NCQA Health Outcomes & Equity Accreditation Lead

CVS Health; Annapolis (MD); Hybrid; USD 68,000 - 199,000; Full time

Job summary

CVS Health is seeking a Senior Accreditation Program Leader to drive NCQA Health Outcomes and Community‑Focused Care accreditation initiatives across health plan populations. You will design, implement, and evaluate strategies, readiness activities, gap analyses, corrective action plans, and performance improvements.

In this role you will partner with business owners and operational leaders to ensure regulatory compliance, promote equitable care, and achieve successful accreditation outcomes.

Qualifications

• 3–5 years as SME on NCQA HOA and CFC standards
• 3–5 years accreditation readiness activities including gap assessments and action planning
• Collaborates with operations, clinical, quality, compliance, population health, care management, analytics

Responsibilities

• Lead NCQA Accreditation activities including readiness assessments, gap analysis, documentation review and corrective action planning
• Serve as SME for HOA and CFC requirements across the organization
• Develop accreditation strategies, executive presentations, governance reporting and action plans with cross-functional partners
• Manage multiple complex accreditation and quality improvement initiatives with milestones and regulatory compliance
• Build strong internal/external partnerships linking quality activities to business goals and lead cross-functional teams
• Support additional accreditation, certification, quality and regulatory initiatives as needed

Skills

NCQA Accreditation

CFC Standards

Gap analysis

Readiness activities

Executive reporting

Cross-functional collaboration

Education

Bachelor's degree or higher

Job description

CVS Health is seeking a Senior Accreditation Program Leader to drive NCQA Health Outcomes and Community‑Focused Care accreditation initiatives across health plan populations. You will design, implement, and evaluate strategies, readiness activities, gap analyses, corrective action plans, and performance improvements.

In this role you will partner with business owners and operational leaders to ensure regulatory compliance, promote equitable care, and achieve successful accreditation outcomes.