Director of IT and Technology Solutions

United States – Remote
Employment Type: Full-Time

About Broadway Ventures:

At Broadway Ventures, we transform challenges into opportunities through expert program management, innovative technology solutions, and strategic consulting services. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we support government and private sector clients with tailored solutions that improve operations, strengthen compliance, and drive sustainable growth.

Built on integrity, collaboration, and excellence, Broadway Ventures is more than a service provider. We are a trusted partner committed to helping organizations solve complex challenges and achieve mission success.

About the Role:

Broadway Ventures is seeking an experienced Director of IT and Technology Solutions to lead our internal IT strategy, technology infrastructure, cybersecurity compliance, and CMMC readiness initiatives. This is a full-time leadership role ideal for a hands-on IT and cybersecurity professional with strong experience in CMMC implementation, NIST SP 800-171 compliance, federal security requirements, IT infrastructure, cloud environments, and documentation management.

The Director of IT and Technology Solutions will serve as the primary owner of Broadway Ventures’ CMMC readiness and certification efforts. This includes assessing current systems, identifying compliance gaps, implementing required controls, developing and maintaining key documentation, coordinating internal resources, and ensuring audit readiness.

In addition to CMMC leadership, this role will help strengthen and modernize Broadway Ventures’ technology environment, support secure and scalable IT operations, and provide strategic guidance on systems, tools, policies, and processes that support the company’s continued growth.

The selected candidate will have administrative and documentation support, as well as limited part-time technical assistance from internal employees. However, overall ownership of system implementation, process development, compliance execution, documentation oversight, and successful completion of the CMMC certification effort will fall under this role.

Key Responsibilities:

• Lead Broadway Ventures’ CMMC implementation, readiness, and ongoing compliance efforts.
• Oversee internal IT strategy, technology solutions, cybersecurity practices, and infrastructure improvements.
• Conduct gap assessments against CMMC, NIST SP 800-171, and applicable federal cybersecurity requirements.
• Develop, update, and maintain the System Security Plan, Plan of Action and Milestones, policies, procedures, and supporting compliance documentation.
• Implement, document, and validate required security controls across systems, users, devices, networks, and cloud environments.
• Strengthen and secure IT infrastructure, including identity and access management, endpoint security, Microsoft 365/Azure, network security, and cloud-based systems.
• Evaluate current technology systems and recommend improvements to enhance security, efficiency, scalability, and compliance.
• Coordinate with internal stakeholders to ensure compliance requirements are understood, tracked, and completed.
• Manage implementation timelines, task ownership, documentation requests, and evidence collection.
• Prepare the organization for CMMC assessments, audits, and ongoing compliance reviews.
• Provide guidance on cybersecurity best practices for federal contracting and compliance environments.
• Support ongoing monitoring, maintenance, and improvement of security controls and compliance documentation.
• Work with internal support staff to delegate documentation, scheduling, follow-up, and select implementation tasks as appropriate.
• Serve as the primary technical and compliance lead to ensure Broadway Ventures is positioned to successfully achieve and maintain CMMC certification.

Basic Qualifications

• 5+ years of experience in IT administration, systems administration, cybersecurity, compliance, or a related technology leadership role.
• Direct experience with CMMC implementation, CMMC readiness, or NIST SP 800-171 compliance.
• Experience developing, maintaining, or contributing to System Security Plans and POA&Ms.
• Strong understanding of cybersecurity controls, compliance frameworks, audit readiness, and federal security requirements.
• Experience securing Microsoft 365, Azure, or similar cloud-based environments.
• Knowledge of identity and access management, endpoint protection, network security, cloud security, and IT infrastructure best practices.
• Ability to translate compliance requirements into practical, actionable implementation steps.
• Strong project management, communication, documentation, and stakeholder coordination skills.
• Ability to work independently, take ownership of complex initiatives, and lead implementation efforts with limited oversight.

Preferred Qualifications

• Experience with CMMC Level 2 or higher.
• Experience supporting ISSO functions or responsibilities.
• Familiarity with the CMMI certification process.
• Experience working with DoD, federal contractors, or regulated government environments.
• Experience with governance, risk, compliance, security monitoring, or vulnerability management tools.
• Relevant certifications such as Security+, CISSP, CISM, CCP, CCA, or equivalent credentials.
• Experience leading IT modernization, cybersecurity improvement, or compliance-driven technology initiatives.

