High performing NCQA consulting firm wants consultants passionate about the standards to work remotely. No travel needed.

Please note that this application requires a video submission. You will only be considered if you follow the video submission requirements. If a resume is received without a video, your application will be rejected.

Are you interested in working in an ethical environment and affect the care and service of millions of managed care members? Would you like flexibility, be the authentic you, and work with knowledgeable and like-minded colleagues who want to help each other grow and excel in your work? Are you doing non-accreditation work and want to focus strictly on accreditation preparation? This position provides autonomy and mastery of the NCQA accreditation standards in a more detailed way than any other consulting firm. This position is only for those who wish to take some risk at leaving a W2 position for a 1099 independent consulting position. In February MBO Partners released a State of Independence in America Annual Research Study. Among their findings is that, for more people, working independently allows them to be who they really are: to make work add up to more than a paycheck, and to build a sense of security, purpose, and personal growth. You can work as little as 20 billable hours per week or up to 32 billable hours per week. This is embodied in working at Managed Healthcare Resources. Read about our values here. 

Company Description

Managed Healthcare Resources, Inc. (MHR) is a 34-year-old boutique consulting firm specializing in NCQA accreditation. MHR consultants are passionate about NCQA accreditation and continuous quality improvement, guiding organizations to meet NCQA requirements for almost all NCQA products. With a diverse team of very experienced consultants, most of whom are NCQA surveyors, we provide support at every stage of the accreditation process, from gap analysis to staff training and documentation development. Our vision is to “empower healthcare organizations to reach their fullest potential through successful NCQA accreditation, driving excellence and raising the bar in healthcare quality standards.” We empower our clients by coaching, mentoring, and transferring accreditation knowledge to staff to help them become as independent as possible. We work in a collaborative team environment while working independently. You must have the requisite skills when you come to work with us. You can read about us on our website at ManagedHealthcareResources.com. Please do not apply without reviewing our website to know who we are, what we do, and whether we reflect your values. That is included in the video you’re submitting.

Role Description

This is a contract remote role for an NCQA Accreditation Consultant at MHR. The Consultant will work 20 – 30 billable hours a week and partner with clients to evaluate current compliance, identify gaps, mentor and coach staff, develop strategies, and provide project management support if needed. Daily tasks include conducting file reviews, staff training on standards, and creating documentation to meet accreditation requirements within specified budgets. Formal onboarding and orientation provided, along with collegial and mentoring support of the consulting team. This opportunity is not a fill-in-the-gap until a traditional job presents itself or adjunct to a day job. This is a commitment to the consulting lifestyle and full-time consulting, not an after your job and on weekends contract position.

Qualifications

• MUST have at least two cycles of recent (2020-2024) hands-on experience with taking health plans through the NCQA health plan accreditation process. Hands-on means that you were directly involved in evaluation of documents against all the standards, assisted business owners in meeting requirements, and prepared documents for submission (highlighting, bookmarking and pdf development). Hands-on also means conducting review of all health plan accreditation files: appeals, denials, and complex case management files and credentialing and recredentialing files against the NCQA standards for all product lines: commercial, Medicaid, Medicare, Marketplace. PLEASE do not apply if these basic and critical requirements are not met.
• Hands-on also means involvement for at least two cycles of accreditation from submission of application to submission of the survey documentation and file review, including strategizing and prioritizing activities needed to complete the process for commercial, Exchange, Medicare and Medicaid health plan lines of business.
• For clinicians, hands on involvement with other NCQA products, such as health equity, population health programs, UM accreditation, QI, case management accreditation capability with long term services and supports distinction a plus. For non-clinicians, involvement with credentialing, quality improvement, network management, member experience required and work with health equity a plus.
• Current NCQA surveyor preferred, but non-surveyors accepted.
• Possess strong analytical and critical thinking skills with great attention to detail - mandatory
• Ability to conduct detailed evaluations of client documentation against NCQA standards.
• Ability to provide detailed direction to clients at different levels in their knowledge and organization (line staff/managers/directors/VPs) on gap mitigation, readiness for surveys and creative methods to remove organizational barriers
• Demonstrated capability to develop detailed documentation to meet standards' requirements (such as for analytical standards), if requested by client
• Ability to conduct business in a manner that meets clients where they are in a non-judgmental fashion and mentor, coach and guide them to meet standards in a meaningful way.
• Demonstrated experience in conducting work group meetings
• Possess experience and the ability to educate, train and mentor individuals
• Be self-motivated and able to work independently
• Ability to meet client's and firm's timeliness requirements
• Possess organization skills
• Have ability to work with multiple clients on assignments with competing needs and timelines on both sides
• Possess ability to identify issues early and proactively
• Demonstrated ability to communicate in a clear, concise, directive, and efficient manner via emails, readiness assessments, and verbally
• Ability and desire to work collaboratively in a team environment.
• Teachability and an ongoing learning mentality
• Commitment to work 20 - 32 billable a week
• Bachelor's degree in Healthcare Administration, Public Health, or related field accepted. A master's degree in health services, public policy, health services administration or business is a plus. For clinicians, RN license a requirement.
• Must pass a background check and provide three references of those knowledgeable about your work and character. 

Must have at least a moderate proficiency with Microsoft Office (Word, Excel, PowerPoint, OneNote), ability to use Adobe for bookmarking and document manipulation, ease with web-based technologies (including CRMs), and have a computer and a backup computer, a telephone (usually your cell phone) and a secluded and lockable workspace for confidential discussions and protection of confidential and proprietary information.

There is an extensive screening process, including review of your video, a screening call, NDA execution, exercises of standards applications, completion of an extensive experience grid, a DISC assessment, and three interviews if the pre-screening requirements are met. Only those with the highest level of experience and knowledge of accreditation pass through to the interview process to work for what one client has called our “elite” consulting firm.

Interested? Then please send a video of you answering these questions and send to and upload to the resume area.

1. What excites you the most about the ability to work with MHR?
2. What stood out to you/resonated with you about the website information?
3. Tell me about a time that you took an organization through NCQA accreditation survey and what the result was.
4. How do you manage competing priorities? Share a real-world example of how you managed the priorities under pressure.