NCQA Health Outcomes & Equity Accreditation Lead

CVS Health; Florida; Hybrid; USD 68,000 - 199,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Retirement options

Paid time off

Job summary

CVS Health seeks a qualification-forward leader to oversee NCQA Health Outcomes and Community-Focused Care accreditation initiatives. You will guide readiness activities, gap analyses, and corrective actions while partnering with cross-functional teams to improve health equity and ensure regulatory compliance.

The role emphasizes strategy development, governance reporting, and driving performance improvements across health plan populations.

Qualifications

• 3-5 years as a subject matter expert on NCQA Health Outcomes Accreditation and CFC standards.
• 3-5 years accreditation readiness activities including gap assessments and mock surveys.
• Partners with operational, clinical, quality, compliance, population health, care management, analytics teams.
• Evaluates performance against accreditation standards and quality goals.

Responsibilities

• Leads NCQA Accreditation activities including readiness assessments and corrective action planning.
• Serves as SME for NCQA HOA and CFC requirements with operational teams.
• Develops and delivers accreditation strategies, governance reporting and action plans.
• Manages multiple accreditation and quality initiatives ensuring milestones and regulatory requirements are met.
• Builds strong relationships with internal and external partners to align quality activities with business goals.
• Supports additional accreditation, certification, quality and regulatory initiatives.

Skills

NCQA Health Outcomes

CFC Accreditation

Quality improvement

Regulatory compliance

Cross-functional collaboration

Executive reporting

Problem solving

Education

Bachelor's degree

Master's degree

Job description

CVS Health seeks a qualification-forward leader to oversee NCQA Health Outcomes and Community-Focused Care accreditation initiatives. You will guide readiness activities, gap analyses, and corrective actions while partnering with cross-functional teams to improve health equity and ensure regulatory compliance.

The role emphasizes strategy development, governance reporting, and driving performance improvements across health plan populations.