Health Care Accreditation Project Manager

As the Health Care Accreditation Project Manager, you will report to the SVP, Clinical Integration & Implementation and play a key role in our NCQA accreditation and compliance with delegated programs. Key responsibilities will be to review analyses, policies, and other documentation against NCQA guidelines. When gaps are identified, leads development of policies and other documentation needed. Other duties and projects will be assigned based on the needs of the organization.

The ideal candidate will have worked recently in healthcare and has a background in NCQA, CMS, SNP Model of Care, Medicaid regulations, or compliance. The candidate must be detail-oriented, organized, collaborative, independent, and hold themselves to a high standard of work product and professionalism.

• Ongoing analyses of compliance against NCQA and client requirements.
• Tracking and supporting development of annual documents for internal and external review.
• Analysis, review, and modification of policies to ensure compliant and up-to-date.
• Management of NCQA/delegation related external deliverables to ensure quality and timeliness.
• Development of tools for tracking and communicating performance and status.
• Build templates and reports which can be used to evaluate performance, as well as track performance.
• Collaborate with operations, information technology and compliance personnel to drive accountability and process improvements.
• Help solve complex clinical and operational issues.
• Complete and manage special projects as assigned.

• Bachelor’s degree in healthcare business administration, legal, operations management, or related subjects.
• 3+ years of experience with healthcare policy or regulations, NCQA requirements, CMS, SNP Model of Care, Medicaid requirements, or compliance management.
• 3+ years of experience in project or program management experience in health plan or other healthcare organization.
• Self-starter and independent, critical thinker with ability to perform detailed data analysis.
• Must demonstrate excellent professional communication skills through clearly written, concise and comprehensive documentation, strong technical writing skills.
• Detail-oriented, organized, and holds self to high work standards.

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.