Support Structure:

The Director of IT and Technology Solutions will have support from Broadway Ventures team members for documentation, organization, scheduling, follow-up, and select implementation tasks. In addition, internal employees may be available on a limited part-time basis to assist with specific technical or administrative needs.

However, this role will be expected to own and drive the overall CMMC effort, including system implementation, process development, documentation oversight, stakeholder coordination, evidence collection, and project management through successful certification.

Work Schedule:

This is a full-time remote position. The role will require consistent availability to lead IT, cybersecurity, compliance, and implementation efforts, coordinate with internal stakeholders, and support the organization through CMMC readiness, certification, and ongoing compliance maintenance.

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities

• Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
• Assess payment determinations using clinical information and established guidelines.
• Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
• Provide clear, well-documented rationales for service approvals or denials.
• Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
• Support quality control activities to meet corporate and team objectives.
• Provide guidance to LPN team members and support non-clinical staff through training and discussions.
• Assist with special projects and additional responsibilities as assigned.

Minimum Qualifications

Licensure:

• Active, unrestricted RN license in the U.S. and in the state of hire
  OR
• Active compact multistate RN license (as defined by the Nurse Licensure Compact).

Education:

• Associate Degree in Nursing
  OR
• Graduate of an accredited School of Nursing.

Experience:

• Two years of clinical experience.

Skills & Competencies:

• Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
• Ability to interpret and apply medical review criteria and clinical guidelines.
• Proficiency in Microsoft Office and word processing software.
• Strong analytical, organizational, and decision-making skills.
• Ability to work independently while managing priorities effectively.
• Excellent customer service, communication, and critical thinking skills.
• Ability to handle confidential information with discretion.

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:

• Job Type: Part-time
• Location: Fully remote (U.S. only)
• Schedule: Flexible—complete cases at your convenience within 5 calendar days
• Case Volume: Varies monthly—no fixed predictions by specialty or case type

Key Responsibilities:

1. Medical Case Audits & Quality Reviews

• Conduct objective medical case reviews using standardized assessment criteria
• Evaluate the timeliness and appropriateness of care provided
• Identify quality improvement opportunities

1. Performance Improvement & Specialty Case Reviews

• Review cases initiated for non-standardized performance improvement reasons
• Assess medical decision-making and compliance with best practices

1. Medical Advisory Opinions

• Provide expert medical opinions
• Analyze complex clinical scenarios from an impartial, evidence-based perspective

Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

• Active, unrestricted physician license in any U.S. state or territory
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Minimum of 5 years of clinical experience in your specialty
• Minimum of 2 years of recent clinical practice relevant to case reviews
• Actively engaged in direct patient care (minimum 20 clinical hours per month)
• Hospital privileges in your specialty
• Fluent in English (strong reading and writing skills required)

Open Positions by Specialty:

• Nephrology    Nephrology
  Nephrology    Nephrology Transplant Qualified

Why Join Us?

✔ Fully remote work—complete cases on your own schedule
✔ Flexible hours— ability to complete reviews within 5 days on your own time
✔ No court appearances—your reviews remain confidential
✔ Make a meaningful impact—help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:

• Job Type: Part-time
• Location: Fully remote (U.S. only)
• Schedule: Flexible—complete cases at your convenience within 5 calendar days
• Case Volume: Varies monthly—no fixed predictions by specialty or case type

Key Responsibilities:

1. Medical Case Audits & Quality Reviews

• Conduct objective medical case reviews using standardized assessment criteria
• Evaluate the timeliness and appropriateness of care provided
• Identify quality improvement opportunities

1. Performance Improvement & Specialty Case Reviews

• Review cases initiated for non-standardized performance improvement reasons
• Assess medical decision-making and compliance with best practices

1. Medical Advisory Opinions

• Provide expert medical opinions
• Analyze complex clinical scenarios from an impartial, evidence-based perspective

Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

• Active, unrestricted physician license in any U.S. state or territory
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Minimum of 5 years of clinical experience in your specialty
• Minimum of 2 years of recent clinical practice relevant to case reviews
• Actively engaged in direct patient care (minimum 20 clinical hours per month)
• Hospital privileges in your specialty
• Fluent in English (strong reading and writing skills required)

Open Positions by Specialty:

• Gastroenterology / Hepatology    Gastroenterology with ERCP capability
  Gastroenterology / Hepatology    Hepatology
  Gastroenterology / Hepatology    Hepatology Transplant Qualified

Why Join Us?

