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Ncqa Jobs (NOW HIRING)

McLaren

Quality & Accreditation Specialist

Flint, MI · On-site

The NCQA Specialist coordinates quality improvement activities and supports various functions within the scope of the Plan quality improvement program, working both independently and as a team member.

Strive Health

Sr. Manager, Quality & Delegation

Denver, CO · On-site

$108K - $136K/yr

WHAT YOU'LL DO The Sr. Manager, Quality and Delegation serves as a quality liaison to support care management teams in monitoring NCQA performance through the clinical audit process and ensuring ...

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How much do ncqa jobs pay per year?

As of Jul 3, 2026, the average yearly pay for ncqa in the United States is $131,052.00, according to ZipRecruiter salary data. Most workers in this role earn between $121,000.00 and $138,000.00 per year, depending on experience, location, and employer.

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.
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Ncqa jobs near you
Infographic showing various Ncqa job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 87% Full Time, 8% Part Time, and 2% Contract. Highlights an 75% Physical, 2% Hybrid, and 23% Remote job distribution, with an average salary of $131,052 per year, or $63 per hour.
(RN)Auditor, Healthcare Services - NCQA

(RN)Auditor, Healthcare Services - NCQA

Molina Healthcare

Rio Rancho, NM • On-site

$29.05 - $56.64/hr

Full-time

Posted 18 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance

Job description

JOB DESCRIPTION 

Job Summary

Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care. This role supports the New Mexico Turquoise Care Contract. 
 

Essential Job Duties

• Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed. 
• Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met. 
• Assesses clinical staff regarding appropriate clinical decision-making. 
• Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership. 
• Ensures auditing approaches follow a Molina standard in approach and tool use. 
• Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications. 
• Adheres to departmental standards, policies and protocols. 
• Maintains detailed records of auditing results. 
• Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results. 
• Meets minimum production standards related to clinical auditing. 
• May conduct staff trainings as needed. • Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct. 
 

Required Qualifications

• At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN). License must be active and restricted in state of practice. 
• Strong attention to detail and organizational skills. 
• Strong analytical and problem-solving skills. 
• Ability to work in a cross-functional, professional environment. 
• Ability to work on a team and independently. 
• Excellent verbal and written communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 
 

Preferred Qualifications

Prior experience in clinical review/auditing of care management.

Familiarity with the New Mexico Turquoise Care Contract, NCQA (National Committee for Quality Assurance) auditing and performance standards or  IPRO. 

Analytical ability to review data and determine quality trends. 
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $29.05 - $56.64 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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