Colorado Access · 1 month ago
Manager of NCQA Accreditation
11100 E Bethany Dr, Aurora, CO 80014, USA
Full-time
Hybrid
Mid, Senior Level
$133K/yr - $145K/yr
7+ years expColorado Access is a Colorado-based company focused on improving the health of its state. They are seeking a Manager of NCQA Accreditation to operationalize accreditation strategies and ensure compliance with NCQA standards while leading a multidisciplinary team.
FitnessHealth CareNon Profit
Responsibilities
Serves as the tactician responsible for operationalizing NCQA accreditation strategy, determining optimal pathways, sequencing, and resource allocation needed to meet organizational goals
Translates strategic decisions into structured workplans, workflows, crosswalks, and timelines executed by the Senior Accreditation Consultant and cross-functional partners
Designs and refines the operational model for NCQA readiness, including documentation standards, governance structures, meeting cadence, evidence templates, and audit preparation routines
Anticipates operational barriers and proactively develops mitigation strategies to ensure timely, accurate, and complete accreditation execution
Guides team members in the use of structured process improvement and project management approaches, including Lean, Six Sigma, and A3 methodologies
Establishes role clarity and ensures effective division of responsibilities, delegating day-to-day execution while maintaining ownership of tactical direction and overall readiness oversight
Provides tactical leadership for NCQA accreditation work, serving as the primary point of coordination, problem-solving, prioritization, and cross-functional alignment
Oversees development, preparation, and validation of NCQA evidence, including policies, program descriptions, program evaluations, meeting minutes, dashboards, and workplan documentation
Ensures audit readiness across all NCQA standards, including completion of corrective actions, evidence updates, mock audits, and readiness reviews
Partners with Operations, UM, PHM, Provider Network, Compliance, IT/Data, and Care Management to ensure evidence alignment and standard-level compliance
Develops and maintains NCQA tools and resources (e.g., evidence trackers, crosswalks, templates, dashboards) to support accreditation preparation and sustainment
Summarizes accreditation progress, risks, and recommendations for leadership, offering clear tactical guidance
Guides team members in structured process improvement approaches to strengthen accreditation workflows
Promotes NCQA education and accreditation capability-building across the organization
Qualification
Required
Bachelor's degree in health administration, business or related field required; or an equivalent combination of education and experience
Minimum of seven years' progressive experience in healthcare quality, regulatory compliance, or accreditation required
Demonstrated ability to lead multidisciplinary teams and manage complex accreditation initiatives
Strong working knowledge of NCQA Health Plan Accreditation standards, regulatory frameworks, and evidence preparation
Skilled in project management, tactical execution, and cross-functional coordination
Exceptional written and verbal communication skills
Proficiency with Microsoft Office and accreditation tracking tools
Position requires excellent written and verbal communication skills
Must be proficient in Microsoft office applications (Word, Excel, PowerPoint, Outlook, SharePoint) with ability to work with a variety of project management tools
May be required to manage multiple priorities and projects with tight deadlines
A valid driver's license and proof of current auto insurance is required for any position involving driving
Preferred
Master's degree preferred
Experience overseeing NCQA accreditation activities is strongly preferred
Supervisory experience is highly preferred
Experience in Medicaid, CHP+, or Exchange populations is advantageous
Lean Six Sigma Green Belt or equivalent certification preferred
CPHQ certification preferred
Benefits
Medical, dental, vision insurance that starts the first day of the month following start date.
Supplemental insurance such as critical illness and accidental injury.
Health care and dependent care flexible spending account options.
Employer-paid basic life insurance and AD&D (employee, spouse and dependent).
Short-term and long-term disability coverage.
Voluntary life insurance (employee, spouse, dependent).
Paid time off
Retirement plan
Tuition reimbursement (based on eligibility).
Annual bonus program (based on eligibility, requirements and performance).
Company
Colorado Access
Colorado Access are a nonprofit health plan that provides access to behavioral and physical health services for Coloradans.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
A
April Abrahamson
Chief People and Talent Development Officer
Jaime Moreno
Chief Communications and Members Experience Officer
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