Health Equity Accreditation Program Manager

Role Overview

• 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

Tech Stack

• PMP

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