NCQA Accreditation Quality Program Lead (Hybrid)

Elevance Health; Tampa (FL); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Hybrid work

Job summary

Elevance Health is seeking a Clinical Quality Program Manager to oversee quality improvement activities for one or more states, with emphasis on NCQA accreditation readiness and regulatory compliance. You will partner with cross-functional teams to drive performance improvements and ensure documentation supports accreditation submissions.

The role is hybrid, requiring in-office presence 1 day per week, and involves coordinating quality programs, data analysis, and oversight of large-scale state

Qualifications

• B S in health administration, nursing, or related clinical field required.
• 4+ years health care quality or data analysis experience.
• CPHQ certification and/or MS in health field preferred.

Responsibilities

• Leads state level quality strategy meetings and develops quality plans.
• Supports Accreditation readiness and NCQA standards interpretation and implementation.
• Partners with leaders to track Accreditation milestones and readiness activities.
• Develops performance improvement plans and oversees clinical quality improvement projects.
• Ensures compliance with corporate quality improvement work plans.
• Coordinates Accreditation work plans, evidence collection, and readiness reviews.

Skills

Quality management

Project management

Communication

Cross-functional teamwork

Data analysis

Education

BS in health administration, nursing, or related clinical field

MS in health field

CPHQ certification preferred

Job description

Elevance Health is seeking a Clinical Quality Program Manager to oversee quality improvement activities for one or more states, with emphasis on NCQA accreditation readiness and regulatory compliance. You will partner with cross-functional teams to drive performance improvements and ensure documentation supports accreditation submissions.

The role is hybrid, requiring in-office presence 1 day per week, and involves coordinating quality programs, data analysis, and oversight of large-scale state