NCQA Quality Improvement Specialist

McLaren Health Care; Flint (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

McLaren Health Plan is seeking a National Committee for Quality Assurance Specialist to advance the organization's quality program. The role coordinates quality improvement activities, supports committee functions, and ensures NCQA standards and HEDIS requirements are met across departments.

Ideal candidates bring strong knowledge of NCQA standards, quality management experience, and the ability to lead audits and data analyses to drive continuous improvement for Michigan's health plan members.

Qualifications

• Associate degree in health care field or equivalent experience.
• Four years' experience with a government regulated health organization or a managed care setting, including experience with quality management activities such as HEDIS and NCQA.

Responsibilities

• Accountable for assigned NCQA standards and oversight of delegated activities.
• Collaborates with Plan departments to ensure NCQA standards are met and documentation is maintained.
• Counsels and guides Plan employees on accreditation standards and quality initiatives.
• Supports committee functions, ensuring meetings are organized and well documented.
• Leads quality projects and audits as directed and manages related state requirements.
• Assumes project management responsibilities as directed.

Skills

Quality improvement

Data analysis

NCQA standards

HEDIS

Education

Associate degree in healthcare

Bachelor's in healthcare

Job description

McLaren Health Plan is seeking a National Committee for Quality Assurance Specialist to advance the organization's quality program. The role coordinates quality improvement activities, supports committee functions, and ensures NCQA standards and HEDIS requirements are met across departments.

Ideal candidates bring strong knowledge of NCQA standards, quality management experience, and the ability to lead audits and data analyses to drive continuous improvement for Michigan's health plan members.