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Community Health Plan of WashingtonPosted 10/21/2026full-timeSeattle • Washington • United StatesMid-LevelSenior💰 $80,940 - $125,460 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing NCQA accreditation projects and compliance reviews, with a strong focus on process improvement and regulatory requirements. Proficient in developing work plans, facilitating cross-functional collaboration, and delivering training on accreditation standards.
Highest-signal resume keywords
NCQA Accreditation ManagementCompliance Review and AuditingProject ManagementProcess ImprovementData Analysis and Reporting
About the role
Key responsibilities & impact- Independently manage assigned NCQA accreditation projects, standards, survey components, and recurring workstreams
- Develop work plans, establish milestones, track dependencies and risks, and communicate progress toward goals
- Partner with business owners to translate NCQA standards into deliverables, evidence requirements, and readiness activities
- Conduct compliance reviews of files, records, reports, and supporting documentation
- Conduct audits and oversight activities across accreditation, operational, or delegated areas
- Assess compliance, identify issues, and support corrective action or process improvement
- Monitor compliance gaps, corrective actions, performance, and readiness through resolution
- Address barriers, identify trends and improvement opportunities, and escalate overdue, insufficient, or high-risk items
- Serve as a subject matter expert for assigned accreditation standards, projects, or functional areas
- Research requirements and provide guidance on complex accreditation matters
- Lead accreditation project meetings and cross-functional workgroups
- Establish objectives, facilitate discussion and decisions, confirm responsibilities, and monitor deliverables
- Draft and update policies, procedures, reports, narratives, training materials, tools, and accreditation documentation
- Develop and deliver training and technical guidance on NCQA requirements, accreditation processes, evidence expectations, and readiness activities
- Represent CHPW in assigned accreditation activities, reviews, workgroups, and external discussions
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree in health care administration, public health, business administration, quality management, or a related field, or an equivalent combination of education and highly relevant experience
- Minimum of 3 years of experience managing projects or programs, preferably in a health plan, health care, quality, compliance, or accreditation environment
- Experience partnering with cross-functional business owners to interpret requirements, establish deliverables, monitor progress, and address barriers
- Experience conducting compliance reviews, audits, readiness assessments, file reviews, or similar evaluative work
- Experience developing work plans, tracking risks and dependencies, communicating status, and managing work through completion
- Experience researching and applying accreditation, regulatory, contractual, or organizational requirements
- Experience identifying process improvement opportunities and supporting implementation of improved or standardized processes
- Knowledge of NCQA accreditation standards, managed care operations, and health plan regulatory requirements preferred
- Ability to interpret data, identify trends, and use data insights for reporting, monitoring, and decision-making
- Knowledge of health plan accreditation, regulatory compliance, and quality-management principles
- Advanced project-management, compliance-review, analytical, critical-thinking, and problem-solving skills
- Ability to evaluate documentation and operational evidence, identify gaps, and communicate actionable findings
- Effective written and verbal communication skills
- Advanced interpersonal and facilitation skills
- Demonstrated organizational, time management, and project management skills
- Proficiency in Microsoft Office, including Word, PowerPoint, Outlook, Excel, and Access
- Ability to work independently, multitask, and deal with complexity
- Must successfully pass a criminal background check
- Must not be sanctioned or excluded from participation in federal or state healthcare programs
Benefits
Comp & perks- 10% annual incentive target based on company, department, and individual performance goals
- Medical, Prescription, Dental, and Vision
- Telehealth app
- Flexible Spending Accounts
- Health Savings Accounts
- Basic Life AD&D
- Short and Long-Term Disability
- Voluntary Life, Critical Care, and Long-Term Care Insurance
- 401(k) Retirement and generous employer match
- Employee Assistance Program and Mental Fitness app
- Financial Coaching
- Identity Theft Protection
- PTO accrual starting at 17 days per year
- 40 hours Community Service volunteer time
- 10 standard holidays
- 2 floating holidays
- Compassion time off
- Jury duty pay
- Hybrid work arrangement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Project ManagementCompliance ReviewAccreditation StandardsProcess ImprovementData AnalysisRisk ManagementDocumentation EvaluationQuality ManagementReadiness AssessmentFile Review
Soft Skills
Effective CommunicationInterpersonal SkillsFacilitation SkillsOrganizational SkillsTime Management
Tools & Technologies
Microsoft OfficeWordPowerPointOutlookExcelAccess
Industry Keywords
Health Care AdministrationQuality ManagementRegulatory ComplianceManaged Care OperationsHealth Plan Accreditation