Quality, Manager - RN - Full-Time (Remote U.S. within Alaska Time Zone Hours) jobs in United States
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Acentra Health · 1 month ago

Quality, Manager - RN - Full-Time (Remote U.S. within Alaska Time Zone Hours)

Acentra Health is dedicated to empowering better health outcomes through technology and clinical expertise. They are seeking a Quality Manager who will oversee day-to-day operations of Quality Management and support the delivery of high-quality care in both medical and behavioral health departments.

Health Care
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H1B Sponsor Likelynote

Responsibilities

Facilitate Quality Assurance (QA) activities, provide continuous improvement consulting services to internal customers, employ knowledge of performance improvement strategies, principles, methodology, techniques, and data analysis
Ensure the implementation of key performance indicators and maintains systems for tracking, reporting and improving performance
Ensure the promotion of awareness of customer requirements throughout the operation
Review audit results and identify the severity of audit findings or the risk associated with the findings
Review and evaluate reported crisis (i.e., highly urgent service-related problem with immediate negative implications for the Company) and assists with the formulation of a plan of action for handling the incident/issues based on area of expertise/responsibility
Execute QA plans to ensure they meet current and future business requirements (e.g., best practices, quality, volume and product growth, regulatory requirements, & new product introductions)
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualification

Licensed Registered Nurse (RN)Quality certification CPHQQuality certification ISOQuality certification Six SigmaHealthcare experience (5+ years)NCQA standardsURAC standardsCMS frameworksCustomer awarenessData analysisPerformance improvement strategies

Required

Must be available to work business hours as defined by contract within the Alaska Time Zone
An active, unrestricted Licensed Registered Nurse (RN) in the State of Alaska
OR the ability to obtain Alaska RN state licensing within three months of your start date, if selected
Bachelor's Degree in a related healthcare discipline
Formal training or certification in Quality (e.g., CPHQ, ISO, Six Sigma)
5+ years of experience in healthcare, preferably with service authorization/prior authorization experience
Knowledge of National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC) and CMS frameworks for quality standards

Preferred

Residency within Alaska, Pacific, OR Mountain Time Zone
Experience with Medicaid, Medicare, or commercial health plans

Benefits

Comprehensive health plans
Paid time off
Retirement savings
Corporate wellness
Educational assistance
Corporate discounts

Company

Acentra Health

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Acentra Health is a provider of clinical services and technological solutions to government healthcare organizations.

H1B Sponsorship

Acentra Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (49)
2024 (49)
2023 (16)

Funding

Current Stage
Late Stage
Total Funding
unknown
2022-11-09Acquired

Leadership Team

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Todd Stottlemyer
Chief Executive Officer
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Grant Christie
Senior Vice President, Market Strategy and Solutions
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Company data provided by crunchbase