Anthem Inc. Virginia Jobs

Job Information

Anthem, Inc. Staff VP Accreditation & Quality Programs in Reston, Virginia


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Title: Staff VP Accreditation & Quality Programs

Preferred Location: Open to work-at-home/remote in other cities for the most qualified applicant

Position Overview:

Responsible for acquiring, maintaining, and maximizing NCQA and other required accreditations across multiple lines of business and applicable entities within Anthem. Works with business leaders and stakeholders to meet or exceed accreditation standards, and to address opportunities for improvement across standards.

Provides oversight for Quality Programs, Enterprise Quality Oversight Committee (EQOC), Patient Safety, and quality dashboard reporting.

Primary duties may include, but are not limited to:

  • Develops and executes a comprehensive strategy to maximize all accreditation efforts

  • Develops and executes comprehensive strategy to improve Commercial NCQA Accreditation status, NCQA Star Ratings, Exchange Quality Rating System (QRS) Ratings, and support FEP Quality Improvement Program (QCR)

  • Develops and executes multi-cultural health efforts and attain NCQA Accreditation for Health Equity, HE+ if business required

  • Provides oversight and guidance for multiple Quality programs, including EQOC and Patient Safety, supports business lines compliance, provides value assessment to support business growth

  • Collaborates and manages the process of business planning and budgeting manages operational dashboards and KPI. Hires, trains, coaches, counsels, and evaluates the performance of direct reports

  • Travel may be required


Requires a BA/BS degree in a related field and a minimum of 8 years of NCQA accreditation management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Clinical training such as NP, PA, Social Worker, or equivalent experience

  • Master’s degree in business and/or health administration

  • Experience with significant large-scale project management, strategic planning, and/or consulting in the health care industry

  • Strategic thinker with a broad & deep understanding of the health care industry

    The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs, and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.