• MassHealth Regulatory…

    Commonwealth Care Alliance (Boston, MA)
    …Position Summary: Reporting to the Director, Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is responsible ... is critical to supporting CCA's internal handling of all regulatory audits and maintaining alignment with evolving...direct reports. Essential Duties & Responsibilities: Regulatory Compliance & Monitoring * Monitor CMS and MassHealth… more
    Commonwealth Care Alliance (06/02/25)
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  • Division Director of Quality Assurance-Human…

    The Arc of Opportunity (Fitchburg, MA)
    …the Role The Division Director of Quality Assurance, drives initiatives to ensure compliance with regulatory standards, improve program outcomes, and support the ... . Maintain up-to-date knowledge of state and federal regulations, ensuring agency-wide compliance . . Conduct on-site visits, audits , and training sessions to… more
    The Arc of Opportunity (07/19/25)
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  • Appeals and Grievances Program Advisor

    Commonwealth Care Alliance (Boston, MA)
    …on noncompliance. In addition to NCQA program support, this role will also support compliance with CMS and MassHealth requirements and will be asked to assist ... Grievances Program Advisor monitors and supports the operations and compliance of the Appeals and Grievances department through many...preparation of NCQA audit review files (and other department audits as necessary) by using Adobe to combine and… more
    Commonwealth Care Alliance (06/06/25)
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