Quality Assurance Specialist jobs in District of Columbia

NCQA is hiring a Vice President of Evaluation Programs to lead the implementation and operations of NCQA’s evaluation programs which includes NCQA’s flagship Health Plan Accreditation and Patient-Centered Medical Home (PCMH) Recognition products. Responsible for customer retention, customer satisfaction and quality and efficiency operating metrics. Partners with Product team to evolve existing programs and to develop new products that solve healthcare quality problems and generates revenue for the organization. Provides overall strategic and tactical direction for the continued optimization of all NCQA systems and processes that benefit both customers (health plans, vendors, provider organizations) and staff. Partners with the Information Technology and other key internal stakeholders to implement business process and technology solutions and to improve efficiency, accuracy and quality through an increased reliance on metrics, outcomes and analytics. Leads, develops, and motivates 100 staff and oversees 100 external physician and administrative contractors. Establish and maintain strategic relationships with senior staff of key customers, acting as an external spokesperson for NCQA.

Responsibilities:

• Lead the implementation and operations of NCQA’s evaluation programs to achieve customer retention, customer satisfaction and quality and efficiency operating metrics.

• Provide strategic and tactical direction for the continued optimization of all NCQA systems and processes that benefit both customers (health plans, vendors, provider organizations) and staff. Implements business process and technology solutions (partnering with Information Technologies) to improve efficiency, accuracy and quality.

• Partners with Product team to evolve existing programs and to develop new products that solve healthcare quality problems and generates revenue for the organization.

• Serves as a member of the Product & Customer Operations (PCO) department leadership team; participates in the strategic planning process and champions key initiatives; provides input on key policy and programmatic issues; implements organization-wide programs within the department.

Requirements:

• Masters degree in business or health care management.

• 10 years of senior level operations management experience in healthcare related organizations.

• Substantial experience in managing complex, high-volume operations.

• 10 years’ experience in healthcare quality such as health plan accreditation and measurement.

• Strong collaboration and teamwork skills. Ability to drive for results, metrics driven, highly analytical, ability to use and leverage technology, demonstrated financial acumen and ability to champion change.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

NCQA is a drug free workplace. NCQA recruits, hires, trains and promotes individuals, and administers any and all personnel actions, without regard to race, color, religion, national origin, age, sex, pregnancy, citizenship, familial status, disability status, veteran status, genetic information, or other protected statuses under applicable state and federal laws.

NCQA will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).