Aetna Medicaid AdministratorsHiring

Sr. Manager, Health Outcomes Accreditation

  • Remote, United States
  • Lead
  • Posted 6 days ago
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In one line

Leads accreditation work for health outcomes and community-focused care standards across health plan populations.

About the role

Accreditation readiness and gap analysis sit at the centre of this role, with corrective action plans and surveys to run. The work links quality goals to how operational teams actually deliver care.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Lead
Skills
NCQA Accreditation, Health Outcomes, Community-Focused Care, Gap analysis, Corrective action planning, Quality improvement
Posted
29 Oct 2026
Last checked
2 Nov 2026

What you will do

  • Run accreditation activities from standards interpretation and readiness checks to survey prep and corrective action
  • Act as the in-house expert on health outcomes and community-focused care standards, including health equity rules
  • Build accreditation strategy, executive presentations and governance reports with business owners
  • Manage several complex accreditation and quality projects to their milestones
  • Support other accreditation, certification and regulatory efforts as priorities shift

What they look for

  • 3 to 5 years as a subject matter expert on health outcomes and community-focused care accreditation standards
  • 3 to 5 years of accreditation readiness work: gap assessments, document reviews, mock surveys and compliance monitoring
  • Experience partnering with clinical, quality, compliance, population health and analytics teams
  • Ability to judge performance against standards and flag compliance risks with clear recommendations
  • Record of leading cross-functional teams and governance committees

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Questions about this job

Is this job fully remote, and from where?

Yes, it is listed as remote, aimed at candidates in the United States.

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a lead role. The posting asks for: 3 to 5 years as a subject matter expert on health outcomes and community-focused care accreditation standards; 3 to 5 years of accreditation readiness work: gap assessments, document reviews, mock surveys and compliance monitoring; experience partnering with clinical, quality, compliance, population health and analytics teams. Skills it names include NCQA Accreditation, Health Outcomes, Community-Focused Care, Gap analysis.

How do I apply with Keywordise AI?

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