NCQA Health Outcomes & Equity Accreditation Lead

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

Benefits offered by this job

Hybrid work policy

Comprehensive benefits

Bonus eligibility

Job summary

CVS Health is seeking a senior leader to drive NCQA Health Outcomes Accreditation (HOA) and Community-Focused Care (CFC) initiatives. You will design and implement accreditation strategies, lead readiness activities, and partner with cross-functional teams to ensure compliance and improved health outcomes across populations.

The role requires deep expertise in NCQA standards, program governance, and data-driven quality improvements, with a focus on health equity and strategic performance.

Qualifications

• 3–5 years as SME on NCQA HOA and CFC standards.
• 3–5 years accreditation readiness activities incl gap assessments, standards implementation, mock surveys.
• Collaboration with operational, clinical, quality, compliance, population health, care management, analytics teams.

Responsibilities

• Lead NCQA accreditation activities: readiness, gap analysis, documentation, survey prep and ongoing maintenance.
• Act as SME for NCQA HOA and CFC standards, promoting equitable care and improved outcomes.
• Develop accreditation strategies, governance reporting, and action plans with cross-functional partners.
• Manage multiple accreditation and quality improvement initiatives and ensure regulatory compliance.
• Build strong internal/external relationships aligning quality activities with business goals.

Skills

NCQA Health Outcomes

Quality improvement

Cross-functional leadership

Stakeholder management

Data analysis

Education

Bachelor's or Master's degree

CPHQ or CPCHE certification

Job description

CVS Health is seeking a senior leader to drive NCQA Health Outcomes Accreditation (HOA) and Community-Focused Care (CFC) initiatives. You will design and implement accreditation strategies, lead readiness activities, and partner with cross-functional teams to ensure compliance and improved health outcomes across populations.

The role requires deep expertise in NCQA standards, program governance, and data-driven quality improvements, with a focus on health equity and strategic performance.