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Remote Ncqa Accreditation Jobs (NOW HIRING)

LSMA Management Inc

Preventative Care Advocate

Fresno, CA · On-site +1

$33.65 - $35.10/hr

... NCQA accreditation standards, DMHC regulatory requirements, and contracted health plan quality ... Work is performed in office, remote, and provider office environments, with frequent use of ...

Monument Health

Enrollment Coordinator

Rapid City, SD · Remote

$22.63 - $28.29/hr

... with NCQA Accreditation standards and is directly responsible for payer enrollment of ... States eligible for remote work: SD, FL, GA, KY, OH, SC, TN, TX, VA, WY. Monument Health offers ...

Monumenthealth

Enrollment Coordinator

Rapid City, SD · Remote

$22.63 - $28.29/hr

... with NCQA Accreditation standards and is directly responsible for payer enrollment of ... States eligible for remote work: SD, FL, GA, KY, OH, SC, TN, TX, VA, WY. Monument Health offers ...

Oscar Health

Sr. Quality of Care Review Nurse

Dallas, TX · Remote

$83K - $109K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Experience with NCQA accreditation standards for utilization management, case management or ...

CareFirst

Business Consultant (Remote)

Baltimore, MD · Remote

Develops and updates Medicaid and Medicare Advantage policies and SOPs with input from key stakeholders that comply with State and Federal regulations and NCQA accreditation standards; maintains ...

Jobs for Humanity

Quality Compliance Specialists

Salem, OR · Remote

$21.82 - $42.55/hr

Specialist, Quality Interventions/QI Compliance (Remote) Application Deadline: Open Until Filled ... NCQA accreditation surveys and federal/state QI compliance activities. Only candidates with ...

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Remote Ncqa Accreditation information

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How much do remote ncqa accreditation jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for remote ncqa accreditation in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.

What is remote NCQA accreditation?

Remote NCQA accreditation refers to the process of a healthcare organization obtaining accreditation from the National Committee for Quality Assurance (NCQA) without requiring in-person site visits. Instead, all reviews, documentation submissions, and interviews are conducted virtually using secure online platforms. This approach allows organizations to demonstrate their compliance with NCQA standards while reducing travel, increasing flexibility, and maintaining safety, especially important during public health concerns or for organizations in remote locations.

What are some common challenges faced by professionals working remotely on NCQA accreditation projects?

Professionals working remotely on NCQA accreditation projects often encounter challenges such as coordinating documentation reviews across multiple teams, ensuring timely communication with stakeholders, and managing strict deadlines. Since much of the work relies on cross-functional collaboration, staying organized and using digital project management tools is essential. Additionally, understanding the evolving NCQA standards and maintaining compliance remotely can require proactive learning and regular virtual meetings to stay aligned with team goals.

What is the difference between Remote Ncqa Accreditation vs Remote Medical Coder?

AspectRemote Ncqa AccreditationRemote Medical Coder
CertificationsNCQA Accreditation, relevant healthcare quality certificationsCertified Coding Specialist (CCS), CPC, or equivalent
Work EnvironmentRemote, healthcare organizations, quality assurance teamsRemote, healthcare facilities, insurance companies
Industry UsageHealthcare quality improvement, compliance, accreditationMedical record coding, billing, reimbursement

Remote Ncqa Accreditation focuses on healthcare quality standards and accreditation processes, requiring knowledge of NCQA guidelines. Remote Medical Coders specialize in translating medical records into standardized codes for billing and reimbursement. While both roles are remote and healthcare-related, Ncqa Accreditation professionals focus on quality assurance, whereas Medical Coders handle coding tasks. Understanding these differences helps job seekers identify the right career path based on their skills and certifications.

What are the key skills and qualifications needed to thrive as a Remote NCQA Accreditation Specialist, and why are they important?

To thrive as a Remote NCQA Accreditation Specialist, you need expertise in healthcare quality standards, regulatory compliance, and thorough knowledge of NCQA guidelines, typically supported by a healthcare-related degree and relevant work experience. Familiarity with accreditation management software, quality improvement tools, and electronic document management systems is essential. Strong analytical thinking, attention to detail, and effective written and verbal communication skills help ensure thorough documentation and collaboration with internal teams. These skills are crucial for maintaining compliance, achieving accreditation, and supporting continuous quality improvement in healthcare organizations.
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Remote Ncqa Accreditation jobs near you
Infographic showing various Remote Ncqa Accreditation job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 77% Full Time, 20% Part Time, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.
Senior Specialist, Delegation Oversight (Remote)

Senior Specialist, Delegation Oversight (Remote)

Molina Healthcare

Long Beach, CA • Remote

Full-time

Re-posted 6 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides senior level support for delegation oversight activities.  Oversees delegated activities to ensure compliance with state, federal, contractual, National Committee for Quality Assurance (NCQA), and Molina requirements.

Essential Job Duties

Under general leadership supervision, performs pre and post-delegation assessments and annual credentialing audits and monitoring of delegated activities to ensure compliance with NCQA, state and federal requirements.
Monitors post-audit delegated activities to ensure compliance with state health plan and NCQA requirements.
Prepares status reports from delegated entities. 
Ensures compliance with reporting requirements by tracking the receipt and completeness of reports.
Evaluates monthly scorecards to monitor compliance of delegation oversight activities and delegate performance metrics.
Develops corrective action plans (CAPs) when compliance issues are identified, and documents follow-up to completion.
Assists in the preparation of the delegation oversight committee, including the preparation of documents for committee oversight of delegated functions.
Assists in preparation of delegate profiles and works with the network management team to develop and maintain delegation agreements and assessment tools.
Assists in preparation of delegation oversight document evidence for state monitoring visits and NCQA accreditation surveys. 
Provides training and support to new and existing delegation oversight team members.
 

Required Qualifications

At least 3 years of managed care experience, year experience completing delegation oversight assessment/ audits, or equivalent combination of relevant education and experience.
Data analysis experience.
Ability to work independently or in a team, support multiple projects at once, and perform other duties or special projects as required.
Ability to collaborate cross-functionally across a highly matrixed organization.
Attention to detail and organizational skills.
Critical-thinking, and problem-solving/analytical abilities.
Project management skills/knowledge of project management tools/processes.
Effective interpersonal and verbal/written communication skills.  
Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs.
 

Preferred Qualifications

Quality management/regulatory/delegation oversight/auditing experience with increasing responsibility.
 


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

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About Molina Healthcare

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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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