Care Management Regulatory & Accreditation Lead
Fallon Health
A leading health insurance provider in Massachusetts is looking for a Manager, Care Management Regulatory Compliance, Accreditation & Audit. The role involves overseeing compliance, leading accreditation processes, and managing audit programs. Candidates should have a bachelor's degree in a relevant field and at least 5 years of experience in managed care. Strong leadership, regulatory knowledge, and exceptional communication skills are crucial. This position supports quality improvement initiatives to enhance member service and compliance. #J-18808-Ljbffr Fallon Health
- A leading health plan provider in Worcester is seeking a Manager for Care Management Regulatory Compliance. This role will lead regulatory and accreditation initiatives, ensuring that care management operates within established guidelines. The ideal candidate will have...Regulatory
- ...Fallon Health is a company that cares. We prioritize our members—always... ...hope, we strive to be the leading provider of government‑sponsored... .... Brief summary of purpose The Manager, Care Management Regulatory Compliance, Accreditation & Audit is accountable for enterprise...RegulatoryFor subcontractorWork at officeLocal area
- ...Psychiatric Services Lead Nurse is a member of the... ...direct nursing care to patients requiring... ...health model and panel management focus, facilitating patients... ...professionals, funders and other regulatory agencies. Bilingual... ...: Graduate of an accredited school of nursing...RegulatoryFull timePart timeFlexible hours
$205.19k - $328.3k
...elevating the standard of patient care so people everywhere can... ...Job Description The Global Lead Medical Affairs -... ...leadership competencies and management proficiencies to effectively... ...for development projects and regulatory space or combination of relevant...RegulatoryFull timeLocal areaRemote workWorldwideAfternoon shiftEarly shift$3,500 per month
...Mexico and Puerto Rico, 250+ Vetco Total Care hospitals, hundreds of preventive care... ...technology including cloud-based practice management and records software, digital and dental... ...could be subject to variation based on regulatory minimum wage requirements. Actual pay rates...RegulatoryHourly payMinimum wageFull timeLocal areaRelocation packageFlexible hoursShift work- ...ensuring compliance with clinical practice standards. The successful candidate will screen patients, maintain confidentiality, and manage regulatory paperwork. An RN with a current Massachusetts license and 3-5 years of nursing experience is essential, with preferred...Regulatory
- ...Job Description Community Care Manager (RN License Required) eternalHealth – The Next Generation of Medicare Advantage Healthcare... ...of Insurance (DOI) and guidelines set forth by other regulatory agencies, where applicable, and defined in eternalHealth policies...RegulatoryWork experience placementLocal areaFlexible hours
- ...New England. This hybrid role emphasizes the need for strong regulatory compliance and permitting strategy. The ideal candidate will support... ...experience in environmental permitting, along with strong communication and project management skills. #J-18808-Ljbffr WSP in the U.S.Regulatory
- ...Director of Quality/Risk Management to join our team! Hospital... ..., MA is a 47 bed Critical Care Hospital providing acute... ...excellence, adherence with all regulatory, compliance, accreditation, and legal issues, and... ...professional growth while leading them on a path to success...RegulatoryWork experience placement
$28 - $30 per hour
...a comprehensive approach to care. AdCare's integrated system of... ...-going required assessments. Lead counselor I will demonstrate... ...Clinical Director and Program Manager, the Lead Counselor is responsible... ...meets contract, licensure, accreditation, and standards for service in...Hourly payContract workWork at officeShift workWeekend workAfternoon shift- ...surgery, and interventional spine care. With locations across the... ...motivated and experienced Clinic Team Lead to join our growing... ...providers with patient care, managing clinical workflows, mentoring... ...equivalent required. Completion of an accredited Medical Assistant program...
