What are the responsibilities and job description for the Program Manager, NCQA position at Umpqua Health Management LLC?
The Role :
As the Program Manager, NCQA , you will play a pivotal role in ensuring compliance with NCQA (National Committee for Quality Assurance) accreditation standards and driving quality improvement initiatives. Reporting to the Chief Operating Officer, you will collaborate with organizational leaders and stakeholders to develop, implement, and oversee NCQA-related programs and activities to support organizational goals and objectives . As the Program Manager for NCQA Oversight, you will be instrumental in driving quality improvement initiatives and ensuring compliance with NCQA accreditation standards at our small health plan.
Your Impact :
- Serve as the primary point of contact for NCQA accreditation activities, ensuring adherence to accreditation standards, timelines, and requirements.
- Coordinate and facilitate the accreditation process, including conducting readiness assessments, organizing documentation, and preparing for accreditation surveys.
- Collaborate with cross-functional teams to address NCQA standards and requirements, develop action plans, and implement initiatives to achieve accreditation goals.
- Lead quality improvement initiatives aligned with NCQA standards and organizational priorities, focusing on areas such as member outcomes, patient safety, and care coordination.
- Establish and monitor performance metrics, benchmarks, and targets to evaluate the effectiveness of quality improvement efforts and drive continuous improvement.
- Collaborate with quality management, care management, and other departments to implement evidence-based practices and interventions to improve quality outcomes.
- Develop, review, and revise policies, procedures, and protocols related to NCQA accreditation standards, ensuring alignment with organizational goals and regulatory requirements.
- Ensure that policies and procedures are up-to-date, well-documented, and communicated to relevant stakeholders to support compliance and consistency in practice.
- Collaborate with organizational leaders, department heads, and external stakeholders to promote a culture of quality, accountability, and continuous improvement.
- Serve as a liaison between the quality management department and other departments to facilitate communication, coordination, and alignment of quality initiatives.
- Participate in committees, workgroups, and meetings to provide expertise on NCQA-related matters and contribute to strategic planning and decision-making processes.
- Monitor and track key performance indicators (KPIs), metrics, and outcomes related to NCQA accreditation standards and quality improvement initiatives.
- Generate regular reports, dashboards, and presentations to communicate performance trends, achievements, and areas for improvement to leadership and stakeholders.
- Analyze data, identify trends, and provide actionable insights to drive decision-making and performance improvement efforts.
- Perform other duties and support deliverables as assigned by the organization to help drive our Vision, fulfill our Mission, and abide by our Organizations Values.
Your Credentials :
