NCQA-Ready Quality Improvement Lead

Elevance Health; Atlanta (GA); Hybrid; USD 100,000 - 150,000; Full time

Job summary

Elevance Health in Atlanta, GA is seeking a JR206997 Clinical Quality Program Manager to oversee quality improvement activities for one or more states within a major line of business. This role emphasizes NCQA Accreditation readiness and ongoing compliance with accreditation standards to improve member care quality.

The position requires collaboration with cross-functional teams, regulatory readiness, and data-driven initiatives.

Qualifications

• BS in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience.
• Strong knowledge of NCQA Accreditation standards and quality management principles is preferred.
• Exceptional organizational, project management, and communication skills with ability to manage multiple priorities.

Responsibilities

• Lead state level quality strategy meetings and develop a quality plan for accreditation readiness.
• Serve as SME and quality lead for NCQA Accreditation readiness, interpretation, implementation, monitoring and documentation.
• Partner with leaders to establish, track, and achieve accreditation milestones and readiness activities.
• Design studies with the clinical intervention team to identify barriers to medical interventions and ensure sound reporting.
• Develop performance improvement plans and oversee clinical quality improvement activities to improve member care.

Skills

Quality improvement

Data analysis

Project coordination

Education

BS in health administration or nursing

Job description

Elevance Health in Atlanta, GA is seeking a JR206997 Clinical Quality Program Manager to oversee quality improvement activities for one or more states within a major line of business. This role emphasizes NCQA Accreditation readiness and ongoing compliance with accreditation standards to improve member care quality.

The position requires collaboration with cross-functional teams, regulatory readiness, and data-driven initiatives.