NCQA Quality & Accreditation Specialist

Alliance Health

. Serve as the project management lead and subject matter expert for assigned NCQA standard areas .

Posted 4/9/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $68,227 - $86,990 per yearWebsite

About the role

Key responsibilities & impact

Serve as the project management lead and subject matter expert for assigned NCQA standard areas
Manage the assessment of related business functions for corresponding departments within the scope of NCQA standards
Support high-quality performance and ensure successful NCQA Accreditation process
Support the Continuous Quality Improvement Committee
Implement and Monitor Accreditation Workplan
Identify gaps and risks and provide regular status reports from NCQA tracker to leadership
Serve as lead for NCQA Accreditation reviews for assigned standard categories
Review and update policies and procedures, reports, materials, and files for completeness, accuracy, and compliance with NCQA Standards
Maintain calendar of documentation due dates
Participate in Delegation Oversight and audits as appropriate
Provide technical support and education to staff regarding NCQA Health Plan Accreditation
Assess business area functions against current and upcoming NCQA standards
Coordinate and collaborate with cross-departmental teams to identify and implement organization-wide strategic initiatives that support quality performance

Requirements

What you’ll need

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 with knowledge and practical experience health care quality or NCQA Health Plan accreditation processes and requirements
Experience with NCQA Accreditation standards.
Knowledge of regulatory reporting, compliance requirements, and auditing procedures.
Project management.
Knowledge of NCQA accreditation processes and standards
Knowledge and understanding of federal and state regulations
Planning, project management and organizational skills
Excellent communication skills (written and verbal).
Effective, respectful, and sensitive interpersonal skills to a diverse and multicultural population of children, families, and co-workers
Problem-solving, mediation, and conflict resolution skills
Teamwork and collaboration skills
Microsoft Project, Excel, Word (Edits and Tracking), and PowerPoint skills
Facilitation skills

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

project managementNCQA accreditationregulatory reportingcompliance requirementsauditing procedureshealthcare qualityplanningproblem-solvingmediationconflict resolution

Soft Skills

communication skillsinterpersonal skillsteamworkcollaborationorganizational skillsfacilitation skills