Jobs in the United States

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DIETETIC TECHNICIAN, FH - FOOD SERVICE C
FROEDTERT
MILWAUKEE, WI
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Physician - Pathologist
Veterans Affairs, Veterans Health Administration
Milwaukee, WI
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PARAPROFESSIONAL
Rite of Passage Brand
Bryant, AR
- $18.01 USD / hour
AJATC is a secure residential program for at-risk male and female youth, located on 110 acres just outside of Little Rock, AR. Through our trained programming for staff, AJATC promotes a…
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Certified Peer Support Specialist - CORE
WCS - UNLIMITED POTENTIAL
MILWAUKEE, WI
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Social Worker Case Management
Ascension Health
Milwaukee, WI
High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required.
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Registered Nurse Case Management Services
Ascension Health
Milwaukee, WI
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
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CG
Fiserv Forum - Concessions Stand Worker
Compass Group, North America
Milwaukee, WI
- $19.45 USD / hour
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Mutual Fund Specialist-Contact Center
U.S. Bank
Milwaukee, WI
Associate or bachelor’s degree in business or a related field, or relevant work experience
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Fiserv Forum - Concessions FOH Supervisor
Compass Group, North America
Milwaukee, WI
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Fiserv Forum - Clubs Supervisor
Compass Group, North America
Milwaukee, WI
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HK
School-Age Childcare Site Supervisor – After School
HEALTHY KIDS PROGRAMS
Cazenovia, NY
- $16.5 USD / hour
Healthy Kids Programs is hiring a School-Age Childcare Site Supervisor for our After School Program at Tully Elementary School for the 2027 school year.
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HK
School-Age Childcare Site Director – After School
HEALTHY KIDS PROGRAMS
Cazenovia, NY
- $17 to $18 USD / hour
Healthy Kids Programs is hiring a School-Age Childcare Site Director for our After School Program at Tully Elementary School for the 2027 school year.
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HK
School Age Childcare Site Co-Director - Before & After School
HEALTHY KIDS PROGRAMS
Pecos, NM
- $20 to $22 USD / hour
Healthy Kids Programs provides childcare for children (ages 5–12) enrolled in our program on the days and during the hours you work. Employer contributions cover the cost of care, so you…
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HK
School-Age Childcare Site Supervisor – Before & After School
HEALTHY KIDS PROGRAMS
Peterborough, NH
- $18 USD / hour
Healthy Kids Programs is hiring a School-Age Childcare Site Supervisor for our Before and After School Program at Mason Elementary School for the 2026–2027 school year.
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HK
School-Age Childcare Site Director – After School
HEALTHY KIDS PROGRAMS
Dublin, NH
- $18 USD / hour
An additional 3,000 hours of experience working with children in a licensed childcare program or public/private elementary school, along with a current Child Development Associate (CDA)…
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HK
School-Age Childcare Site Director – After School
HEALTHY KIDS PROGRAMS
Hanover, NH
- $18 USD / hour
An additional 3,000 hours of experience working with children in a licensed childcare program or public/private elementary school, along with a current Child Development Associate (CDA)…
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HK
School-Age Childcare Site Director – After School
HEALTHY KIDS PROGRAMS
Rindge, NH
- $18 USD / hour
An additional 3,000 hours of experience working with children in a licensed childcare program or public/private elementary school, along with a current Child Development Associate (CDA)…
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HK
School-Age Childcare Site Director – After School
HEALTHY KIDS PROGRAMS
Dublin, NH
- $18 USD / hour
An additional 3,000 hours of experience working with children in a licensed childcare program or public/private elementary school, along with a current Child Development Associate (CDA)…
Added just now
HK
School-Age Childcare Site Supervisor – Before & After School
HEALTHY KIDS PROGRAMS
Broadalbin, NY
- $16.5 USD / hour
Healthy Kids Programs is hiring a School-Age Childcare Site Supervisor for our Before and After School Program at William H. Barkley School for the 2026–2027 school year.
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HK
School-Age Childcare Site Supervisor – Before & After School
HEALTHY KIDS PROGRAMS
Broadalbin, NY
- $16.5 USD / hour
Healthy Kids Programs is hiring a School-Age Childcare Site Supervisor for our Before and After School Program at William B. Tecler Elementary School for the 2026–2027 school year.
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HK
Early Childhood Learning Lead Teacher
HEALTHY KIDS PROGRAMS
Walden, NY
- $16 to $18 USD / hour
An Associate’s degree in early childhood education or a related field with a plan of study toward a Bachelor’s degree or a New York State Children’s Program Administrator Credential, plus…
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HK
Pre-K Teacher Assistant (UPK)
HEALTHY KIDS PROGRAMS
Walden, NY
- $16 to $17 USD / hour
Our Pre-K program provides young children with a strong foundation through:
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HK
Early Childhood Learning Director & Lead Teacher
HEALTHY KIDS PROGRAMS
Highland, NY
- $17 to $20 USD / hour
Healthy Kids Programs provides childcare for school-age children (ages 5–12) enrolled in our program on the days and during the hours you work. Employer contributions cover the cost of…
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HK
Early Childhood Lead Teacher & Program Leader
HEALTHY KIDS PROGRAMS
Chatham, NY
- $20 to $22 USD / hour
Healthy Kids Programs is looking for an Early Childhood Lead Teacher & Program Leader to join our team at Taconic Hills Elementary School. You'll lead a classroom serving children 10 months…
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BB
Childcare Infant Float Teacher
Building Blocks Early Learning Center
Monroe, CT
- $17.5 to $19.5 USD / hour
▪ Associate’s degree in Early Childhood Education

