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Product Manager
American Heart Association
Dallas, TX
Collaborate with the Senior Product Manager, National Director of HIT, Science and Medicine Advisors, program managers, volunteers, and strategic alliances for the identification of new and…
Added 4 mins ago
Video Services Manager
City of Vancouver
United States
…a progressive organization, this is your opportunity. Come lead a talented team focused on informing and engaging our community through government-focused…
Added 4 mins ago
Program Manager - Quality Management
NY STATE ELECTRIC & GAS CORP
United States Of America, NY
2. Prepares program/project plans, tracks and manages program/project performance against plans, and takes corrective action. Reports progress status to management.
Added 6 mins ago
Senior Strategic Program Partner
Vizient, Inc.
Irving, TX · Nashville, TN · Chicago, IL · Centennial, CO
…organization’s strategic execution capabilities by improving portfolio management practices and influencing organizational…
Added 6 mins ago
Senior Learning Partner
Vizient, Inc.
Irving, TX · Centennial, CO
Strong program and project management skills with the ability to coordinate cross-functional initiatives and competing priorities.
Added 6 mins ago
Telecommunications Equipment Installer III
Circet USA
Richmond, VA
Interact with all members of the organization including Installation, Engineering, Project Management
Added 8 mins ago
4-H Foundation Alumni & Grants Coordinator, Tennessee 4-H Foundation: UT Extension
University of Tennessee
Knoxville, TN
Lead and grow the Tennessee 4-H Alumni & Friends program.
Added 8 mins ago
Staff Pharmacist
Guardian Pharmacy Services Management, LLC
Fenton, MO
Leadership – ability to lead project teams to deadlines, while maintaining strong team orientation
Added 8 mins ago
Program Manager
Torch Technologies, Inc.
Nellis AFB, NV
Torch Technologies is seeking a 412 EWG program management individual capable of performing duties independently to assist in the management of numerous Research Development Test &…
Added 8 mins ago
Manager Pathology Services
Inova
Falls Church, VA
Inova’s Pathology Services is looking for a dedicated manager to be located at the Fairfax Medical Campus to lead daily pathology operations, including staffing, timekeeping, scheduling,…
Added 8 mins ago
Pharmacist In Charge (PIC)
Guardian Pharmacy Services Management, LLC
United States
Leadership – ability to lead project teams to deadlines, while maintaining strong team orientation
Added 8 mins ago
Nationwide Traveling Mechanical Project Manager
GPAC
St Louis, MO
Join our National Project Management team as a Traveling Project Manager! Manage mechanical construction projects from conception to completion at job sites across the United States. This…
Added 10 mins ago
K
Manager, Earned Influence & Brand PR
Kellanova
Chicago, IL
- $108,160 to $141,960 USD / year
Strong project management and organizational skills, with the ability to manage multiple priorities and deadlines while demonstrating sound editorial judgment, discretion and attention to…
Added 11 mins ago
Controller
Concurrent Technologies Corporation
Johnstown, PA
Operational Oversight and Resource Management:
Added 11 mins ago
HCVP Quality Assurance Manager
Virginia Housing Development Authority
Glen Allen, VA
…compliance review strategy for Housing Choice Voucher (HCV) and Project-Based Voucher (PBV) programs administered through Local Housing Agencies…
Added 12 mins ago
Client Experience Senior Manager
CBIZ
Kansas City, MO · Cleveland, OH · Atlanta, GA · Philadelphia, PA · Nashville, TN · Phoenix, AZ · Boca Raton, FL · Salt Lake City, UT
Program and project management discipline, including governance, prioritization, and follow-through across multiple service lines.
Added 12 mins ago
Tunneling Project Manager
Posillico Civil, Inc.
Houston, TX
The Tunneling Project Manager is responsible for the timely execution and administration of assigned projects in a safe and profitable manner consistent with the standards of quality and…
Added 12 mins ago
AR
Program Controls Cost and Funding Manager-2611270RV17
Ardmore Roderick
Chicago, IL
- $124,800 to $149,760 USD / year
5+ years of project controls or program management experience
Added 12 mins ago
Autonomous Systems Project Engineer
PPT Solutions, LLC
Huntsville, AL
The Project Engineer serves as the technical innovator and engineering lead driving the development, integration, and flight-testing of next-generation uncrewed Launched Effects (LE)…
Added 13 mins ago
Senior Water & Wastewater Project Engineer
Consor Engineers
Los Angeles, CA
As a Senior Project Engineer, you will apply your technical expertise to the planning, design, and delivery of water and wastewater infrastructure projects. In this role, you will take…
Added 13 mins ago
CE
Transportation Planning Student Intern
Consor Engineers
Denver, CO
- $20 to $25 USD / hour
…transportation planning team, the intern will engage in a variety of project tasks including data analysis, community outreach, GIS analysis and map making, and developing written reports.…
Added 13 mins ago
NB
Sr. Scientist, Pharmaceutical Development
Neurocrine Biosciences Inc.
United States
- $130,800 to $179,000 USD / year
Lead weekly or bi-weekly internal and NBI–CMO/CDMO project team meetings; clearly communicate program progress, risks, resource gaps, and timelines up and down the organization
Added 13 mins ago
NB
Space Planning Manager
Neurocrine Biosciences Inc.
United States
- $119,700 to $164,000 USD / year
workplace forecasting and scenario planning, overseeing space allocation and occupancy management, and leading complex workplace planning projects, including renovations, reconfigurations,…
Added 13 mins ago
Directed Energy Materials Planning Associate Analyst
AeroVironment, Inc.
Albuquerque, NM
Associates degree or project certification with 1 - 2 years of experience in functional areas of Supply Chain, Engineering, Project Management, or Business Administration.
Added 14 mins ago
Directed Energy Materials Planning Analyst
AeroVironment, Inc.
Albuquerque, NM
Serve as lead point of contact in the organization for prioritization, and scheduling of tasks associated with hardware procurement and build activity in conjunction with Engineering Leads,…

