ZipRecruiter

Log In

2

Remote Ncqa Accreditation Jobs (NOW HIRING)

CVS Health

Sr. Credentialing Specialist

Dallas, TX · On-site +1

$18.50 - $35.29/hr

This role is open to remote candidates, but preference is for candidates in Dallas, TX area that ... Must be familiar with NCQA accreditation standards. * Working knowledge of problem-solving and ...

Oscar Health

Sr. Quality of Care Review Nurse

Tempe, AZ · 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 ...

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 ...

Oscar Health

Sr. Quality of Care Review Nurse

Atlanta, GA · 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 ...

Oscar Health

Sr. Quality of Care Review Nurse

Miami, FL · 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 ...

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 ...

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 ...

Inland Empire Health Plan

Care Manager, LVN (Remote)

$28.25 - $37.75/hr

The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to ...

previous pagenext page

Showing results 21-40

All JobsNcqa Accreditation JobsRemote Ncqa Accreditation Jobs

Remote Ncqa Accreditation information

See salary details

$28

$37

$42

How much do remote ncqa accreditation jobs pay per hour?

As of Aug 8, 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?

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.
More about Remote Ncqa Accreditation jobs
What cities are hiring for Remote Ncqa Accreditation jobs? Cities with the most Remote Ncqa Accreditation job openings:
What are the most commonly searched types of Ncqa Accreditation jobs? The most popular types of Ncqa Accreditation jobs are:
What states have the most Remote Ncqa Accreditation jobs? States with the most job openings for Remote Ncqa Accreditation jobs include:
What job categories do people searching Remote Ncqa Accreditation jobs look for? The top searched job categories for Remote Ncqa Accreditation jobs are:
Remote Ncqa Accreditation jobs near you
Infographic showing various Remote Ncqa Accreditation job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 2% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.

Care Management Lead, (RN OR LSW) - Akron - Remote

Careforth

Akron, OH • On-site, Remote

$68K - $84K/yr

Full-time

Posted 23 days ago

Job description

About Us
A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond.
Position Summary
Reporting to the Manager, Care Management, the Care Management Lead (CML) is responsible for supporting the clinical quality and compliance of care management services. The CML is the lead escalation point for clinical issue management and support. The CML works with teams to ensure compliance with documentation standards, required regulations, and best practices. The CML will collaborate with the Manager, Care Management and consult with additional clinical and compliance resources to ensure the effective onboarding and ongoing clinical support of care management teams to ensure delivery of high-quality services to consumers and caregivers. The CML creates and maintains a person-centered business culture that fosters commitment, continuous improvement, employee and caregiver engagement, and high performance.
What You Will Do
  • Respond to requests from caregivers and consumers and communicate with team members regarding concerns or emerging issues
  • Track consumer risk and work with care teams to adjust the plan of care (POC) as appropriate
  • Manage the case conference process, facilitating case review as well as discussion of risk mitigation strategies and follow-up
  • Resolve and respond to complaints or grievances expressed by consumers or caregivers or their stakeholders
  • Drive effective utilization of established best practices and protocols across the team, ensuring compliance with contractual obligations and NCQA accreditation requirements; observe virtual/home visits with care management team members and review documentation for quality
  • Coach and mentor care team members and identify individual or team training needs; provide training to new clinical team members and others as needed
  • Assist the Manager, Care Management with incident investigations and reporting
  • Ensure continuous survey and audit readiness, maintaining compliance with company policies and practices as well as federal/state/local regulations
  • May supervise administrative staff
  • Perform other projects and duties as assigned

What You Will Bring
  • Bachelor's degree or equivalent, preferably in a health care or social services discipline is required along with a minimum of 4-6 years of experience in case management and care planning for older adults with complex medical conditions and/or individuals with disabilities, preferably in a health care, long-term care, social service or community setting.
  • Must hold an active Registered Nurse (RN) License and/or be a Licensed Social Worker (LSW/LISW) in the state of Ohio
  • Demonstrated ability to coach and mentor others
  • Working knowledge of case management systems, community service and delivery systems, and Microsoft Office suite
  • Ability to travel (usually by automobile) within assigned geographic area; valid driver's license and automobile insurance is required
  • Additional state-specific qualifications may be required

You'll Benefit From
At Careforth your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you: https://careforth.com/careers/#benefits
The pay range for this position is $68,700 - $84,200. The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location.
#LI-Remote (Role is remote; for Akron, OH only)
Join Our Award Winning Team
Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn.
Caregivers play a critical role in the future of healthcare-and so can you.
Apply now!
For more information, please visit www.Careforth.com.
Careforth is an Equal Opportunity Employer*
DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
*Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law.
Careforth strives to create experiences that are accessible and welcoming to everyone, including making www.careforth.com and the careers site accessible to any and all users. If you would like to contact us regarding the company's diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333.

Apply