✔ Fully remote work—complete cases on your own schedule
✔ Flexible hours— ability to complete reviews within 5 days on your own time
✔ No court appearances—your reviews remain confidential
✔ Make a meaningful impact—help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

Job Description: Registered Nurse – Training and Quality Control Coordinator

Position Title: Registered Nurse – Training and Quality Control Coordinator
Company: Broadway Ventures, LLC
Location: Columbia, SC / Remote or Hybrid as assigned

Position Summary

Broadway Ventures is seeking a qualified Registered Nurse – Training and Quality Control Coordinator to support medical review operations for Palmetto GBA. This role is responsible for reviewing medical review decisions for accuracy, ensuring proper application of CMS guidelines, supporting quality control initiatives, training clinical staff, and assisting with provider inquiries and appeals-related medical coverage issues.

The ideal candidate will have strong clinical judgment, experience applying CMS instructions and medical review procedures, and the ability to provide education, feedback, and quality assurance support to medical review teams.

Key Responsibilities

The Registered Nurse – Training and Quality Control Coordinator will be responsible for the following:

• Review medical review decisions for accuracy and ensure CMS instructions and guidelines are applied correctly.
• Develop, implement, and support a quality control program designed to evaluate clinical staff’s technical knowledge and medical judgment.
• Provide feedback to management and staff regarding quality review findings.
• Deliver remedial training when necessary to address identified performance or knowledge gaps.
• Assist provider service departments with medical coverage issues to ensure consistent application of CMS guidelines.
• Respond to specific provider inquiries and appeals requests related to medical coverage and review decisions.
• Develop and maintain departmental reference manuals used to support proper application of CMS instructions.
• Provide continuing education workshops for medical reviewers on coverage issues, CMS updates, and medical advances.
• Train new staff on CMS guidelines, medical review procedures, and internal review processes.
• Prepare monthly reports for management outlining quality control results, adjustment data, and reopening results summaries.
• Provide input to the medical review audit department regarding actions taken in response to provider billing practices to help identify and target potential program abuse.

Required Qualifications

• Active and unrestricted Registered Nurse license.
• Strong knowledge of CMS guidelines, medical review procedures, and healthcare coverage requirements.
• Experience reviewing medical documentation and applying clinical judgment to coverage or medical necessity decisions.
• Ability to evaluate clinical staff performance and provide constructive feedback.
• Experience developing or supporting quality control, quality assurance, or audit programs.
• Strong written and verbal communication skills.
• Ability to create reports, reference materials, training guides, and educational content.
• Strong organizational skills and attention to detail.
• Ability to work independently and collaborate with management, clinical staff, provider service teams, and audit departments.

Preferred Qualifications

• Prior experience with Medicare, Medicaid, CMS contractors, or healthcare claims review.
• Experience responding to provider inquiries, appeals, or coverage-related requests.
• Background in medical review, utilization review, quality assurance, auditing, or clinical education.
• Experience training clinical staff or developing continuing education workshops.
• Familiarity with provider billing practices and program integrity concepts.

Knowledge, Skills, and Abilities

• Advanced clinical assessment and medical judgment skills.
• Understanding of CMS instructions and their application to medical review decisions.
• Ability to identify trends, errors, and training needs through quality control reviews.
• Strong analytical skills for preparing monthly management reports.
• Ability to communicate complex medical coverage issues clearly and professionally.
• Commitment to accuracy, compliance, consistency, and continuous improvement.

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:

• Job Type: Part-time
• Location: Fully remote (U.S. only)
• Schedule: Flexible—complete cases at your convenience within 5 calendar days
• Case Volume: Varies monthly—no fixed predictions by specialty or case type

Key Responsibilities:

1. Medical Case Audits & Quality Reviews

• Conduct objective medical case reviews using standardized assessment criteria
• Evaluate the timeliness and appropriateness of care provided
• Identify quality improvement opportunities

1. Performance Improvement & Specialty Case Reviews

• Review cases initiated for non-standardized performance improvement reasons
• Assess medical decision-making and compliance with best practices

1. Medical Advisory Opinions

• Provide expert medical opinions
• Analyze complex clinical scenarios from an impartial, evidence-based perspective

Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

• Active, unrestricted physician license in any U.S. state or territory
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Minimum of 5 years of clinical experience in your specialty
• Minimum of 2 years of recent clinical practice relevant to case reviews
• Actively engaged in direct patient care (minimum 20 clinical hours per month)
• Hospital privileges in your specialty
• Fluent in English (strong reading and writing skills required)

Open Positions by Specialty:

• Radiology / Imaging    Diagnostic Radiology
  Radiology / Imaging    Interventional Radiology
  Radiology / Imaging    Nuclear Medicine

Why Join Us?

