Manage the NCQA Health Equity accreditation process, including planning, coordinating, and maintaining compliance with all applicable NCQA standards.
Oversee the NCQA Health Equity accreditation work plan and lead multidisciplinary teams to ensure continuous readiness for accreditation.
Develop and manage workflows, policies, and procedures that support health equity initiatives.
Maintain accurate documentation and reports for accreditation audits and regulatory reviews.
Prepare and present reports on quality improvement activities and accreditation status to leadership.
Represent the organization during accreditation site visits, audits, and meetings.
Offer functional and technical expertise on health equity standards to all departmental staff and conduct educational sessions as needed.
Assist in developing and implementing health equity programs to address health disparities, focusing on measurement and quality improvement.
Collaborate with internal teams to collect and analyze data related to health disparities, population health trends, and social risk factors.
Collaborate with cross-functional teams to integrate equity-focused initiatives into care management, member engagement, and provider networks.
Monitor performance metrics and recommend program improvements to enhance health equity efforts.
Stay current with the latest NCQA Standards and regulatory requirements, ensuring that updates are applied accordingly.
Support internal training and education on cultural competency, implicit bias, and health equity best practices.
Assist in organizing workgroups, meetings, and advisory committees focused on equity-driven healthcare initiatives.
Actively participate in various strategic and internal committees to disseminate information and represent company philosophy.
Develop, review, and update policies and procedures to align with health equity standards.

Requirements

Minimum of five (5) years of healthcare accreditation, quality management, or related healthcare program management experience required.
Experience working with NCQA standards is highly preferred.
Bachelor’s degree in healthcare administration, public health, or a related field, or equivalent years of additional relevant experience in lieu of degree required.
Master’s degree preferred.
Certified Project Manager (PMP) or ability to obtain certification within 1 year required.
Knowledge of NCQA health equity accreditation and health plans is strongly preferred.
Ability to lead cross-functional teams.
Familiarity with health equity frameworks, culturally and linguistically appropriate services, and culturally competent care models.
Knowledge of data collection, program evaluation, and health disparity analysis.
Strong project management, organizational, and analytical skills.
Proficiency in Microsoft Office Suite and healthcare analytics tools.
Ability to work independently and collaboratively across departments.

Benefits

Health insurance
Paid time off
Professional development opportunities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

healthcare accreditationquality managementdata collectionprogram evaluationhealth disparity analysishealth equity frameworksculturally competent care modelsproject managementanalytical skillsworkflow management

Soft Skills

leadershiporganizational skillscollaborationcommunicationtraining and educationstrategic participationproblem-solvingcross-functional team leadershippresentation skillscultural competency

Certifications

Certified Project Manager (PMP)Master's degree in healthcare administrationBachelor's degree in public health