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Ncqa Jobs in Virginia (NOW HIRING)

Sentara Health

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$10K/mo

Experience supporting an NCQA HEDIS compliance audit.(preferred) * Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange Keywords: LinkedIn , HEDIS, Cotiviti ...

MTM

Customer Care Representative - On Site

Wise, VA

$17/hr

Be part of a company that consistently exceeds NCQA standards for customer service * Enjoy a supportive environment, including multilingual assistance available 24/7, 365 days a year If you're ready ...

MTM

Customer Care Representative - On Site

Norton, VA

$17/hr

Be part of a company that consistently exceeds NCQA standards for customer service * Enjoy a supportive environment, including multilingual assistance available 24/7, 365 days a year If you're ready ...

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Ncqa information

What are the key skills and qualifications needed to thrive in the Ncqa position, and why are they important?

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.

How do you become NCQA certified?

To become NCQA certified, organizations must meet specific standards by submitting an application, undergoing a comprehensive review process, and demonstrating compliance through documentation and on-site assessments. The process often involves staff training, data collection, and continuous quality improvement efforts.

Is NCQA a good place to work?

NCQA offers roles related to healthcare quality measurement and accreditation, often requiring strong analytical skills and attention to detail. Employees report a professional environment with opportunities for growth, though experiences can vary based on position and department.

What does the NCQA do?

The NCQA (National Committee for Quality Assurance) is an organization that develops standards and measures to evaluate the quality of healthcare organizations and providers. Jobs related to NCQA often involve assessing compliance, data analysis, and quality improvement initiatives within healthcare settings.

What are some common responsibilities for professionals working in NCQA roles within healthcare organizations?

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 job?

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.

How much does a NCQA VP make?

A Vice President (VP) at NCQA typically earns between $150,000 and $250,000 annually, depending on experience, location, and responsibilities. Compensation may also include bonuses and benefits, with senior roles requiring strong leadership and healthcare quality expertise.
What are the most commonly searched types of Ncqa jobs in Virginia? The most popular types of Ncqa jobs in Virginia are:
What are popular job titles related to Ncqa jobs in Virginia? For Ncqa jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Ncqa jobs in Virginia look for? The top searched job categories for Ncqa jobs in Virginia are:
What cities in Virginia are hiring for Ncqa jobs? Cities in Virginia with the most Ncqa job openings:
Ncqa jobs near you
Infographic showing various Ncqa job openings in Virginia as of July 2026, with employment types broken down into 2% As Needed, 87% Full Time, 8% Part Time, and 3% Contract. Highlights an 78% Physical, 3% Hybrid, and 19% Remote job distribution.

IT HEDIS & Analytics Manager

Sentara Health

Norfolk, VA • On-site, Remote

$10K/mo

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Sentara Health rating

6.9

Company rating: 6.9 out of 10

Based on 395 frontline employees who took The Breakroom Quiz

453rd of 887 rated healthcare providers

Job description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

OverviewThe IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization’s HEDIS program. This role manages ETL developers and operational support staff while serving as a key IT partner to HEDIS, Quality, business, vendor, audit, and project stakeholders. The manager oversees HEDIS data feeds, production operations, platform support, data-quality controls, technical documentation, vendor coordination, audit support, and reporting deliverables. This role will also support a major HEDIS engine replacement initiative, including migration from the current Inovalon/Cotiviti environment to a future-state platform with Arcadia supporting portions of HEDIS and NCQA-related functionality. Education
  • Bachelor’s degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or a related field (Preferred)
or
  • 7+ years relevant experience may be accepted in lieu of degree
Certification/Licensure
  • No specific certification or licensure requirements
Experience
  • Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions (required )
  • Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams, including direct oversight of staff (required)
  • Experience supporting HEDIS data processing, reporting, validation, audits, quality-measurement platforms, or HEDIS engine implementation, replacement, migration, or parallel-validation activities(Required)
  • Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support.
  • Experience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business, vendor, audit, project, and executive stakeholders.(preferred)
  • Experience supporting an NCQA HEDIS compliance audit.(preferred)
  • Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange

Keywords: LinkedIn , HEDIS, Cotiviti, Innovalan,Arcadia

Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down – $10,000• Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance 
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.


In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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