NCQA Quality & Accreditation Specialist (Full Time, Remote, North Carolina Based)

Responsibilities

• Implement and Monitor Accreditation Workplan
• Project management lead for assigned NCQA standard categories
• Identify gaps and risks and provide regular status reports
• Manage NCQA Accreditation reviews
• Review and update policies and procedures
• Maintain calendar of documentation due dates
• Drive Organizational Accreditation Efforts
• Provide technical support and education
• Audit and assess business area functions
• Facilitate business area process improvements
• Coordinate and collaborate with cross-departmental teams
• Communicate reporting due dates and reminders

Requirements

• Bachelor’s degree in Healthcare, Human Services, Public Health Administration, Nursing, Business, or related field
• Three (3) years of project management experience in a managed care or healthcare setting
• Knowledge of NCQA accreditation processes and standards
• Experience with NCQA Accreditation standards
• Knowledge of federal and state regulations
• Excellent communication skills (written and verbal)
• Problem-solving, mediation, and conflict resolution skills
• Teamwork and collaboration skills
• Microsoft Project, Excel, Word (Edits and Tracking), and PowerPoint skills

Qualifications

• Knowledge of regulatory reporting, compliance requirements, and auditing procedures
• Project management
• Facilitation skills
• Ability to work in a fast-paced environment with frequent interruptions
• Ability to work under minimal supervision

Benefits

• Medical, Dental, Vision, Life, Long Term Disability
• Grossly generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility