Project Manager - IC

Maintaining the enterprise or market accreditation readiness plan.

Coordinating the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies.

Maintaining committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways.

Monitoring whether committees meet at the required cadence and address required subject matter.

Managing the standards-to-owner crosswalk.

Establishing evidence requirements and due dates for each responsible business area.

Maintaining a controlled evidence repository and version history.

Coordinating policy, program description, workplan, annual evaluation, and committee approval cycles.

Tracking gaps identified through readiness reviews, mock surveys, file audits, and internal assessments.

Escalating overdue evidence, open corrective actions, weak documentation, or unresolved accountability.

Coordinating with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standard owners.

Preparing accreditation dashboards and executive readiness updates.

Supporting the organization during survey preparation, submission, interviews, follow-up requests, and corrective action activity.

Maintaining year-round readiness following the formal accreditation review.

Required Qualifications

Minimum of 3 years of experience supporting HEDIS activities, including measure monitoring, gap closure strategies, medical record review, provider engagement, quality improvement initiatives, and performance reporting.

Demonstrated experience analyzing healthcare, quality, operational, or population health data to identify trends, develop actionable insights, monitor performance metrics, and support strategic decision-making.

Proven experience managing external vendors, consultants, or business partners, including performance monitoring, issue resolution, contract deliverables, stakeholder communication, and accountability for program outcomes.

Preferred Qualifications:

Experience leading HEDIS improvement initiatives, collaborating with cross-functional teams to improve measure performance, and supporting NCQA or regulatory reporting activities.

Experience utilizing Excel, SQL, Power BI, Tableau, or other reporting and analytics tools to create dashboards, perform data validation, and communicate findings to leadership.

Experience overseeing outreach, quality, population health, care management, or member engagement vendors, including campaign performance evaluation, process improvement, and implementation of corrective action plans.

Bachelors Degree preferred, or equivalent experience can be considered