ZipRecruiter

Log In

2

Remote Ncqa Accreditation Jobs (NOW HIRING)

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

Remote worker with ability to read and write in Spanish and medical records. Under the direction of ... Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state ...

TEEMA Group

Medical Director - Pediatrics

Phoenix, AZ · Remote

$140 - $145/hr

Accreditation Knowledge: Strong familiarity with NCQA, HEDIS, Joint Commission, URAC, or related ... USA - Remote Compensation, Benefits & Perks * Hourly Rate: $140.00 - $145.00 per hour. * Perks:

Geisinger Health

Medical Director Medicaid

Danville, PA · On-site +1

... accreditation & quality * Ensure compliance with state Medicaid contract requirements and with NCQA ... Pennsylvania (onsite/hybrid/remote with periodic in-state travel) Education: Doctor of Medicine or ...

Amerihealth Caritas

Quality Perform Spec Clinical

Raleigh, NC · On-site +1

$31.25 - $41.75/hr

Remote based position with a strong preference for a North Carolina resident. Will support the ... The position also supports accreditation and clinical quality performance improvement activities.

next page

Showing results 1-20

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 Jul 16, 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.
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 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.
Clinical Quality Manager - Remote in PA

Clinical Quality Manager - Remote in PA

UnitedHealth Group

Fort Washington, PA • On-site, Remote

$91K - $163K/yr

Full-time

Retirement

Posted 14 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

191st of 886 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
The Quality Management Manager will monitor and support the health plan quality improvement initiatives with particular emphasis on HEDIS, NCQA, and State Performance measures. You'll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives.
You'll enjoy the flexibility to work remotely * if you are located in Pennsylvania as you take on some tough challenges. This position is remote with up to 10% travel within the PA market.
Primary Responsibilities:
  • Oversee the implementation of plan's quality improvement program (QAPI)
  • Work to coordinate the work with the clinical, operations, and network teams to improve HEDIS and NCQA performance and to close gaps in care
  • Manage Quality work plan programs and activities
  • Collaborate across local and national business segments to achieve goals and targets
  • Develop and maintain positive relationships with external state organizations within the scope of Quality Management
  • Continuously monitor HEDIS, NCQA, and state performance measure results and adjust programs to ensure targeted goals
  • Support Performance Improvement Projects, accreditation, and regulatory audits as needed
  • Develop and mentor quality department staff
  • Oversee quality quarterly review meetings with state partners
  • Serve as panelist for grievance and appeal hearings

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • RN License in the state of Pennsylvania
  • 2+ years of experience with HEDIS and NCQA - this includes PIP and quality improvement project experience
  • 1+ years of leadership/management experience (e.g., Review work of others, serve as an expert in their field, serve as a mentor and leader, lead functional or segment teams or projects, motivate and inspire team members)
  • Experience with outside audit organizations such as External Quality Review Organizations (EQROs)
  • Experience with managed care and insurance industry
  • Experience in writing reports and analyzing performance data
  • Experience creating detailed reports and project management
  • Reside in PA

Preferred Qualifications:
  • 2+ years demonstrated Management experience with responsibility for team performance management
  • Quality improvement experience within a health plan- CPHQ Certification
  • Experience with excel (working with pivot tables) and creating PPT presentations
  • Medicaid experience
  • Clinical experience / background
  • Change management experience and demonstrated skills
  • Proven ability to make independent decisions
  • Proven ability to complete various deliverables utilizing scholarly writing and AI technology

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

What UnitedHealth Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply