NCQA Quality Improvement Specialist - Health Plan

McLaren; Flint (MI); On-site; USD 70,000 - 95,000; Full time

Job summary

McLaren Health Plan in Michigan is seeking a National Committee for Quality Assurance (NCQA) Specialist to coordinate quality improvement activities and support comprehensive accreditation efforts. You will work with multiple Plan departments and committees to ensure NCQA standards are met and documentation is well maintained.

The role emphasizes leading quality projects, state initiatives, and audits, while guiding staff in adherence to accreditation standards and continuous improvement of the

Qualifications

• Associate degree in a health care field or equivalent work.
• Four (4) years’ experience with a government regulated health organization or a managed care setting with at least two (2) years’ experience performing complex quality management activities including HEDIS, NCQA etc.
• Bachelor’s in healthcare or related field preferred.

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 staff on accreditation standards and quality improvement initiatives.
• Supports committee functions, ensuring meetings are organized and well documented.
• Leads quality projects, including audits and state initiatives.
• Manages projects as directed.

Education

Associate degree in a health care field or equivalent work

Bachelor’s in healthcare or related field

Job description

McLaren Health Plan in Michigan is seeking a National Committee for Quality Assurance (NCQA) Specialist to coordinate quality improvement activities and support comprehensive accreditation efforts. You will work with multiple Plan departments and committees to ensure NCQA standards are met and documentation is well maintained.

The role emphasizes leading quality projects, state initiatives, and audits, while guiding staff in adherence to accreditation standards and continuous improvement of the