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

Flexible telecommute policy
Medical, vision, and dental insurance
Incentive program
Paid time off and holidays
401(k) plan
Volunteer opportunities
Tuition reimbursement and training
Life insurance
Options such as a flexible spending account

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 participationpresentation skillscross-functional team leadershipindependent workproblem-solving

Certifications

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