✔ Fully remote work—complete cases on your own schedule
✔ Flexible hours— ability to complete reviews within 5 days on your own time
✔ No court appearances—your reviews remain confidential
✔ Make a meaningful impact—help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:

• Job Type: Part-time
• Location: Fully remote (U.S. only)
• Schedule: Flexible—complete cases at your convenience within 5 calendar days
• Case Volume: Varies monthly—no fixed predictions by specialty or case type

Key Responsibilities:

1. Medical Case Audits & Quality Reviews

• Conduct objective medical case reviews using standardized assessment criteria
• Evaluate the timeliness and appropriateness of care provided
• Identify quality improvement opportunities

2. Performance Improvement & Specialty Case Reviews

• Review cases initiated for non-standardized performance improvement reasons
• Assess medical decision-making and compliance with best practices

3. Medical Advisory Opinions

• Provide expert medical opinions
• Analyze complex clinical scenarios from an impartial, evidence-based perspective

Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

• Active, unrestricted physician license in any U.S. state or territory
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Minimum of 5 years of clinical experience in your specialty
• Minimum of 2 years of recent clinical practice relevant to case reviews
• Actively engaged in direct patient care (minimum 20 clinical hours per month)
• Hospital privileges in your specialty
• Fluent in English (strong reading and writing skills required)

Open Positions by Specialty:

We are currently hiring physicians who are board certified with the American Board of Medical Specialties in the following specialties:

Cardiology
•    Cardiology – Electrophysiology (EP) 
•    Cardiology – Invasive 
•    Cardiology – Transplant Qualified 
________________________________________
Cardiothoracic & Thoracic Surgery
•    Cardio-Thoracic Surgery 
•    Thoracic Surgery 
________________________________________
General & Subspecialty Surgery
•    Colo-Rectal Surgery 
•    Neurosurgery 
•    Orthopedics – Spine 
________________________________________
Radiology & Imaging
•    Diagnostic Radiology 
•    Interventional Radiology 
•    Nuclear Medicine 
________________________________________
Gastroenterology & Hepatology
•    Gastroenterology (with ERCP capability) 
•    Hepatology 
•    Hepatology – Transplant Qualified 
________________________________________
Nephrology
•    Nephrology 
•    Nephrology – Transplant Qualified 

Why Join Us?

✔ Fully remote work—complete cases on your own schedule
✔ Flexible hours— ability to complete reviews within 5 days on your own time
✔ No court appearances—your reviews remain confidential
✔ Make a meaningful impact—help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:

• Job Type: Part-time
• Location: Fully remote (U.S. only)
• Schedule: Flexible—complete cases at your convenience within 5 calendar days
• Case Volume: Varies monthly—no fixed predictions by specialty or case type

Key Responsibilities:

1. Medical Case Audits & Quality Reviews

• Conduct objective medical case reviews using standardized assessment criteria
• Evaluate the timeliness and appropriateness of care provided
• Identify quality improvement opportunities

1. Performance Improvement & Specialty Case Reviews

• Review cases initiated for non-standardized performance improvement reasons
• Assess medical decision-making and compliance with best practices

1. Medical Advisory Opinions

• Provide expert medical opinions
• Analyze complex clinical scenarios from an impartial, evidence-based perspective

Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

• Active, unrestricted physician license in any U.S. state or territory
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Minimum of 5 years of clinical experience in your specialty
• Minimum of 2 years of recent clinical practice relevant to case reviews
• Actively engaged in direct patient care (minimum 20 clinical hours per month)
• Hospital privileges in your specialty
• Fluent in English (strong reading and writing skills required)

Open Positions by Specialty:

• Cardiology    Cardiology-Invasive
  Cardiology    Cardiology-Transplant Qualified
• Why Join Us?

