Delegation 301: Implementation - Oversight for Credentialing

About this Learning Activity

Delegation 301: Implementation – Oversight for Credentialing

Delegation 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.

Learning Materials

• Recording of live sessions
• Presentation slides
• Applied scenarios
• Live Q&A (during live session only)

Benefits

• Perspectives of an NCQA Surveyor
• Practical applications

What You Will Learn

Topics

• Effective Collaboration
• Recurring Audits
• Delegated Functions
• Performing Monitoring and Reporting

Learning Objectives

By participating within this learning activity, learners will:

• Analyze the organization’s retained accountability for credentialing and recredentialing within delegated arrangements.
• Evaluate the effectiveness of delegation oversight structures—such as monitoring, reporting, audits, and corrective action.
• Refine delegation oversight procedures that strengthen organizational accountability, mitigate risk, and ensure consistent credentialing and recredentialing outcomes.

Learning Outcomes

By completing this learning, learners will be equipped to:

• Align reciprocal expectations to achieve target outcomes.
• Validate the effectiveness of oversight practices for delegated functions.
• Optimize oversight communications effectively to internal leadership and delegated partners.

Who Should Attend

• Credentialing leaders, clinicians, directors, managers, specialists, and coordinators.
• Partners, consultants, contractors, delegates, and vendors who support Credentialing teams.
• Professionals in quality assurance/improvement or performance measurement.

Faculty

Sonia Frazier, MPH, CPHQ
Sonia 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.

Sonia’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.

Sonia 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.

Continuing Education

This course grants 1 Other Continuing Education Unit (CEU) points for PCMH Certified Content Experts.

This is a non AMA PRA Category 1 Credit™, ANA CNE, ACPE activity.

* Please note – You must attend the entire program to be eligible for total number of contact hours.

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:
Sonia Frazier, MPH, CPHQ: None

Additional Planning Committee Members:

Julie Pung: None

Vince Pereira: None

This program was developed in part by NCQA staff.

This program received no commercial support.

Event Type

1. Live Online