NCQA Quality & Accreditation Director

Harbor Health; Austin (TX); On-site; USD 140,000 - 190,000; Full time

Benefits offered by this job

Competitive salary and incentives

Generous PTO

Medical, Dental, and Vision Insurance

401(k) Investment Plan

Company Equity

Professional development and growth

10 paid holidays

Job summary

Harbor Health in Texas seeks a seasoned Quality & Accreditation Director to lead and sustain an enterprise-wide Quality Management Program. You will coordinate NCQA accreditation efforts, align policies to NCQA standards, and ensure regulatory readiness for TX and CMS marketplaces.

Your role oversees data-driven quality improvement across departments, manages audits, and partners with analytics to monitor performance indicators, aiming for continuous improvement and enhanced patient outcomes.

Qualifications

• Bachelor’s degree in Nursing, Healthcare Administration, Public Health, or related field.
• 8+ years in healthcare quality improvement and/or compliance.
• Experience leading NCQA accreditation efforts for a health plan.
• Strong knowledge of NCQA standards, HEDIS, CAHPS, and regulatory requirements.

Responsibilities

• Lead NCQA accreditation continuity, First survey, and renewal for IFP/Marketplace and large group lines.
• Own the integrated roadmap, timelines, documentation and evidence for NCQA look-back.
• Develop and maintain QMP aligned with Texas and federal regulations and NCQA standards.
• Collaborate with analytics to track quality metrics and drive improvements.
• Supervise NCQA project staff and provide NCQA training across departments.

Skills

NCQA accreditation

Quality improvement

Regulatory compliance

Cross-functional collaboration

Healthcare analytics

Education

Bachelor's degree in Nursing, Healthcare Administration, Public Health, or related field

Job description

Harbor Health in Texas seeks a seasoned Quality & Accreditation Director to lead and sustain an enterprise-wide Quality Management Program. You will coordinate NCQA accreditation efforts, align policies to NCQA standards, and ensure regulatory readiness for TX and CMS marketplaces.

Your role oversees data-driven quality improvement across departments, manages audits, and partners with analytics to monitor performance indicators, aiming for continuous improvement and enhanced patient outcomes.