NCQA Quality & Accreditation Analyst

Alliance Health

. Serve as the project management lead and subject matter expert for NCQA standards .

Posted 5/9/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $77,868 - $99,282 per yearWebsite

About the role

Key responsibilities & impact

Serve as the project management lead and subject matter expert for NCQA standards
Manage the assessment of related business functions for corresponding departments
Implement and monitor accreditation workplan
Identify gaps and risks and provide regular status reports
Serve as lead for NCQA Accreditation reviews by gathering necessary documents
Review and update policies and procedures, reports, and materials for compliance
Provide technical support and education to staff regarding NCQA Health Plan Accreditation
Assess business area functions against NCQA standards
Identify and facilitate process improvements
Communicate reporting due dates and reminders to business leads
Lead compliance review for non-clinical standards

Requirements

What you’ll need

Bachelor’s degree in healthcare, human services, public health administration, nursing, business, or related field
Five (5) years of managed care with knowledge and practical experience in health care quality or NCQA Health Plan accreditation processes and requirements
Experience with NCQA Accreditation standards preferred
Knowledge of regulatory reporting, compliance requirements, and auditing procedures preferred
Project management experience preferred
Knowledge of NCQA accreditation processes and standards
Knowledge and understanding of federal and state regulations
Excellent communication skills (written and verbal)
Interpersonal skills that are effective, respectful, and sensitive to a diverse and multicultural population of children, families, and co-workers
Problem-solving, mediation, and conflict resolution skills
Teamwork and collaboration skills
Proficiency in Microsoft Project, Excel, Word (Edits and Tracking), and PowerPoint

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

NCQA standardshealth care qualityaccreditation processesregulatory reportingcompliance requirementsauditing proceduresproject managementprocess improvementsproblem-solvingconflict resolution

Soft Skills

communication skillsinterpersonal skillsteamworkcollaborationsensitivity to diversitymediation