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Policy Manager, Recognition

NCQAWashington D.c., United StatesOnsite
This job is no longer open

NCQA is hiring! We are searching for a Manager of Recognition Policy. The qualified candidates will serve as the content expert for designated Recognition Programs. The Policy Manager leads and participates in activities associated with:1. Development and maintenance of product-specific Standards and Guidelines.
2. Clarification of content-specific issues for external and internal customers.3. Review, preparation and/or presentation of educational materials and regulatory crosswalks.The Policy Manager has and maintains a current knowledge of the healthcare industry and works collaboratively with members of the Policy team and with other areas of the organization to help advance NCQA’s mission and supports efforts to make NCQA a Great Place to Work.

Primary Responsibilities


Development and Enhancement of Products


  • Serve as the product and content champion for assigned products and content areas.

  • Maintain knowledge of the current health industry and regulatory environment and apply it in development and enhancement activities.

  • Participate and support NCQA multi-function teams, projects, committees and external workgroups involved in the development, enhancement and alignment of assigned products.  Ensure that products and content are accurate and completed on time.

  • Research content, conduct analysis, synthesize feedback, assess quality of standards, prepare written summaries, incorporate changes and recommendations, rewrite/edit Standards and Guidelines for assigned products.
  • Update assigned products as necessary based on feedback from customers and instructions from Leadership or Policy management.

Content Expert


  • Serve as subject matter expert on assigned products and content areas and primary contact for assigned responsibilities.
  • Develop, review and edit content specific areas of proposed draft accreditation/certification standards (including policies and procedures and appendices).
  • Develops and presents education materials for quarterly Surveyor Education, NCQA Education webinars, and Speaker Bureau requests, as applicable.
  • Collaborate with Product Development and other NCQA Departments on Product Teams providing content expertise, standards and product development and system knowledge, as applicable.

Policy Clarification Support

  • Provide direct support to clarify complex questions regarding Standards and Guidelines.
  • Prepare written responses to questions for customers and verify proposed responses prepared by other Recognition Policy staff.
  • Prepare written responses to questions for customers and develops content for FAQs or policy updates.

Regulatory Affairs


  • Collaborate with the Public Policy and Regulatory Affairs team to review and evaluate regulatory affairs efforts in applicable states and across federal programs.
  • Review and update deeming crosswalks, annually.
  • Develop and maintain Public Policy reference materials, including updates to state and federal regulatory programs.
  • Participate in strategies to grow and maintain non-duplication efforts across state and federal regulatory entities.
  • Serve as a public policy consultant, content expert and primary contact for Public Policy related issues.

Collaboration and Organization Integration


  • Participate in collaborative and integrative projects with other departments such as public speaking engagements, education planning committees, surveys and surveyor training, Structural Issues Group (SIG), national account meetings, Center for Standards Integrity, website updates and product teams. 

Requirements:


  • Bachelor's degree and 3+ years of experience in a related field such as physician practice management, accreditation, health care quality measurement, health care program operations, consulting, etc. Master's degree preferred.
  • Working knowledge of health care and operations of health care organizations.
  • Strong command of Microsoft Office applications (Word, Excel, PowerPoint).
  • Decision making and analytical skills.
  • Ability to work under pressure and deadline oriented.
  • Ability to manage independent projects.
  • Initiative - demonstrates ownership and accountability.
  • Prior knowledge of PCMH (Patient Centered Medical Home) evaluation requirements preferred

Compensation & Benefits:


  • For new hires, this position pays in the range of $80K - $95K per year, depending on experience.
  • This position is eligible for an annual incentive bonus, payable in accordance with policy.
  • Click here for employee benefit information.

Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesNCQA 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).

This job is no longer open

Life at NCQA

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes physicians in key clinical areas. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA is committed to providing health care quality information through the Web, media, and data licensing agreements, in order to help consumers, employers, and others make more informed health care choices.
Thrive Here & What We Value1. Equal Opportunity Employer2. Protected Veterans/Individuals with Disabilities3. Drug-Free Workplace4. No Discrimination Based on 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 Laws5. No Discharge or Discrimination Against Employees/Applicants for Inquiring About Pay6. NCQA is a drug-free workplace7. NCQA recruits, hires, trains, and promotes without regard to protected statuses8. NCQA will not discharge or discriminate based on pay inquiries
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