Quality Assurance Contracts Manager
Quick Summary
The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.
• Provides guidance to state health plan requirements related to EQRO and NCQA contract deliverables and contract management best practices.
• Conduct regular evaluations of Quality Assurance deliverables, identifying contract gaps or need for corrective action to advise leadership on improved contract management and oversight of Quality Assurance between EQRO, NCQA, and NC Medicaid health plans.
• Serves as an SME to State Medicaid Health Plans as well as internal and external stakeholders to define the quality framework of quality improvement initiatives related to regulatory requirements of NCQA.
• Establish contract monitoring systems to track progress and measure outcomes of quality improvement processes related to State Health Plan requirements for NCQA accreditation.
• Conduct regular evaluations to assess the impact of implemented changes and adjust as necessary to ensure state health plan requirements are following NCQA standards and that timelines for reporting are met as defined in Health Plan contracts and oversight mechanism with EQRO vendor.
• Prepare and deliver progress reports, status updates, and presentations to stakeholders and leadership.
• Facilitate discussions and meetings to review findings, share insights, and gather feedback on quality compliance.
• Participate in continuous learning and professional development to stay updated on evidenced-based practices in healthcare quality improvement related to EQRO and NCQA compliance and activity.
• Oversees a team of 1-2 Quality Assurance specialists providing oversight of contractual deliverables, recommendations, and quality improvement activity to Quality Management leadership and DHB business units.
Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.
The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:
Strong ability to communicate and guide work independently from direct supervision 90% or greater of the time.
Competent in health plan contracting standards and ability to oversee or advise on service level agreements to regulator frameworks that mitigate risks to members and the department.
Advise leadership on direct and indirect regulatory risks, anticipate new risk, and strategically advise on future contract requirements for improved oversight functions of managed care plans and fee for service contracts.
Strong understanding of Quality iterative life cycle to advise Quality Improvement leadership on future improvement initiative requirements or change needs to mitigate current or future risks, improve health outcomes, and be accountable for health plan oversight.
Requirements
~1 min readStandard office work include standing and sitting, typing, and travel.
Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.
Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.
Bachelor’s degree in business or related area from an appropriately accredited institution and four years of progressive procurement or contract administration experience; or
equivalent combination of education and experience.
Necessary Special Requirements Completion of the North Carolina Contract Management Certification Program within one year of hire into the position.
The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.
Location & Eligibility
About this job
- Pay per year
- $65,000–$71,443 a year
- 44% below the $121,525 median for Contracts jobs on Jobera (120 salaries).
- Who can apply
- United States
- Posted
- Today
Listing Details
- Posted
- October 20, 2026
- First seen
- October 20, 2026
- Last seen
- October 20, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 63%
- Scored at
- October 20, 2026
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