Medicare Programs Senior Manager – Quality & Compliance

University Health; San Antonio (TX); On-site; USD 90,000 - 115,000; Full time

Job summary

University Health is seeking a nursing leader to drive quality and compliance for Medicare programs. In this role you will oversee regulatory initiatives, collaborate with CMS guidelines, and supervise improvement projects across care delivery teams.

Requirements include a BSN, 5+ years in managed care with Medicare, and an active Texas RN license; a health care quality certification is preferred. This role emphasizes governance, data-driven improvement, and cross-functional leadership.

Qualifications

• Bachelor’s degree in nursing is required; master's preferred.
• Five years of managed care experience with Medicare programs.
• Current RN license in Texas; certification in health care quality preferred.

Responsibilities

• Lead improvements in Medicare programs ensuring CMS compliance.
• Collaborate with Community First leaders to implement initiatives.
• Track improvement efforts and report results to management.

Skills

Nursing

CMS regulations

Quality improvement

Project management

Data management

Managed care

Education

Bachelor's in Nursing

Master's in health-related field (preferred)

Job description

University Health is seeking a nursing leader to drive quality and compliance for Medicare programs. In this role you will oversee regulatory initiatives, collaborate with CMS guidelines, and supervise improvement projects across care delivery teams.

Requirements include a BSN, 5+ years in managed care with Medicare, and an active Texas RN license; a health care quality certification is preferred. This role emphasizes governance, data-driven improvement, and cross-functional leadership.