Remote NCQA Accreditation Lead — Quality & Compliance

Alliance Health; Morrisville (NC); Remote; USD 69,592 - 88,729; Full time

Benefits offered by this job

Medical Dental Vision Life

Retirement plan

Flexible work schedules

Paid time off

Dress flexibility

Job summary

Alliance Health is seeking an NCQA Quality & Accreditation Specialist to serve as the project management lead and subject matter expert for NCQA standard areas. The role oversees assessment of business functions to support high-quality performance and the accreditation process.

The position is full-time remote with occasional reporting to the Alliance Home Office in Morrisville, NC for meetings. Responsibilities include managing accreditation reviews, policy/document updates, and

Qualifications

• Bachelor’s degree in Healthcare, Human Services, Public Health Administration, Nursing, Business, or related field and three (3) years of project management experience in a managed care or healthcare setting with knowledge of NCQA Health Plan accreditation processes and requirements.
• Experience with NCQA Accreditation standards preferred.
• Knowledge of federal and state regulations related to health plan accreditation.

Responsibilities

• Lead project management for NCQA standard categories within the organization’s QI workplan to achieve/maintain Health Plan Accreditation with LTSS distinction and other accreditations.
• Identify gaps/risks and provide regular status reports from NCQA tracker to leadership.
• Lead NCQA Accreditation reviews by gathering documents, coordinating submissions, and managing onsite reviews.
• Review/update policies for NCQA compliance and maintain documentation calendars.
• Participate in Delegation Oversight and audits as appropriate.
• Collaborate with cross-departmental teams to support quality performance and readiness.

Skills

Project management

NCQA accreditation knowledge

Regulatory knowledge

Communication skills

Interpersonal skills

Teamwork

Problem solving

Facilitation

Fast-paced environment

Supervisory/leadership abilities

Education

Bachelor's in Healthcare/Human Services/Public Health Administration/Nursing/Business

Additional related bachelor’s degree

NCQA-related education/training

Tools

Microsoft Project

Excel

Word (Edits and Tracking)

PowerPoint

Job description

Alliance Health is seeking an NCQA Quality & Accreditation Specialist to serve as the project management lead and subject matter expert for NCQA standard areas. The role oversees assessment of business functions to support high-quality performance and the accreditation process.

The position is full-time remote with occasional reporting to the Alliance Home Office in Morrisville, NC for meetings. Responsibilities include managing accreditation reviews, policy/document updates, and