- ...Nursing Facility | Long-Term Care Exciting opportunity with Rehab Advisors in-house management client! Join a leading therapy organization with... ...documentation to meet all regulatory requirements Ensure all... ...Language Pathology from an accredited program Current license...RegulatoryFull timeContract workLocal area
$17 - $19 per hour
...hour POSITION SUMMARY The Shift Lead is responsible for executing... ...conjunction with the General Manager. The Shift Lead follows... ...with policies, procedures, and regulatory requirements. KEY DUTIES/RESPONSIBILITIES... ...QDOBA takes pride in carefully selecting talented people and...RegulatoryLocal areaShift workWeekend work- A leading fleet maintenance provider in Worcester, Massachusetts is looking for a Sr. Shop Trailer Mechanic. This role involves performing... ...experience, strong problem-solving skills, and must adhere to regulatory standards. This position offers opportunities for growth in a...Regulatory
- TwinThread is seeking a seasoned wealth management professional to drive client relationships and deliver tailored investment solutions... ...for monitoring client portfolios and ensuring compliance with regulatory standards. This role emphasizes the importance of teamwork and...Regulatory
- A leading clinical research organization based in Massachusetts is seeking an experienced leader in Clinical Data Management to oversee data collection systems, manage CDM activities from start... ..., and ensure compliance with all regulatory standards. The ideal candidate...Regulatory
$44.33 - $68.42 per hour
...position is responsible for managing day‑to‑day operations... ...that quality patient care is provided across... ...federal, state, and other regulatory bodies such as Joint... ...other unit‑specific accrediting and certifying bodies.... ...and Shared Services. Lead the achievement of goals...RegulatoryHourly payLocal area- ...initiatives focused on patient safety, quality improvement, and regulatory compliance. In addition to leadership responsibilities,... ...activities, including opportunities focused on infection prevention and care for underserved populations What We’re Looking For:...RegulatoryFull timeRelocation
- Seven Hills Foundation in Massachusetts seeks a Direct Support Professional II to provide care and empower individuals towards independence. This role involves implementing support plans and assisting with daily living activities. The ideal candidate has a high school...Full timePart time
- Autism Care Partners in Auburn, Massachusetts, is hiring a direct therapist to work one-on-one with children with autism. In this entry-level role, you will implement clinical plans, support client goals, and maintain a safe therapy environment. The position offers opportunities...Flexible hours
$25 per hour
Description At Autism Care Partners, we provide a supportive, inclusive, and collaborative environment where you can grow both personally... ...Program, Employee Assistance Program, Pet Insurance. Pay scale: Lead RBT $25.00/hour. Requirements No prior criminal history....Full timeTemporary workPart timeWork at officeFlexible hours- ...Memorial Health in Worcester seeks a Clinical Pharmacist to provide comprehensive medication management and improve patient care. The role encompasses medication review, regulatory compliance, and patient education. Ideal candidates will hold a Pharm.D or BSPharm with...RegulatoryNight shift
- ...located in Rochdale, MA is a 47 bed Critical Care Hospital providing acute care services to... .... Position Summary We are seeking a Lead Maintenance Technician to join our team.... ...project a professional image. Knowledge of regulatory standards and compliance requirements....RegulatoryFull timeLocal area
- ...dedicated RN Hospice Administrator to lead operations at our hospice... ...emphasizes patient-centered care and requires strong leadership... .... The ideal candidate will manage day-to-day operations, oversee... ...high-quality care that meets regulatory standards. A commitment to excellence...Regulatory
- AbbVie is hiring an Aseptic Product Quality Manager for their Eye Care division in Worcester, Massachusetts. This role requires at least 7 years... ...third party manufacturers and ensuring compliance with regulatory standards. The position offers a comprehensive benefits package...Regulatory
$18.5 per hour
...Cresco Labs, we aim to revolutionize and lead the nation’s cannabis industry with a... ...nation’s cannabis industry with a focus on regulatory compliance, product consistency, and... ...you will have: Experience leading and managing a team of hourly members; skills include...RegulatoryHourly payPermanent employmentFull timePart timeLocal areaShift workDay shift- Masis Professional Group is seeking a Facilities Manager to oversee facility maintenance, environmental... ...electronics setting. Key responsibilities include regulatory compliance, optimizing facility performance, and leading cross-functional initiatives within a highly...Regulatory
- ...MA, is looking for an Administrator RN I to lead and oversee operations of a hospice... ...Registered Nurse with strong leadership and management skills. The ideal candidate will possess expertise in hospice care and regulatory compliance. Key responsibilities include ensuring...Regulatory
$91.7k - $163.7k
...invent the future of health care, here's your opportunity. We'... ...responsible for the clinical management coordination of the overall activities... ...best practices, under regulatory, organizational policy, and... ...Qualifications Graduate of an accredited School of Nursing Current...RegulatoryMinimum wageFull timeWork experience placementWork at officeLocal area$101.03k - $181.85k
## Director of Managed Care OperationsApplyremote type: Hybrid 3-4 Working Caregiver (Onsite... ...patient care, academic excellence and leading-edge research make UMass Memorial the premier... ....* Anticipate operational impacts of regulatory, contractual, or market changes and...RegulatoryContract workWork at officeImmediate startRelocation packageMonday to FridayShift workDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Care Management Regulatory & Accreditation Lead. Be the first to apply!
- animal care coordinator Worcester, MA
- advance care planning coordinator Worcester, MA
- health care coordinator Worcester, MA
- social service coordinator Worcester, MA
- managed care coordinator Worcester, MA
- care team leader Worcester, MA
- home health care coordinator Worcester, MA
- care coordinator Worcester, MA
- care coordinator rn Worcester, MA
- home care coordinator Worcester, MA


