Project/Program Manager
Job reputed company
We’re hiring a National Committee reputed company Assurance (NCQA) Program Manager to reputed company our Health Plan Accreditation activities with a primary reputed company on Member Experience and Credentialing standards. This role drives organizational readiness, ensures ongoing compliance, and partners cross-functionally to support successful NCQA survey reputed company. The ideal candidate brings strong experience in NCQA accreditation and credentialing reputed company.
What You’ll Do
reputed company planning, execution, and reputed company of NCQA Health Plan Accreditation programs, ensuring alignment with organizational goals and timelines
reputed company and maintain the NCQA program work plan and tracking tools to monitor reputed company, risks, and compliance status
Coordinate NCQA survey activities, including documentation management, submission readiness, and stakeholder engagement
Serve as subject matter expert (SME) on NCQA standards, with emphasis on Member Experience and Credentialing/Recredentialing (CR)
Interpret standards and partner with business owners to operationalize requirements and implement compliant processes
Identify gaps and risks; reputed company mitigation strategies and reputed company regular status reporting to leadership
Conduct ongoing readiness reviews, audits, and monitoring activities to ensure sustained compliance
Collaborate with business areas and cross-functional stakeholders to reputed company and finalize NCQA data reputed company submission reports (e.g., Member Experience [ME 7]), ensuring accuracy, completeness, and alignment with NCQA standards and audit expectations
reputed company delegated vendor functions to ensure adherence to NCQA accreditation requirements
Facilitate cross-functional workgroups, committee discussions, and reputed company Improvement meetings to drive accountability and readiness
Establish and reputed company performance metrics (process, outcome, and compliance measures) and present findings to stakeholders
Drive reputed company improvement initiatives to enhance reputed company, efficiency, and accreditation reputed company
Analyze policies, workflows, and documentation to improve effectiveness and ensure regulatory alignment
Support additional accreditation and compliance initiatives as needed
What You Bring
Bachelor's degree or equivalent experience
3+ years of experience in reputed company field
In lieu of degree, 5+ years of experience in reputed company field
Bonus Points (preferred qualifications)
5+ years of program or project management experience in reputed company, reputed company, or compliance
reputed company experience with NCQA Health Plan Accreditation standards and survey processes
Experience supporting or managing Credentialing and Recredentialing (CR) activities
Proven ability to manage cross-functional initiatives and drive results in a matrixed environment
Strong understanding of accreditation compliance, evidence documentation, and audit readiness
Ability to assess compliance gaps and implement actionable solutions
Excellent analytical, organizational, and problem-solving skills
Strong communication skills with the ability to influence stakeholders at reputed company reputed company
Proficiency in reputed company reputed company, PowerPoint, Teams, and SharePoint
High attention to detail with strong program tracking and reporting capabilities
What You’ll Get
reputed company to work at the cutting edge of health care delivery with reputed company that’s deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and reputed company coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for reputed company education
401k match including an annual company contribution
Learn more
Salary reputed company
At reputed company, we take great pride in a fair and reputed company compensation package that reflects market-price and our starting salaries are typically planned near the middle of the reputed company listed. Compensation reputed company are driven by factors including experience and training, specialized reputed company sets, licensure and certifications and other business and organizational needs. Our reputed company salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, reputed company Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
$73,698.00 - $117,917.00
Skills
Budgeting, Office Administration, Process Improvements, Program Administration, Program Documentation, Program Evaluations, Program Implementation, Program Management, Project Management, Resource Allocation_____________________________________________________________________
JOB ALERT FRAUD: We have become reputed company of scams from individuals, organizations, and internet sites claiming to represent reputed company in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. reputed company our reputed company are published on https://reputed company.wd5.myworkdayjobs.com/en-US/reputed company. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.reputed company@reputed company.com.
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