Project/Program Manager

About the role

The National Committee Quality Assurance (NCQA) Program Manager will lead Health Plan Accreditation activities with a focus on Member Experience and Credentialing standards. The role involves driving organizational readiness, ensuring compliance, and partnering cross-functionally to support successful NCQA survey outcomes.

Responsibilities

• Lead planning, execution, and oversight of NCQA Health Plan Accreditation programs, ensuring alignment with organizational goals and timelines
• Develop and maintain the NCQA program work plan and tracking tools to monitor progress, risks, and compliance status
• Coordinate NCQA survey activities, including documentation management, submission readiness, and stakeholder engagement
• Serve as subject matter expert (SME) on NCQA standards, with emphasis on Member Experience and Credentialing/Recredentialing (CR)
• Interpret standards and partner with business owners to operationalize requirements and implement compliant processes
• Identify gaps and risks; develop mitigation strategies and provide regular status reporting to leadership
• Conduct ongoing readiness reviews, audits, and monitoring activities to ensure sustained compliance
• Collaborate with business areas and cross-functional stakeholders to develop and finalize NCQA data source submission reports (e.g., Member Experience [ME 7]), ensuring accuracy, completeness, and alignment with NCQA standards and audit expectations
• Oversee delegated vendor functions to ensure adherence to NCQA accreditation requirements
• Facilitate cross-functional workgroups, committee discussions, and Quality Improvement meetings to drive accountability and readiness
• Establish and track performance metrics (process, outcome, and compliance measures) and present findings to stakeholders
• Drive continuous improvement initiatives to enhance quality, efficiency, and accreditation outcomes
• Analyze policies, workflows, and documentation to improve effectiveness and ensure regulatory alignment
• Support additional accreditation and compliance initiatives as needed

Requirements

• Bachelor's degree or equivalent experience
• 3+ years of experience in related field
• In lieu of degree, 5+ years of experience in related field
• Bonus Points (preferred Qualifications): 5+ years of program or project management experience in healthcare, quality, or compliance
• Direct experience with NCQA Health Plan Accreditation standards and survey processes
• Experience supporting or managing Credentialing and Recredentialing (CR) activities
• Proven ability to manage cross-functional initiatives and drive results in a matrixed environment
• Strong understanding of accreditation compliance, evidence documentation, and audit readiness
• Proven ability to assess compliance gaps and implement actionable solutions
• Excellent analytical, organizational, and problem-solving skills
• Strong communication skills with the ability to influence stakeholders at all levels
• Proficiency in Microsoft Excel, PowerPoint, Teams, and SharePoint
• High attention to detail with strong program tracking and reporting capabilities

Qualifications

• Bachelor's degree or equivalent experience
• 3+ years of experience in related field
• In lieu of degree, 5+ years of experience in related field
• Bonus Points (preferred Qualifications): 5+ years of program or project management experience in healthcare, quality, or compliance
• Direct experience with NCQA Health Plan Accreditation standards and survey processes
• Experience supporting or managing Credentialing and Recredentialing (CR) activities
• Proven ability to manage cross-functional initiatives and drive results in a matrixed environment
• Strong understanding of accreditation compliance, evidence documentation, and audit readiness
• Proven ability to assess compliance gaps and implement actionable solutions
• Excellent analytical, organizational, and problem-solving skills
• Strong communication skills with the ability to influence stakeholders at all levels
• Proficiency in Microsoft Excel, PowerPoint, Teams, and SharePoint
• High attention to detail with strong program tracking and reporting capabilities

Skills

• Budgeting
• Office Administration
• Process Improvements
• Program Administration
• Program Documentation
• Program Evaluations
• Program Implementation
• Program Management
• Project Management
• Resource Allocation

Pay

$73,698.00 - $117,917.00

Schedule

Flexible schedule to accommodate the needs of the role and the organization.