ZipRecruiter

Log In

1

Ncqa Jobs in Virginia (NOW HIRING)

MTM

Customer Care Representative - On Site

Norton, VA · On-site

$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

Wise, VA · On-site

$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 ...

Evolent

Internal Medicine Physician

Arlington, VA · On-site

... NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and ...

Evolent

Radiology Physician

Arlington, VA · On-site

$368K - $460K/yr

... NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and ...

AMN Healthcare, Inc.

General Pediatrician

Norfolk, VA

$200K - $220K/yr

Work in an NCQA-recognized patient-centered medical home * Bring strong charting, documentation, responsiveness, and communication skills to the role Community Information Suffolk, Virginia, is a ...

Evolent

Cardiology Physician

Arlington, VA · On-site

$407K - $460K/yr

... Assurance (NCQA) guidelines. * Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. * Participates in on-going ...

previous pagenext page

Showing results 21-40

All JobsNcqa JobsNcqa Jobs in Virginia

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 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 August 2026, with employment types broken down into 6% As Needed, 75% Full Time, 13% Part Time, and 6% Contract. Highlights an 81% In-person, and 19% Remote job distribution.

Physician Oncology-Medical Oncology - Competitive Salary

Evolent

Arlington, VA • On-site

Other

Re-posted 10 days ago

Evolent rating

8.4

Company rating: 8.4 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

73rd of 500 rated business services

Job description

Lead the Transformation in Oncology Care


At Evolent, we’re redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact. This role offers the opportunity to collaborate with top-tier clinicians, influence care pathways, and drive innovation in one of the most critical areas of health care. If you're passionate about making a measurable difference in oncology, this is your platform to lead with purpose.


In this role, you will combine your clinical oncology expertise with a focus on value-based strategy and transformation. Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation.


Core Responsibilities

  • Clinical Review & Peer Collaboration

    • Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality and cost-effective care.

    • Conduct peer-to-peer discussions with requesting oncologists—not only to explain determinations but to partner in driving practice patterns aligned with value and quality outcomes.

    • Support clinical reviewers as a subject matter expert and resource.

  • Practice & Physician Engagement

    • Actively participate in engagement sessions with oncology practices, sharing best clinical practices and supporting broader adoption of evidence-based pathways.

    • Foster trusted peer relationships with oncologists to encourage sustainable behavior change that improves patient outcomes.

    • Support practice-level transformation initiatives that reduce unwarranted variation and enhance quality.

  • Internal Strategy & Value Initiatives

    • Collaborate with Evolent’s clinical leadership on the design, build, and execution of new value initiatives in oncology.

    • Provide input on innovation opportunities, clinical algorithms, and models of care that support transformation in specialty care.

    • Partner with operational and analytic teams to assess the impact of interventions and identify opportunities for continuous improvement.

    • Participate in audit processes to validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation, performance metrics, and contractual expectations.

  • Compliance & Quality

    • Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards.

    • Document peer interactions and clinical decisions in a timely and accurate manner.

    • Participate in training and inter-rater reliability processes.



What Evolent employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply