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NCQA Subject Matter Expert - Job Opportunity at Clearlink Partners

Remote, US
Full-time
Senior
Posted: May 8, 2025
Remote
USD 110,000 - 160,000 per year

Benefits

Flexible work schedule
Remote work opportunity
Healthcare consulting industry exposure
Professional development opportunities
Leadership pathway potential

Key Responsibilities

Lead NCQA accreditation initiatives and quality monitoring programs
Develop and manage quality improvement strategies and metrics
Oversee compliance with regulatory requirements and standards
Drive performance improvement initiatives across client organizations
Manage complex healthcare data analysis and reporting
Provide strategic consulting services to healthcare organizations
Lead quality audit and accreditation review activities

Requirements

Education

Bachelors Degree in Healthcare Administration, Public Health, Nursing or related field

Experience

5+ years progressive leadership experience in health plan operations

Required Skills

NCQA accreditation expertise Healthcare regulatory compliance knowledge Data analysis and reporting Project management Leadership and team management Strategic planning Quality improvement methodologies Healthcare operations management Clinical outcomes analysis Policy and procedure development

Certifications

Clinical licensure preferred NCQA certification preferred
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Sauge AI Market Intelligence

Industry Trends

Healthcare quality measurement is becoming increasingly sophisticated with a growing focus on social determinants of health and health equity measures. Value-based care initiatives are driving demand for quality improvement expertise in managed care organizations. Integration of digital health solutions is creating new challenges for quality measurement and compliance.

Salary Evaluation

The offered salary range of $110,000-$160,000 is competitive for senior healthcare quality roles, reflecting the specialized expertise required. Top performers with advanced degrees and extensive NCQA experience can command higher ranges.

Role Significance

While no direct reports, role involves matrix management of cross-functional teams and significant stakeholder influence
Senior strategic position with direct impact on organizational accreditation and quality outcomes

Key Projects

NCQA accreditation preparation and maintenance Quality improvement program development Performance metric optimization Regulatory compliance initiatives

Success Factors

Deep understanding of healthcare regulatory landscape Ability to translate complex requirements into actionable strategies Strong stakeholder management skills Data-driven decision making capability

Market Demand

Very high demand, driven by increasing regulatory requirements and focus on quality metrics in healthcare

Important Skills

Critical Skills

NCQA standards expertise is fundamental for role success and credibility Healthcare regulatory knowledge enables effective compliance guidance Data analysis capabilities essential for performance measurement and improvement

Beneficial Skills

Change management experience aids in implementation success Clinical background provides valuable context for quality initiatives Project management certification can enhance delivery capabilities

Unique Aspects

Combination of strategic consulting and hands-on quality improvement work
Focus on multiple healthcare domains including Medicare, Medicaid, and Special Needs Plans
Opportunity to influence healthcare quality across multiple organizations

Career Growth

2-3 years in role typically required before advancement to director level positions

Potential Next Roles

Quality Director VP of Quality and Compliance Chief Quality Officer Healthcare Operations Executive

Company Overview

Clearlink Partners

Clearlink Partners positions itself as a specialized healthcare consultancy focusing on managed care optimization and market expansion

Emerging player in the managed care consulting space with focus on quality and compliance solutions
National presence with remote work capability indicates broad market reach
Professional consulting environment with emphasis on expertise and client service
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