Project/Program Manager

Job Description We’re hiring a National Committee Quality Assurance (NCQA) Program Manager to lead our Health Plan Accreditation activities with a primary focus on Member Experience and Credentialing standards. This role drives organizational readiness, ensures ongoing compliance, and partners cross-functionally to support successful NCQA survey outcomes. The ideal candidate brings strong experience in NCQA accreditation and credentialing oversight. What You’ll Do Serve as the organizational lead for NCQA Credentialing and Recredentialing (CR) standards, ensuring policies, procedures, files, and oversight activities meet accreditation requirements. Lead annual NCQA readiness assessments and mock surveys for Credentialing, Member Experience, and other accreditation standards to ensure continuous survey readiness. Support oversight of credentialing delegates and vendors, including performance monitoring, annual audits, corrective action plans, and reporting to credentialing governance committees. Partner with Credentialing Operations, Network Management, other business areas and delegated entities to ensure ongoing compliance with NCQA CR standards and credentialing-related regulatory requirements. Lead preparation for and participation in NCQA Credentialing File Reviews, including file selection, audit readiness assessments, corrective actions, and survey response development. What You Bring Bachelor's degree or equivalent experience 3+ years of experience in related field In lieu of degree, 5+ years of experience in related field Bonus Points (preferred qualifications) 5+ years of program or project management experience in healthcare, quality, or compliance Demonstrated experience preparing for and supporting NCQA surveys, file reviews, and accreditation submissions. Strong working knowledge of health plan credentialing operations, delegated credentialing oversight, and provider network compliance requirements. Experience leading cross-functional accreditation work