Senior Quality Engineer defining and executing quality strategies for AI - driven products. Collaborating on data engineering and application development for product reliability and user experience.
About the role
- NCQA Quality & Accreditation Specialist managing NCQA standard areas for healthcare accreditation. Serving as project management lead and ensuring high-quality performance in accreditation processes.
Responsibilities
- Serve as the project management lead and subject matter expert for assigned NCQA standard areas
- Manage the assessment of related business functions for corresponding departments within the scope of NCQA standards
- Support high-quality performance and ensure successful NCQA Accreditation process
- Support the Continuous Quality Improvement Committee
- Implement and Monitor Accreditation Workplan
- Identify gaps and risks and provide regular status reports from NCQA tracker to leadership
- Serve as lead for NCQA Accreditation reviews for assigned standard categories
- Review and update policies and procedures, reports, materials, and files
- Participate in Delegation Oversight and audits
- Provide technical support and education to staff regarding NCQA Health Plan Accreditation
- Assess business area functions against current and upcoming NCQA standards
- Communicate reporting due dates and reminders to business leads and leadership as appropriate
- Maintain clear status updates regarding NCQA Readiness on NCQA Tracker
Requirements
- Bachelor’s degree in Healthcare, Human Services, Public Health Administration, Nursing, Business, or related field
- Three (3) years of project management experience in a managed care or healthcare setting
- Knowledge and practical experience health care quality or NCQA Health Plan accreditation processes and requirements
- Experience with NCQA Accreditation standards
- Knowledge of regulatory reporting, compliance requirements, and auditing procedures
- Project management skills
- Knowledge of NCQA accreditation processes and standards
- Knowledge and understanding of federal and state regulations
- Planning, project management and organizational skills
- Excellent communication skills (written and verbal)
- Interpersonal skills which are effective, respectful, and sensitive to a diverse and multicultural population of children, families, and co-workers
- Problem-solving, mediation, and conflict resolution skills
- Teamwork and collaboration skills
- Microsoft Project, Excel, Word (Edits and Tracking), and PowerPoint skills
- Facilitation skills
Benefits
- Medical
- Dental
- Vision
- Life
- Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
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