Top 474 division manager Jobs in shrewsbury ma

Manager, Clinical Regulatory, Audit, and Accreditation - NCQA expert - Hybrid
Fallon Health —Worcester, MA
- $130,000 - $134,000 a year
- Full-time
- Nursing
- Microsoft Excel
- 5 years
Global Pricing Director - Milford MA
Waters Corporation —Milford, MA
- $142,000 - $237,000 a year
- Full-time
- Hybrid work
- Background check
- Office
- Finance
- Paid parental leave
- Health insurance
Quick Apply
8d
WORKING SALES MANAGER – ROOF FLIP
Bath Flip —Massachusetts
- $153,089.23 - $253,935.42 a year
- Full-time
- Mid-level
- Travel
- Recruiting
- Health insurance
- Dental insurance
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1d
Group Fitness Instructor
Town of Concord, MA —Concord, MA
- From $46 an hour
- Part-time
- 18 years or older
- CPR Certification
- Mid-level
Estimator - Construction
Sandias Executive Search —Framingham, MA
- $90,000 - $130,000 a year
- Full-time
- 5 years
- Analysis skills
- Senior level
- Disability insurance
- Health insurance
General Manager - Holotheater
BASE Xperiential, LLC —Natick, MA
- $85,000 a year
- Weekends as needed
- Customer service
- Merchandising
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Dispatch Manager
Cowan Systems —Uxbridge, MA
- $55,000 - $60,000 a year
- Full-time
- Background check
- Ability to walk for extended periods
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Regional Recruiter
Arbor Associates —Southborough, MA
- $52,000 - $60,000 a year
- Hybrid work
- 18 years or older
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Building Materials Sales Representative
Concord Building & Design Center —Littleton, MA
- $60,000 - $90,000 a year
- Full-time
- Background check
- Microsoft Outlook
- Word processing
- Health insurance
- Dental insurance
Quick Apply
Outside Millwork Sales Representative
Concord Building & Design Center —Littleton, MA
- $60,000 - $90,000 a year
- Full-time
- Background check
- Microsoft Outlook
- Sales
- Health insurance
- Dental insurance
Quick Apply
Irrigation Manager
Village Green Landscaping —Holliston, MA
- $35 - $45 an hour
- Overtime
- Clean driving record
- Mid-level
- Residential
- Paid holidays
- Health insurance
Quick Apply
Licensed Practical Nurse (LPN) - CCS - Weekends: 2nd shift
Riverside Community Care —Upton, MA
- $36.07 an hour
- Part-time
- Vital signs
- Computer literacy
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Recruiter/Account Manager
Resource Options, Inc. —Needham Heights, MA
- $50,000 - $60,000 a year
- Full-time
- Sales
- Customer service
- Business development
- Health savings account
- Paid holidays
Quick Apply
Landscape Account Manager
Lynch Landscape & Tree Service, Inc. —Sudbury, MA
- $75,000 - $115,000 a year
- Weekends as needed
- 5 years
- Mid-level
- Office
Quick Apply
13d
Catering Sales and Event Coordinator
Concord Market —Concord, MA
- $60,000 - $65,000 a year
- Weekends as needed
- Mid-level
- Office
- Business development
- Health insurance
- Dental insurance
Quick Apply
7d
Scale Operator/Office Administrator
Casella Waste Systems, Inc. —Auburn, MA
- $23 - $25 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Mentoring
Quick Apply
Talent Recruiter
Renewal by Andersen | Esler Companies —Northborough, MA
- $52,000 - $55,000 a year
- Full-time
- Mid-level
- Administrative experience
- US work authorization
- Paid holidays
- Health insurance
5d
Estimator
Lockwood Remediation Technologies, LLC —Leominster, MA
- $63,525.13 - $76,503.38 a year
- Full-time
- Microsoft Word
- Clean driving record
- Microsoft Excel
- Profit sharing
- Paid holidays
Quick Apply
Paint Sales Associate /Floater
Colorworks Paint & Decorating Centers —Acton, MA
- $17 - $30 an hour
- Full-time
- Background check
- Computer literacy
- Merchandising
- Disability insurance
- Health insurance
Quick Apply
Certified Nursing Assistant
Advocates —Hudson, MA
- $20 an hour
- Full-time
- CPR Certification
- Computer literacy
- Residential
6d

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division manager jobs near shrewsbury ma

Manager, Clinical Regulatory, Audit, and Accreditation - NCQA expert - Hybrid

Fallon Health -
Worcester, MA

Apply Now

Job Details

Full-time
$130,000 - $134,000 a year

Qualifications

Clinical staff performance evaluation
Staff performance monitoring
Staff supervision
Microsoft Excel
Medicare
Managed care
Team supervision
Managed care organization experience
Audit engagement planning
Coaching
Health insurance policy knowledge
CMS
Corrective and preventive actions (CAPA)
Quality control audit
CMS regulatory compliance
Medicare regulations
Project management in healthcare
Desktop applications
Regulatory submission editing and review
Managing projects
Medicaid regulations
Medicaid
Productivity software
Quality assurance within healthcare

Full Job Description

Overview:

About us:

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.

