Jobs at Broadway Ventures, LLC

Coordinates Medicare review quality activities under the QA Manager, including case assignments, complex case reviews, inter-rater reliability sessions, client QA reviews, corrective actions, retraining, and reviewer performance monitoring. Tracks IRR participation and corrective action completion while ensuring reviewers consistently apply Medicare requirements and client procedures. This remote role requires an active RN license, nursing education, clinical experience, and home health, QA, or utilization review experience.

Manage federal audit, compliance, and performance oversight projects for CMS, HHS, and DoD clients. Responsibilities include leading distributed teams, maintaining project schedules and management plans, managing risks and quality assurance, reporting to CORs and senior government stakeholders, reconciling invoices, monitoring performance, supporting audits, and mentoring claims processors.

Coordinate project activities, schedules, deliverables, trackers, and compliance reporting across government contracts. Support CPARS documentation, proposal development, contract modifications, meetings, onboarding, quality reviews, and communication with internal teams, subcontractors, and government clients. Maintain accurate project records and ensure deadlines and deliverables meet contract requirements.

Review, validate, and process Medicare provider enrollment applications (initial, re-enrollment, reactivation, updates). Verify provider data, set up/test EFT accounts, enter/update enrollment databases, resolve discrepancies with providers and agencies, supply application guidance, support process improvements, provider education, and system testing while ensuring compliance and file accuracy.