Medical Director, Clinical Quality Science

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🔥 25 minutes ago

🏛️ District of Columbia – Remote

🏛️ District of Columbia – Remote

💵 $280k - $330k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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NATIONAL COMMITTEE FOR QUALITY ASSURANCE - NCQA

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

🤝 Non-profit

📋 Compliance

🔥 Funding within the last year

💰 Grant on 2026-08

Healthcare • Non-profit • Compliance

NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) is an independent, nonprofit organization that works to improve the quality of health care. NCQA develops evidence-based standards, performance measures, and accreditation programs used to evaluate and credential health plans, medical groups, and other health-care organizations; it is well known for measurement programs such as HEDIS and for accrediting and recognizing organizations that meet its quality standards. NCQA’s work focuses on quality measurement, reporting, and accreditation to drive improvements in clinical care, patient experience, and health-system performance.

📋 Description

• Build and run a repeatable process converting changes in clinical guidelines, tests, therapies and care delivery into recommendations on NCQA measures • Lead evidence reviews and draft decision memos for the CMO, measurement committees and Committee on Performance Measurement • Apply NCQA retirement and selection criteria to identify measures for renovation or retirement • Serve as clinical lead for the Portfolio Curation workgroup within the Modernizing Measurement initiative • Shape clinical concepts for under-measured domains such as person-centered outcomes, shared decision making, behavioral health, dementia and patient experience • Assess measure accuracy, data-path artifacts, misattribution, gaming risk, unintended consequences and post-implementation effectiveness • Build and coordinate informatics partner systems to test measure feasibility and evaluate measure-output accuracy • Partner with Analysis & Evaluation and Clinical Informatics on data validity and measure evaluation • Support the Quality Solutions Group in securing funding for new measures • Co-develop shared methods for evidence review, clinical appraisal and fidelity assessment with QMRG leaders and teams • Clarify decision rights across clinical, methodological and governance steps • Mentor measure developers and analysts on clinical reasoning and evidence appraisal • Serve as clinical evaluator and requirements-setter for digital measures • Define clinical evaluation criteria for AI-enabled measurement services and review vendor evidence • Provide clinical input to NCQA work with CMS and states on digital quality measures • Engage clinicians, specialty societies, health plan leaders and patient/consumer voices • Represent NCQA in expert panels, measure committees and federal/state discussions • Present at conferences and webinars • Draft clinical sections of white papers, funder concept notes, board and leadership materials and peer-reviewed manuscripts

🎯 Requirements

• MD, DO or equivalent with active or prior clinical practice • Board certification strongly preferred in primary care, internal medicine, family medicine, pediatrics or preventive medicine; other specialties considered • 10+ years in healthcare quality, performance measurement, guideline development, health services research or medical leadership in a health plan, health system, government agency or research organization • Demonstrated skill in evidence synthesis and critical appraisal • Comfort with reliability, validity, attribution and risk adjustment concepts • Track record of strengthening teams through shared methods, mentoring and clear decision processes • Ability to lead through influence in a matrixed organization • Excellent writing skills for executive decision-ready memos and technical documents • Credibility with clinicians and plan leaders • Preferred MPH, MS or equivalent training in epidemiology, health services research, informatics or health policy • Experience developing or stewarding quality measures, including HEDIS, CMS programs or specialty-society measures, or serving on measure/guideline committees • Working knowledge of electronic clinical data and digital quality measurement, including EHR data, FHIR/USCDI, CQL, ECDS and eCQMs • Experience evaluating AI/ML or NLP tools in clinical or quality settings • Peer-reviewed publication record

🏖️ Benefits

• Annual incentive bonus, payable in accordance with policy • Employee benefits (specific benefits linked in posting) • Inclusive culture and workplace • Equal Opportunity Employer • Drug-free workplace

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