Manage daily project activities, work plans, and timelines for EQR contracts.
Conduct on-site or virtual compliance reviews of Medicaid managed care health plans.
Support audit reports, technical documents, and communication with stakeholders.
Health Services Advisory Group (HSAG) improves healthcare quality through Medicaid compliance and external quality reviews for state agencies. It is a growing, mission-driven team that values community impact, collaboration, and remote work.
Lead strategic and operational oversight for Medicaid external quality review contracts, ensuring compliance, quality, and timely deliverables.
Serve as the senior relationship manager for state Medicaid agencies and stakeholders, proactively resolving concerns and driving customer satisfaction.
Direct project planning, budgets, staffing, and team development while identifying risks and supporting business development initiatives.
Health Services Advisory Group (HSAG) is a national healthcare quality consulting organization that partners with states to improve healthcare delivery through external quality reviews and data-driven solutions. The company fosters a mission-driven, collaborative culture dedicated to making healthcare better for communities and clients.
Lead quality program management activities to ensure compliance with state, federal, and NCQA requirements.
Oversee complex quality deliverables including audits, accreditation surveys, and performance reports.
Collaborate with quality leadership and cross-functional teams to monitor performance and drive continuous improvement.
This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan.
Oversee CMS and state audit readiness, live audit management, and corrective action plans.
Build internal monitoring, training, and reporting to foster a culture of compliance.
Collaborate with clinical and operations teams to integrate audit findings into improvements.
Habitat Health empowers older adults to experience more good days through the Program of All-Inclusive Care for the Elderly (PACE), delivering coordinated medical and social care in homes and communities. Supported by leading healthcare organizations and investors, the company is expanding its scalable model with a mission-driven culture focused on participant well-being.
Lead external customer audits and utilization management oversight activities as a subject matter expert.
Analyze complex UM data, investigate findings, and prepare evidence-based responses for regulators and accreditation organizations.
Collaborate with operational, technical, and client-facing teams to drive compliance and process improvements.
This company is a healthcare organization specializing in utilization management and regulatory compliance. It operates with a remote team across the United States, fostering a collaborative and improvement-driven culture.
Lead and coordinate H.R. 1 workstream activities, including schedules, deliverables, resources, risks, and project performance.
Serve as the primary liaison between Hawaiʻi Med-QUEST, BerryDunn, and key stakeholders for H.R. 1-related initiatives.
Research Medicaid policies and regulations, translate them into system requirements, and own Jira tracking and status reporting.
BerryDunn is a professional services firm providing tax, advisory, consulting, and attest services to businesses, nonprofits, and government agencies. The firm is client-centered and people-first, with a focus on learning, development, well-being, and a diverse and inclusive workplace culture.
Collaborate with health plan leaders to develop quality data strategies and reporting on HEDIS and CAHPS performance.
Oversee data ingestion, validation, and documentation to improve accuracy across EHR, HIE, and supplemental data.
Support regulatory compliance and HEDIS audit readiness while monitoring quality programs and reporting risks.
This organization is a healthcare quality partner focused on national performance initiatives, including HEDIS, CAHPS, and data analytics. It provides a highly collaborative, matrixed environment with opportunities for cross-functional exposure and remote work.