NCQA Health Outcomes & Equity Accreditation Lead

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

Benefits offered by this job

Hybrid work environment

Comprehensive benefits package

Bonus potential

Equity award program

Job summary

CVS Health is seeking a senior accreditation leader to guide NCQA Health Outcomes and Community-Focused Care initiatives, shaping compliance, readiness, and continuous improvement across health plan populations.

You will design strategies, develop governance materials, and partner with clinical, analytics, and operations teams to ensure equitable care and successful accreditation outcomes. A hybrid work arrangement and strong benefits package are provided.

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 identifying improvement opportunities.
• Leads cross-functional teams to support accreditation, health equity, quality improvement, and performance objectives.
• Accountable for design, development, implementation, and oversight of accreditation initiatives.

Responsibilities

• Leads NCQA Accreditation activities including standards interpretation, readiness assessments, gap analysis, documentation review, survey preparation, corrective action planning, and ongoing accreditation maintenance.
• Serves as the organization's SME for NCQA HOA/CFC requirements, partnering with operational teams to integrate equitable care practices and improve outcomes.
• Develops accreditation strategies, executive reports, governance materials, and action plans with cross-functional partners.
• Manages multiple accreditation and quality improvement initiatives, ensuring milestones and regulatory requirements are met.
• Proactively builds strong business relationships with internal and external partners, leading cross-functional teams to quality activities.
• Supports additional accreditation, certification, and regulatory initiatives as assigned.
• Regular travel may be required; performs additional duties as assigned.

Skills

NCQA Accreditation

Quality Improvement

Health Equity

Governance & Reporting

Education

Bachelor's Degree

Master's Degree

Equivalent Work Experience

Job description

CVS Health is seeking a senior accreditation leader to guide NCQA Health Outcomes and Community-Focused Care initiatives, shaping compliance, readiness, and continuous improvement across health plan populations.

You will design strategies, develop governance materials, and partner with clinical, analytics, and operations teams to ensure equitable care and successful accreditation outcomes. A hybrid work arrangement and strong benefits package are provided.