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Remote Ncqa Jobs (NOW HIRING)

LSMA Management Inc

Preventative Care Advocate

Fresno, CA · On-site +1

$33.65 - $35.10/hr

Understanding of NCQA, CMS, DMHC, and health plan quality program requirements preferred ... Work is performed in office, remote, and provider office environments, with frequent use of ...

The CKHobbie Group

... with NCQA guidelines and measure specifications. Your clinical judgment and attention to detail ... remote environment while maintaining performance expectations. This position is ideal for ...

VIVA USA INC

Quality Audit Specialist

Chicago, IL · On-site +1

Understanding of NCQA HEDIS quality measures and related code value sets. Experience in HEDIS value ... Fully remote This is a contract role with the possibility of conversion to full-time based on ...

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How much do remote ncqa jobs pay per year?

As of Jul 24, 2026, the average yearly pay for remote ncqa in the United States is $56,684.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $61,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Ncqa vs Remote Medical Reviewer?

AspectRemote NcqaRemote Medical Reviewer
Required CredentialsMedical license, NCQA certificationMedical license, specialty-specific certifications
Work EnvironmentHome-based, administrative tasks, data reviewHome-based, clinical review of medical records
Industry UsageHealthcare quality organizations, insurance companiesInsurance companies, healthcare providers
Common Search/ComparisonRemote Ncqa vs Remote Medical Reviewer

Remote Ncqa and Remote Medical Reviewer roles both involve healthcare quality and review tasks, often working from home. While both require medical credentials, Remote Ncqa focuses on healthcare quality standards and accreditation, whereas Remote Medical Reviewers primarily evaluate medical records for insurance claims or clinical accuracy. Understanding these differences helps job seekers identify roles aligned with their certifications and career goals.

What are the key skills and qualifications needed to thrive as a Remote NCQA (National Committee for Quality Assurance) professional, and why are they important?

To thrive as a Remote NCQA professional, you need a comprehensive understanding of healthcare quality standards, accreditation processes, and regulatory compliance, often supported by experience in healthcare administration or related certifications. Familiarity with NCQA guidelines, quality management software, and electronic health record (EHR) systems is typically required. Strong attention to detail, analytical thinking, and effective communication skills are crucial for success in remote environments. These skills ensure the accurate evaluation and implementation of quality standards, which are vital for maintaining accreditation and improving patient care outcomes.

What are remote NCQA jobs?

Remote NCQA jobs are positions that involve working from home or another remote location to support the standards and accreditation processes of the National Committee for Quality Assurance (NCQA). These roles often include responsibilities such as quality assurance, healthcare compliance, auditing, and documentation review for healthcare organizations. Remote NCQA professionals may work as auditors, consultants, or quality analysts, helping ensure healthcare organizations meet NCQA standards for accreditation. These jobs require knowledge of NCQA guidelines and strong attention to detail, as well as experience in healthcare administration or quality improvement.

What are some common challenges faced by professionals working remotely in NCQA-related roles, and how can they be addressed?

Professionals working remotely in NCQA (National Committee for Quality Assurance) roles often face challenges such as coordinating effectively with cross-functional teams, managing detailed documentation, and staying up-to-date with evolving accreditation standards. To address these, it’s important to leverage collaboration tools, establish regular virtual meetings, and maintain organized digital records. Staying engaged with professional development opportunities and NCQA updates can also help remote team members remain effective and compliant.
More about Remote Ncqa jobs
What cities are hiring for Remote Ncqa jobs? Cities with the most Remote Ncqa job openings:
What are the most commonly searched types of Ncqa jobs? The most popular types of Ncqa jobs are:
What states have the most Remote Ncqa jobs? States with the most job openings for Remote Ncqa jobs include:
What job categories do people searching Remote Ncqa jobs look for? The top searched job categories for Remote Ncqa jobs are:
Remote Ncqa jobs near you
Infographic showing various Remote Ncqa job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 12% Internship, 2% As Needed, 66% Full Time, 4% Part Time, and 10% Nights. Highlights an 75% Physical, 3% Hybrid, and 22% Remote job distribution, with an average salary of $56,684 per year, or $27.3 per hour.
Analyst, Delegation Oversight (Remote)

Analyst, Delegation Oversight (Remote)

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 11 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 196 frontline employees who took The Breakroom Quiz

147th of 281 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides analyst support for delegation oversight activities including monitoring delegation oversight to ensure compliance with state, federal, National Committee for Quality Assurance (NCQA), and Molina requirements.  Responsible for gathering, coordinating, analyzing, and processing compliance data from the provider network delegates, and providing support for quality assurance compliance measure requirements and delegation oversight committee meetings.

Essential Job Duties

Monitors delegated activities to ensure compliance with state health plan and National Committee for Quality Assurance (NCQA) requirements to include:  tracking receipts of monthly reports from delegated entities, monitoring monthly reports for continued compliance with delegated responsibilities, meeting with delegation oversight auditors monthly to review reports and identify need for corrective action measures, and producing summary reports presented at delegation oversight committee meetings.
Reports on delegated entity performance using web-based compliance tool, including performance metrics and remediation efforts when performance falls below acceptable standards.
Participates in planning meetings and communicates to delegation oversight team and provider network team, delegate needs during development of new software platforms.
Develops new and maintains existing department reporting tools to ensure reporting of performance and compliance with all NCQA, Centers for Medicare and Medicaid Services (CMS), and applicable state standards.
Supports the delegation oversight committee meeting, including agenda and document preparation, distribution of meeting materials, minute taking and scheduling of follow-up meetings as necessary.
Maintains list of delegated entities including functions delegated, auditors responsible, and delegation exceptions.
Provides administrative delegation oversight-related support including training, department SharePoint site maintenance, and updates to the monthly sanction list tracking tool.  
Maintains member/provider confidentiality and professionalism in all communications.
 

Required Qualifications

At least 2 years of experience data management experience in a professional setting, preferably in health care, or equivalent combination of relevant education and experience.
Data processing/analysis experience.
Ability to interpret error reports and identify remediation steps.
Ability to function independently and autonomously.
Attention to detail, critical-thinking and problem-solving/analytical abilities.
Experience with SharePoint and PowerBI.
Ability to maintain attendance to support required quality and quantity of work.
Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). 
Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
Effective interpersonal and verbal/written communication skills. 
Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs.
 

Preferred Qualifications

Delegation oversight experience.
 

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

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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