Amerihealth Caritas

Director Quality Management

Philadelphia, PA, United States

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Job details

Education: Bachelor’s degree
Posting language: English
Posted: Nov 6, 2026

Original job description

Role Overview: The primary purpose of the job is to be responsible and accountable for the successful, ongoing development, refinement, implementation, measurement, ongoing quality improvement and effectiveness of Long Term Services & Support (LTSS).

Work Arrangement:

Remote - This posiiton is fully remote, and the Associate must be in Pennsylvania (PA)
Travel to state & leadership meeting as needed.
Reliable high‑speed internet required (minimum 50 Mbps download / 5 Mbps upload)
Associates residing in states where reimbursement is required by contract, law, or regulation may submit eligible expenses for reimbursement

Responsibilities:

Overseeing quality management for Long Term Services and Supports (LTSS) in PA
Accountable for ongoing maintenance of the Plan’s compliance with state regulations and National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Commission (URAC) and other appropriate standards for activities related to Quality, Care Management and Utilization Management.
This includes credentialing/re-credentialing activity, delegation oversight, quality of care investigations as well as the corresponding inter- and intra-departmental coordination, communication, and education.
Oversight and responsibility for the Plan’s, Line of Business or Product Line’s QAPIC Committee structure and support.
Works directly with Senior Executives to plan, organize and direct the identification, prioritization and implementation of strategic projects that improve financial, service and clinical outcomes for the Plan, LOB or Product Line.
In coordination with Plan stakeholders, develop, implement and lead strategy to improve HEDIS outcomes and maximize pay for performance payout and reduce withholds and/or liquidated damages
Provides functional support to the Network Management, Informatics, Information Solutions, Care Coordination, Utilization Management, and Public Affairs departments to integrate Quality Management initiatives and goals with organizational programs.

Education & Experience:

Bachelor’s degree required
An active unrestricted licensed Registered Nurse (RN) in PA or healthcare quality certification such as American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or Certified Professional in Healthcare Quality (CPHQ) in accordance with state specific requirements
1 to 3 years of experience in Medicaid.
5 to 10 years of experience in a clinical setting
5 or more years of experience in managed care and leadership.
Prior URAC or NCQA Accreditation experience

Skills & Abilities:

Strong leadership and people-management skills, with the ability to supervise, coach, develop, and provide performance feedback to quality management staff.
Extensive knowledge of healthcare quality assurance, quality improvement, outcomes management, and performance improvement principles and practices.
Ability to develop and present comprehensive quality reports, analyses, recommendations, and performance findings to leadership and cross-functional stakeholders.
Strong project and program management skills, with the ability to manage multiple quality initiatives, priorities, deadlines, and contractual deliverables.
Excellent verbal and written communication skills, with the ability to communicate effectively with internal teams, leadership, providers, and external stakeholders.
Strong presentation and facilitation skills, including the ability to communicate complex quality and clinical information clearly to varied audiences.
Demonstrated problem-solving, critical-thinking, and independent decision-making skills.
Ability to identify opportunities for process improvement and lead the development and implementation of improved clinical and administrative processes.
Strong interpersonal and conflict-resolution skills, with the ability to effectively manage difficult or sensitive situations.
Ability to collaborate across departments and build strong working relationships to support organization-wide quality improvement initiatives.
Strong organizational and time-management skills with excellent attention to detail.
Proficiency with Microsoft Office applications and the ability to effectively use technology for reporting, data analysis, documentation, and communication.

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More about this job

Skills

Quality assurance procedures
Leadership
Regulatory compliance
Quality assurance
Communication skills
Prioritization
Network administration
RN
Team leadership
Provide performance feedback
Program management
Problem solving
Critical thinking
Decision making
Process improvement
Conflict resolution
Time management
Attention to detail
Microsoft Office
Reporting
Data analysis
Documentation

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