NCQA Accreditation Specialist

Evergreen Nephrology

Accreditation Specialist responsible for compliance with NCQA standards at Evergreen Nephrology. Collaborating, educating staff, and managing accreditation activities while working remotely.

Posted 6/23/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $75,000 - $85,000 per yearWebsite

About the role

Key responsibilities & impact

Collaborate with internal partners to collect data and develop compliance documents/evidence for successful accreditation surveys
Monitor and maintain comprehensive compliance documents and evidence to ensure successful accreditation survey and ensure adherence to NCQA standards
Maintain up-to-date records
Educate staff across the organization regarding accreditation standards and requirements
Evaluate current practices and identify compliance gaps and recommend solutions to close gaps
Prepare training materials, reports, and materials to support compliance
Coordinate accreditation surveys and serve as a point of contact during surveys to ensure all requirements are met
Act as subject matter expert, handling complex assignments, and may assist training/mentoring department staff
Regular and reliable attendance
Other duties consistent with this role, as assigned.

Requirements

What you’ll need

Bachelor’s degree and 4 years of experience in managed care environment OR 6 years of work experience in managed care environment
Managed care environment experience includes one or more of the following areas: audit, health plan operations, compliance or legal
2 years Accreditation experience (i.e. NCQA, URAC, Joint Commission, CMS) to include managing survey/review experience
In-depth knowledge of NCQA standards and accreditation processes
Knowledge of health care regulatory and legislative process; experience reading and interpreting legislation
Experience using Total Quality Management (TQM) / Continuous Quality Improvement (CQI) concepts
Knowledge or experience reviewing accreditation standards and evaluating level of compliance, identifying challenges and proposing solutions
Knowledge or experience monitoring compliance and managing evidence documents
Verbal and written communications skills including training skills
Research and analytical skills
Experience managing multiple complex priorities, often with limited time frames
Detail oriented with strong organizational skills and experience meeting deadlines
Intermediate skills with MS Office Suite of products including Outlook and Teams
Able to work effectively in a primarily remote environment: Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended. Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role. Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits

Comp & perks

Paid time off starting at 4 weeks for full-time employees
12 paid holidays per year
Medical, dental, vision and life insurance, including an HSA with employer match
Reimbursement for continuing medical education for eligible roles
A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure
Paid parental leave
A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

compliance documentationaccreditation standardsNCQA standardsTotal Quality ManagementContinuous Quality Improvementaudithealth plan operationsregulatory complianceevidence managementdata analysis

Soft Skills

verbal communicationwritten communicationtraining skillsanalytical skillsorganizational skillsdetail orientedtime managementcollaborationproblem solvingmentoring