Sr. Manager, Health Outcomes Accreditation
Core
Leading NCQA Health Outcomes (HOA) and Community-Focused Care (CFC) Accreditation initiatives to ensure regulatory compliance, quality improvement, and organizational excellence for health plan populations.
Role type
Senior Manager, Health Outcomes Accreditation
Builds
Accreditation strategies, readiness activities, gap assessments, corrective action plans, and performance improvement initiatives.
Domain
Healthcare / Regulatory Compliance / Quality Management
Required skills
NCQA Health Outcomes standards expertise, gap analysis, corrective action planning, executive reporting, cross-functional team leadership, strategic analysis, regulatory monitoring, process improvement, data-driven decision making, stakeholder management
Preferred skills
Health equity standards knowledge, CPCHE or CPHQ certification, operational quality management experience, regulatory environment experience
Technologies
NCQA standards frameworks, quality management systems, governance reporting tools
Responsibilities
Lead NCQA Accreditation activities including standards interpretation, readiness assessments, and survey preparation; Serve as subject matter expert for NCQA Health Outcomes and Community-Focused Care requirements; Develop and deliver accreditation strategies and executive presentations; Manage complex accreditation and quality improvement initiatives; Build business relationships linking quality management to business goals; Support additional accreditation and regulatory initiatives
Seniority
Senior, hands-on IC with strategic oversight
