Bcbsnc

Project/Program Manager

Remote Flex - North Carolina

Sponsorship not specified$74k-$118kDetected 15 days ago

Project ManagementBudgetingExcelLeadershipCommunicationProblem SolvingMicrosoft OfficeSharePoint

About the role

The ideal candidate brings strong experience in NCQA accreditation and credentialing oversight.

Develop and maintain the NCQA program work plan and tracking tools to monitor progress, risks, and compliance status
Interpret standards and partner with business owners to operationalize requirements and implement compliant processes
develop mitigation strategies and provide regular status reporting to leadership
Collaborate with business areas and cross-functional stakeholders to develop and finalize NCQA data source submission reports (e.g., Member Experience [ME 7]), ensuring accuracy, completeness, and alignment with NCQA standards and audit expectations
Facilitate cross-functional workgroups, committee discussions, and Quality Improvement meetings to drive accountability and readiness
Drive continuous improvement initiatives to enhance quality, efficiency, and accreditation outcomes
Identify gaps and risks; develop mitigation strategies and provide regular status reporting to leadership
Support additional accreditation and compliance initiatives as needed
Proven ability to manage cross-functional initiatives and drive results in a matrixed environment
Ability to assess compliance gaps and implement actionable solutions

Bachelor's degree or equivalent experience
3+ years of experience in related field
In lieu of degree, 5+ years of experience in related field
Experience supporting or managing Credentialing and Recredentialing (CR) activities
Strong understanding of accreditation compliance, evidence documentation, and audit readiness
Strong communication skills with the ability to influence stakeholders at all levels
Proficiency in Microsoft Excel, PowerPoint, Teams, and SharePoint

Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants.
All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC.
Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
Based on annual corporate goal achievement and individual performance.
$73,698.00 - $117,917.00
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed.
Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.
401k match including an annual company contribution

The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
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.
Lead planning, execution, and oversight of NCQA Health Plan Accreditation programs, ensuring alignment with organizational goals and timelines
5+ years of program or project management experience in healthcare, quality, or compliance
Direct experience with NCQA Health Plan Accreditation standards and survey processes

This listing is sourced directly from Bcbsnc's careers page and normalized into a canonical job model.