About this Webinar Training

NCQA Advanced Credentialing: Strategies Beyond Compliance

This advanced-level course equips credentialing professionals with the insight and strategies needed to move beyond basic compliance and drive measurable quality and process improvement. Participants will engage in scenario-based learning and peer-to-peer collaboration to explore the most challenging aspects of NCQA’s credentialing standards. Through guided discussion and real-world application, learners will leave with actionable strategies they can use to strengthen their credentialing programs. A working knowledge of Credentialing will be beneficial for a successful learning experience. Course topics are not exclusive to NCQA requirements but are applicable to NCQA requirements for both Health Plan Accreditation (HPA) and Credentialing Accreditation.

What You Will Learn

• Analyze complex NCQA credentialing requirements to identify and address areas that most commonly result in confusion or noncompliance.
• Apply strategic and operational approaches that streamline credentialing processes while maintaining alignment with NCQA’s standards. Evaluate real-world scenarios to determine effective corrective actions, documentation methods, and compliance evidence.
• Collaborate with peers to synthesize shared insights and best practices that enhance data integrity, timelines, and oversight in credentialing programs.
• Design and implement proactive, data=driven quality improvement strategies that move credentialing beyond compliance to continuous performance excellence.

Who Should Attend

• Credentialing and Provider Network Managers
• Delegation Oversight Coordinators
• Health Plan and CVO Credentialing Staff
• NCQA Accreditation and Compliance Specialists
• Quality and Compliance Specialist
• State Officials

Faculty

Tammy MacDonald, Consultant, Macdonald and Associates

Continuing Education

This is a non-accredited activity.

Disclosure of Relevant Financial Relationships

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution.  For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

Faculty:
Tammy MacDonald

Additional Planning Committee Members:
Felicia Khaalid: None

This program was developed in part by NCQA staff.