Remote NJ Quality & Compliance Lead

Abound Health; New Jersey; A distancia; USD 60.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits package

401(k) eligibility after 12 months

Descripción de la vacante

Abound Health is seeking a Quality Manager to join our team in New Jersey. This role leads day-to-day execution of quality, regulatory, payer, and contract compliance programs across New Jersey operations.

Reporting to the EVP of Quality & Compliance, the manager partners with operational, clinical, finance, HR, and legal teams to ensure state and federal compliance, including NJ DDD requirements. This is a remote role for applicants who live in NJ and requires strong ability to translate

Formación

• Bachelor's degree required; Master’s preferred.
• 5+ years of progressive healthcare quality/compliance experience.
• Direct experience with payer requirements and contract compliance in a regulated setting.
• Experience with NJ DDD, Medicaid Waiver, or NJ FamilyCare strongly preferred.
• Strong communication and collaboration across teams; ability to translate regulations into operations.

Responsabilidades

• Lead New Jersey-specific quality and compliance priorities and processes.
• Serve as NJ SME for quality, compliance, contract requirements, and payer expectations.
• Embed quality/compliance into daily operations, onboarding, and service delivery.
• Maintain NJ DDD knowledge and translate requirements into workflows and training.
• Oversee payer audit prep, reviews, and action plans; monitor denials and recoupments.

Conocimientos

Quality management

Regulatory compliance

Payer requirements

Contract compliance

Incident reporting

Cross-functional collaboration

Educación

Bachelor's degree in Healthcare Administration

Master's degree preferred

Descripción del empleo

Abound Health is seeking a Quality Manager to join our team in New Jersey. This role leads day-to-day execution of quality, regulatory, payer, and contract compliance programs across New Jersey operations.

Reporting to the EVP of Quality & Compliance, the manager partners with operational, clinical, finance, HR, and legal teams to ensure state and federal compliance, including NJ DDD requirements. This is a remote role for applicants who live in NJ and requires strong ability to translate