Brief summary of purpose

The Manager, Care Management Regulatory Compliance, Accreditation & Audit is accountable for enterprise compliance, accreditation readiness, and audit execution related to Care Management and Care Services operations. This role provides direct people leadership to Care Management Regulatory Managers while personally leading Fallon Health’s accreditation, regulatory audit preparation, and external survey activities across NCQA, CMS, EOHHS/MassHealth, and DOI. This role serves as the single point of accountability for translating regulatory and accreditation standards into operational practice, ensuring that Care Management documentation, workflows, staff competencies, and quality processes demonstrably meet all applicable requirements. The Manager functions as both a hands-on program leader and a strategic compliance advisor to senior leadership.

Responsibilities:

Primary Job Responsibilities

A. People Leadership & Oversight of CM Regulatory Staff

Provides direct supervision, coaching, and performance management for Care Management (CM) Regulatory Managers performing documentation audits, staff competency reviews, and regulatory monitoring
Establishes standardized audit methodologies, tools, and escalation pathways to ensure consistent regulatory interpretation and application across the CM team
Reviews audit findings produced by CM Regulatory Managers and ensures timely corrective action plans, follow-up monitoring, and sustained compliance improvement
Partners with Care Management leadership to address systemic performance gaps, training needs, and workflow redesign identified through audits and root cause analyses
Ensures staff maintain up-to-date knowledge of Fallon Health products, benefits, Evidence of Coverage, and CM policies
Ensures the care management division policies and processes are created and updated per corporate guidelines and reflect requirements from CMS, NCQA, and State requirements working in partnership with team and other leaders for accuracy and current state.

B. Accreditation & Audit Program Leadership

Personally leads Fallon Health’s accreditation and audit programs, serving as the primary project manager for NCQA surveys, CMS program audits, EOHHS/MassHealth reviews, DOI examinations, and related external oversight activities
Owns enterprise accreditation calendars, readiness plans, document repositories, and submission timelines, ensuring organizational preparedness at all times
Directly manages regulatory documentation, narratives, policies, procedures, and evidence submission to external regulatory and accrediting bodies
Coordinates and oversees onsite and virtual audit activities, including scheduling, staff preparation, real-time issue resolution, and post-audit remediation planning
Maintains expert-level knowledge of NCQA standards, CMS regulations, MassHealth/EOHHS requirements, and DOI mandates, proactively communicating regulatory changes and operational implications to senior leaders
Ensures that any NaviCare or Medicare Subcontractor is compliant with all federal and state agency regulatory standards
Understands the SCO Models of Care and acts as a support and resource for others on the Model

C. Cross-Functional Regulatory Integration

Collaborates with leaders across Care Management, Quality Improvement, Utilization Management, Appeals & Grievances, Credentialing, Compliance, Product, and IT to ensure regulatory requirements are operationalized consistently
Leads cross-functional workgroups to close accreditation gaps, implement regulatory changes, and sustain compliance over time
Serves as a trusted advisor to executive leadership on regulatory risk, audit readiness, and accreditation strategies

D. Quality Improvement & Risk Mitigation

Uses audit and accreditation findings to identify system-level quality improvement opportunities and supports leadership in prioritizing remediation efforts
Oversees root cause analyses related to regulatory deficiencies and ensure corrective actions are measurable, durable, and aligned with enterprise quality goals
Supports continuous improvement initiatives tied to member experience, documentation quality, and care management effectiveness

Qualifications:

Qualifications requirements

Education:

Bachelor’s degree in health administration, public health, nursing or related health preferred. Master’s degree preferred

Experience:

Experience: Minimum of 5- 7 years background in managed care and experience with national accreditation standards, regulatory requirements for Centers for Medicare and Medicaid, and the state of Massachusetts quality mandates. Experience managing NCQA surveys and CMS/MassHealth audits.
Prior people management experience, including coaching and performance management of regulatory or clinical staff.
Strong background in Care Management, care coordination, or clinical quality auditing.
Experience working in a Massachusetts Medicaid and/or Medicare Advantage environment preferred
Advanced project management and organizational skills
Exceptional written and verbal communication skills for regulatory submissions
Ability to translate regulatory standards into practical operational workflows
Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint); experience with QNXT, TruCare, Business Objects preferred
Experience developing post audit corrective action plans and working with Program leadership and staff to implement and resolve issues identified in corrective action plans required for all lines of business required
Experience with developing audit tools, auditing team member performance, and working with staff to improve their performance required
PC knowledge should include Microsoft software and database

Pay Range Disclosure:

In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $130,000 - $134,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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Refine Your Search

division manager jobs in shrewsbury ma

Manager, Clinical Regulatory, Audit, and Accreditation - NCQA expert - Hybrid

Global Pricing Director - Milford MA

WORKING SALES MANAGER – ROOF FLIP

Group Fitness Instructor

Estimator - Construction

General Manager - Holotheater

Dispatch Manager

Regional Recruiter

Building Materials Sales Representative

Outside Millwork Sales Representative

Irrigation Manager

Licensed Practical Nurse (LPN) - CCS - Weekends: 2nd shift

Recruiter/Account Manager

Landscape Account Manager

Catering Sales and Event Coordinator

Scale Operator/Office Administrator

Talent Recruiter

Estimator

Paint Sales Associate /Floater

Certified Nursing Assistant

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