WellSky Corporation

Clinical Quality Program Manager

Remote, United States

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Job details

Experience: At least 4-6 years relevant work experience
Posting language: English
Posted: Nov 5, 2026

Original job description

This job is responsible for ensuring compliance with WellSky's Utilization Management and Quality Improvement Program by serving as a clinical expert on state and federal regulations. The scope of this job includes analyzing and presenting data to establish best practices across post-acute health care settings, including LTACHs, IRFs, SNFs, and Home Health facilities.

We invite you to apply today and join us in shaping the future of healthcare!

Key Responsibilities:

Facilitate activities related to performance measurement and outcomes, ensure the organization meets CMS, NCQA, and other regulatory standards, stay updated on relevant regulatory changes, and support their integration into practices.
Generate and validate reports to monitor performance across health plan contracts, ensuring accuracy and alignment with requirements.
Conduct regular audits of UM decisions, case documentation, turnaround times, and adherence to other CMS and NCQA requirements.
Understand how the UM Program is driven by the NCQA UM standards to ensure UM Program meets all NCQA requirements for accreditation.
Prepare and lead committee meetings on a monthly and quarterly basis, driven by NCQA requirements.
Prepare detailed quality reports, identify and analyze trends, and present findings to leadership with actionable recommendations.
Support implementing corrective action plans when scoring variances occur.
Support quality improvement project initiatives.
Prepare for regulatory, accreditation, and contractual audits, and contribute to the remediation and documentation of audit findings.
Perform other job duties as assigned.

Required Qualifications:

At least 4-6 years relevant work experience
Experience leading quality improvement projects and committee work.
Bachelor's Degree or equivalent work experience

Preferred Qualifications:

Active, unrestricted license: RN, PT, OT or SLP, with a bachelor’s degree in a related field or a combination of education and experience that includes pertinent clinical experience and advanced working knowledge of CMS standards and guidelines.
At minimum, 1-2 years of working knowledge of NCQA UM accreditation standards.
Must be able to prioritize, plan and handle multiple tasks and demands simultaneously, with competing deadlines.
Excellent in manipulating and sorting data for analytics and reporting.
Prior experience owning client compliance SLAs and ensuring success in meeting SLA requirements.

Job Expectations:

Willing to work additional or irregular hours as needed.
Must work in accordance with applicable security policies and procedures to safeguard company and client information.
Must be able to sit and view a computer screen for extended periods of time.
Travel approximately 10%.

# Remote

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

Excellent medical with Rx, dental, and vision benefits
Mental Health support through EAP
Generous paid time off, plus 13 paid holidays
100% vested 401(K) retirement plans
Educational assistance up to $2500 per year

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

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Skills

Regulatory compliance
CMS
Documentation
Reporting
Collaboration
Mental health

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