Program Manager II, Accreditation & Regulatory Management; ARM

Job Category: Program Management

Requisition Number: PROGR
002928

• Full-Time
• Hybrid
• Salary Range : $80,940 USD to $125,460 USD

Showing 1 location

Hybrid Washington
Seattle, WA 98101, USA

Who we are

Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.

About the Role

The Program Manager II, Accreditation and Regulatory Management (ARM) independently manages assigned projects, standards, and work streams that support CHPW’s ongoing compliance with National Committee for Quality Assurance (NCQA) accreditation requirements. This position partners with CHPW business teams to translate accreditation requirements into actionable work plans, monitor readiness, conduct compliance reviews, identify and communicate risk, and support timely resolution of identified gaps.

This position serves as a subject matter expert for assigned accreditation areas and provides reliable guidance and project oversight to help business teams meet established requirements. The role supports accreditation surveys and continuous readiness activities while escalating significant compliance risks and organizational barriers to leadership.

To be successful in this role, you:

• Possess a 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.
• Have a minimum of 3 (three) years of experience managing projects or programs, preferably in a health plan, health care, quality, compliance, or accreditation environment.
• Have experience partnering with cross-functional business owners to interpret requirements, establish deliverables, monitor progress, and address barriers.
• Have experience conducting compliance reviews, audits, readiness assessments, file reviews, or similar evaluative work.
• Have experience developing work plans, tracking risks and dependencies, communicating status, and managing work through completion.
• Have experience researching and applying accreditation, regulatory, contractual, or organizational requirements.
• Have experience identifying process improvement opportunities and supporting implementation of improved or standardized processes.
• Have knowledge of NCQA accreditation standards, managed care operations, and health plan regulatory requirements, preferred.

Essential functions and

Roles and Responsibilities:

• Independently manages assigned NCQA accreditation projects, standards, survey components, and recurring work streams by developing work plans, establishing milestones, tracking dependencies and risks, and communicating progress toward established goals.
• Partners with assigned business owners to translate assigned NCQA standards into clear deliverables, evidence requirements, and readiness activities; provides consultation and maintains accountability for timely completion of assigned work.
• Conducts compliance reviews of files, records, reports, and other supporting documentation, and conducts audits and oversight activities across assigned accreditation, operational, or delegated areas to assess compliance, identify issues, and support corrective action or process improvement.
• Monitors identified compliance gaps, corrective actions, performance, and readiness within assigned accreditation areas through resolution; works with responsible business owners to address barriers, identifies trends and improvement opportunities, supports process improvements, and escalates overdue,…