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SUMMARY:Delegation 301: Implementation - Oversight for Credentialing
DESCRIPTION:About this Learning Activity\nDelegation 301: Implementation 
 - Oversight for Credentialing\nDelegation 301: Oversight for 
 Credentialing invites participants into a more advanced\, 
 hands‑on exploration of how to confidently manage\, 
 monitor\, and validate delegated credentialing activities. 
 Throughout the course\, learners engage with realistic case 
 studies\, examine sample files\, and apply oversight 
 techniques while receiving practical guidance from seasoned 
 subject‑matter experts. The experience focuses on building 
 a strong oversight structure that supports audit readiness 
 and aligns with regulatory and accreditation expectations. 
 Participants walk away with actionable tools and insights 
 they can immediately put to work within their organizations. 
  \n\nLearning Materials\n\n\nRecording of live 
 sessions\nPresentation slides\nApplied scenarios\nLive Q&A 
 (during live session only)\n\nBenefits\n\n\nPerspectives of 
 an NCQA Surveyor\nPractical applications                     
                \n\nWhat You Will 
 Learn\nTopics\n\n\nEffective Collaboration\nRecurring 
 Audits\nDelegated Functions\nPerforming Monitoring and 
 Reporting\n\nLearning Objectives\n\nBy participating within 
 this learning activity\, learners will:\n\n\nAnalyze the 
 organization’s retained accountability for credentialing 
 and recredentialing within delegated arrangements.\nEvaluate 
 the effectiveness of delegation oversight structures—such 
 as monitoring\, reporting\, audits\, and corrective 
 action.\nRefine delegation oversight procedures that 
 strengthen organizational accountability\, mitigate risk\, and 
 ensure consistent credentialing and recredentialing 
 outcomes.\n\nLearning Outcomes\n\nBy completing this 
 learning\, learners will be equipped to:\n\n\nAlign 
 reciprocal expectations to achieve target 
 outcomes.\nValidate the effectiveness of oversight practices 
 for delegated functions.\nOptimize oversight communications 
 effectively to internal leadership and delegated partners. 
 \n\nWho Should Attend\n\nCredentialing leaders\, clinicians\, 
 directors\, managers\, specialists\, and 
 coordinators.\nPartners\, consultants\, contractors\, 
 delegates\, and vendors who support Credentialing 
 teams.\nProfessionals in quality assurance/improvement or 
 performance measurement.\n\nFaculty\nSonia Frazier\, MPH\, 
 CPHQ \nSonia Frazier has over 20 years’ experience within 
 healthcare including as Director at a large Medicaid plan\, 
 consultant and as Manager/Senior Accreditation Manager at 
 the National Committee for Quality Assurance (NCQA). She has 
 been an NCQA Surveyor since 2012.  Her expertise is in 
 guiding organizations through NCQA accreditation and 
 certification preparation and supporting corporate clients 
 and complex organizations. Sonia joined Managed Healthcare 
 Resources in 2019 as a Healthcare Consultant.\n\nSonia’s 
 experience includes Director for the second largest Medicaid 
 plan in the Philadelphia market for seven years\, where she 
 was responsible for accreditation\, HEDIS roadmap\, audit 
 preparation\, disease and case management\, quality 
 credentialing auditing\, Early and Periodic Screening\, 
 Diagnostic and Treatment (EPSDT)\, and the high medical needs 
 program.  Sonia has worked with Medicaid\, Medicare\, Adult 
 Basic and SCHIP products.  In 2011\, she led the organization 
 in obtaining the distinction of being the first health plan 
 awarded NCQA’s Multicultural HealthCare 
 Distinction.\n\nSonia holds a Master of Public Health from 
 Drexel University School of Public Health in Philadelphia\, 
 Pennsylvania\, and a Bachelor of Science in Biology from the 
 University of Pittsburgh. She is a Certified Professional in 
 Healthcare Quality (CPHQ) since 2020.\n\nContinuing 
 Education\nThis course grants 1 Other Continuing Education 
 Unit (CEU) points for PCMH Certified Content 
 Experts.\n\nThis is a non AMA PRA Category 1 Credit™\, ANA 
 CNE\, ACPE activity.\n\n* Please note – You must attend the 
 entire program to be eligible for total number of contact 
 hours.\n\nDisclosure of Relevant Financial 
 Relationships\nThe 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.\n\nFor 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.\nDisclosure 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.\n\nRelevant financial relationships exist with 
 the following companies/organizations: \n\nFaculty:\nSonia 
 Frazier\, MPH\, CPHQ: None\n\nAdditional Planning Committee 
 Members:\n\n\nJulie Pung: None\n\nVince Pereira: 
 None\n\nThis program was developed in part by NCQA 
 staff.\n\nThis program received no commercial support.\n
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