Evolent · 9 hours ago
Senior Quality Specialist (Accreditation)
United States
Full-time
Remote
Mid, Senior Level
$78K/yr - $78K/yr
4+ years expEvolent is a company that partners with health plans and providers to improve outcomes for individuals with complex health conditions. The Senior Quality Specialist (Accreditation) will support the accreditation and quality functions, ensuring compliance with accreditation requirements and working collaboratively with multiple departments to maintain a strong quality program.
Health CareHospitalInformation Technology
Responsibilities
Serves as a member of the quality team
Supports the maintenance of a strong quality program and adherence to State, Federal, CMS, Accreditation (NCQA and/or URAC), and contractual requirements
Adherence to the organization's ability to be in a constant state of audit readiness
Assists in the preparation of customer and external audits
Assists/leads with annotations and bookmarks for customer audits (i.e. policies and procedures, meeting minutes, other required materials/documents)
Assists/leads with gathering documents for accreditation audits
Assist leadership with finalizing documents for submission for accreditation
Facilitate meetings with internal stakeholders as needed
Assist with projects for gap analysis, compliance risk with accreditation standards
Assist with reviewing released accreditation standards, education as applicable
Assist with project management of documents, timelines for preparation of audits
Work collaboratively with quality team and leadership for delegation vendor oversight
Assist with review of vendor/delegate contracts and participates in pre-delegation
Assist with vendor/delegate annual oversight for accreditation requirements (P&Ps/document review)
Assists with policies and procedure review for accreditation requirements
Responsible in assisting with providing the data for the Monthly Operations Report (MOR) as applicable
Knowledgeable and/or SME in accreditation requirements
Any other duties as assigned by Manager or Quality leadership
Qualification
Required
Work Experience 4+ years required in Quality or healthcare related field
Minimum of 2+ years prior experience with NCQA surveys
Education High School Diploma or college degree or higher-level education (tech/certification)
Able to work independently
Expertise in data management, data analysis, reports, and project management skills
Strong working knowledge of Microsoft products and systems
Excellent verbal and written skills and the ability to enter data accurately into spread sheets and prepare professional looking documents and reports
Preferred
Lean Six Sigma Certified or similar Quality certification
Benefits
Comprehensive benefits (including health insurance benefits)
Company
Evolent
Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions.
1001-5000 employees
H1B Sponsorship
Evolent has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (16)
2023 (22)
2022 (15)
2021 (17)
2020 (20)
Funding
Current Stage
Public CompanyTotal Funding
$1.17BKey Investors
TPG Growth
2025-08-19Post Ipo Debt· $145M
2023-12-05Post Ipo Debt· $350M
2022-08-11Post Ipo Equity· $125M
Leadership Team
Sarah Alexander
Vice President, Strategic Accounts
Recent News
2026-01-06
2026-01-03
2025-12-22
Company data provided by crunchbase