500.00 to $373,000.00. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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