- Humana (Lansing, MI)
- …part of our caring community and help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager ) who ... assist with monitoring day-to-day operational activities with AAAs. The Manager , Quality Assurance works within...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Staffing Solutions Organization (Albany, NY)
- …**Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of System Quality Assurance and Business Requirements - Eligibility Systems Modernization ... reflection of our clients and the people they serve. ** Medicaid Program Manager 1 in Albany, NY**...change management support for the rollout of the new Medicaid eligibility system designed for New York's Complex … more
- Humana (Miramar, FL)
- **Become a part of our caring community and help us put health first** The Manager , Quality Assurance develops and implements programs to establish and ... quality of care given to patients. The Manager , Quality Assurance works within...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- New York State Civil Service (Syracuse, NY)
- …investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, ... No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6401) Occupational Category Legal Salary Grade NS Bargaining… more
- New York State Civil Service (New York, NY)
- …investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, ... No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6400) Occupational Category Legal Salary Grade NS Bargaining… more
- Aveanna Healthcare (Long Beach, CA)
- Quality Assurance Coordinator ApplyRefer a FriendBack Job Details Requisition #: 207776 Location: Long Beach, CA 90803 Category: Administrative/Clerical Salary: ... $21.00 - $23.00 per hour Position Details Position Overview The Quality Assurance Coordinator assists in maintaining client files, care provider files,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …in managed security service provider (MSSP), National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Healthcare ... based contracts and gap closure work. This Population Health Clinical Quality Manager will support the Medicare Shared Savings Program (MSSP) value-based care… more
- State of Massachusetts (Boston, MA)
- …assistance, and administrative oversight necessary to ensure all CMS quality assurance systems are observed. The Autism Clinical Manager conducts eligibility ... Waiver program, funded through the Centers for Medicare and Medicaid (CMS), provides in home behavioral services for young...and needs assessment. - Assist in designing and implementing quality assurance measures as they relate to… more
- Humana (Richmond, VA)
- …for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). **Use your skills to make an impact** **Required ... and help us put health first** The ARTS Care Manager (Field Care Manager , Behavioral Health 2)...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- State of Indiana (Indianapolis, IN)
- …of utilization review, clinically appropriate care and risk management for the purpose of quality assurance in Indiana Medicaid . In this role, you will ... Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID:...this knowledge in developing partnerships to ensure high-level of quality in Medicaid programs. Travel is required.… more
- Service Source (Springfield, VA)
- …standard operating procedures all assigned documentation, attendance rosters, etc. + Perform quality assurance of data, quarterly reports, etc. to ensure ... Assistant Program Manager - Adult Day Program Burke, VA |...active engagement and inclusion for participants Ensure compliance with Medicaid , Licensing, CARF, and company standards Assist with documentation,… more
- Cayuse Holdings (Austin, TX)
- …system integration and project delivery experience. Experience working with external vendors and/or Quality Assurance efforts a plus. + 7 Required Experience in ... **Overview** **_JOB TITLE:_** Project Manager II **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC...transition and vendor management. + 7 Required Experience with Medicaid Enterprise Systems, including Medicaid Management Information… more
- Humana (Springfield, IL)
- …Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). + Other job duties as assigned **Use your skills to ... and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- MyFlorida (Quincy, FL)
- …Ensures all staff complete required training and are offered additional training. Ensures quality assurance activities are met and in compliance with local, ... PUBLIC HEALTH SERVICES MANAGER B-SES - 64028011 Date: Oct 3, 2025...closely with direct reports in monitoring and ensuring that quality assurance activities are met and in… more
- Beth Israel Lahey Health (Charlestown, MA)
- …with the Mass. Executive Office of Health and Human. Services, National Commission for Quality Assurance , and Center for Medicaid and Medicare Services. + ... local goals, in alignment with BILH's Health Equity and quality goals. The Health Equity Program Manager ...+ Experience working with NCQA, Centers for Medicare and Medicaid Services (CMS), and other state and federal regulatory… more
- Penn Medicine (Lancaster, PA)
- …are documented accurately and appropriately. + Utilizes and promotes knowledge of quality assurance standards and programs. + Completes unit schedule, providing ... Position Summary: + Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans,...A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,… more
- East Boston Neighborhood Health Center (Revere, MA)
- …development and maintain active coding certification(s). + Lead or assist with quality assurance reviews across multiple specialties. EDUCATION: + Preferred: ... and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep… more
- LA Care Health Plan (Los Angeles, CA)
- …Care (DMHC), the Managed Risk Medical Insurance Board (MRMIB), National Committee for Quality Assurance (NCQA) and other rules/ regulations/ standards. The ... Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- New York eHealth Collaborative (New York, NY)
- …external stakeholders. + Design, implement, maintain, and enhance data workflows, quality assurance protocols, analytical processes, and reporting products (eg, ... (eg, R, SAS, SQL, Python, Salient) as well as quality assurance processes. + Hands-on experience with...both technical and non-technical audiences. + Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data,… more
- Humana (Madison, WI)
- …the FCP program including assessment, service plan development, ongoing care coordination, quality assurance and ongoing monitoring of services to adults with ... us put health first** Humana/iCare is seeking a Case Manager /Care Coach to join the growing Milwaukee County team...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more