Quality, Manager - RN Remote U.S. Alaska Time Zone

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem‑solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Quality, Manager – RN – Full‑time (Remote within Alaska Time Zone Hours) to join our growing team.

• Oversee day‑to‑day operations of Quality Management and develop and monitor quality monitoring activities.
• Develop, implement, and monitor the organization’s quality and performance improvement activities and clinical outcomes. Play a key role in supporting both medical and behavioral health departments in delivering high‑quality care.
• 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 maintain systems for tracking, reporting, and improving performance.
• Promote 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 (highly urgent service‑related problem with immediate negative implications for the Company) and assist 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.

• Must be available to work business hours as defined by contract within the Alaska Time Zone.
• 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.

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

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

The pay range for this position is listed below.
“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”

USD $68,320.00 – USD $85,400.00 /Yr.