✔ Fully remote work—complete cases on your own schedule
✔ Flexible hours— ability to complete reviews within 5 days on your own time
✔ No court appearances—your reviews remain confidential
✔ Make a meaningful impact—help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:

• Job Type: Part-time
• Location: Fully remote (U.S. only)
• Schedule: Flexible—complete cases at your convenience within 5 calendar days
• Case Volume: Varies monthly—no fixed predictions by specialty or case type

Key Responsibilities:

1. Medical Case Audits & Quality Reviews

• Conduct objective medical case reviews using standardized assessment criteria
• Evaluate the timeliness and appropriateness of care provided
• Identify quality improvement opportunities

1. Performance Improvement & Specialty Case Reviews

• Review cases initiated for non-standardized performance improvement reasons
• Assess medical decision-making and compliance with best practices

1. Medical Advisory Opinions

• Provide expert medical opinions
• Analyze complex clinical scenarios from an impartial, evidence-based perspective

Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

• Active, unrestricted physician license in any U.S. state or territory
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Minimum of 5 years of clinical experience in your specialty
• Minimum of 2 years of recent clinical practice relevant to case reviews
• Actively engaged in direct patient care (minimum 20 clinical hours per month)
• Hospital privileges in your specialty
• Fluent in English (strong reading and writing skills required)

Open Positions by Specialty:

• Surgery Specialties Bariatric Surgery
• Surgery Specialties Cardio-Thoracic Surgery
• Surgery Specialties Colo-Rectal Surgery
• Surgery Specialties Neurosurgery
• Surgery Specialties Orthopedics-Spine
• Surgery Specialties Thoracic Surgery
   

Why Join Us?

✔ Fully remote work—complete cases on your own schedule
✔ Flexible hours— ability to complete reviews within 5 days on your own time
✔ No court appearances—your reviews remain confidential
✔ Make a meaningful impact—help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

Become an integral part of a team dedicated to serving our CMS client. In this role, you will leverage your extensive project management, client relationship, risk management skills.

You will lead federal program delivery for CMS, HHS, and DoD clients in a fully remote model. You will manage audit, compliance, and performance oversight engagements with distributed teams, strict regulatory timelines, and high visibility to senior federal leadership. Serve as the Broadway Ventures interface with government CORs and program leadership on multiple active task orders, with the following additional duties:

• Direct a team across various concurrent federal task orders.
• Provide communication to COR via monthly progress reports, CFM reporting, and quarterly executive briefings, all conducted via secure virtual platforms.
• Build and maintain Integrated Master Schedules, Project Management Plans, Risk Management Plans, and Quality Assurance/Quality Control Plans for all supported contracts.
• Conduct monthly and bi-weekly status meetings with government stakeholders via Microsoft Teams and CMS-approved platforms.
• Experience with FAR-based contracts, including risk management, quality assurance, earned value reporting, and integrated master scheduling.
• Oversee subcontractor and joint venture coordination, including deliverable reviews, invoice reconciliation, and performance monitoring across multiple time zones.
• Coordinate remotely with COs, CORs, and agency program leadership on daily execution, monthly progress reporting, and ad-hoc senior-level requests.
• Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes. 
• Mentor and train new claims processors as needed.

If you’re eager to make a positive impact through your project management skills, we encourage you to apply! 

• Fully remote position.
• Bachelor in business administration or a job-related degree. 
• Minimum of 15 years’ project management experience. 
• PMI PMP certified
• Certified in Risk and Information Systems Control (CRISC) [or CISA, CIA, CGFM]
• ITIL v4 Foundations
• Public Trust / Moderate Risk clearance, active [or eligible]
• HHS/CMS Contractor Information Security, Privacy, and Records Management training, current
• Strong attention to detail and accuracy
• Excellent written and verbal communication skills
• Proficient in Microsoft Office Suite (Word, Excel, Outlook)
• Capacity to lead a remote and hybrid team
• Ability to work independently and work collaboratively within a team
• Willing and able to accept constructive feedback, and make necessary changes for improvement
• Commitment to ongoing education and training in industry standards and technology advancements
•  

Become an integral part of a team dedicated to serving our CMS client. In this role, you will leverage your extensive project management, client relationship, risk management skills.

You will lead federal program delivery for CMS, HHS, and DoD clients in a fully remote model. You will manage audit, compliance, and performance oversight engagements with distributed teams, strict regulatory timelines, and high visibility to senior federal leadership. Serve as the Broadway Ventures interface with government CORs and program leadership on multiple active task orders, with the following additional duties:

• Direct a team across various concurrent federal task orders.
• Provide communication to COR via monthly progress reports, CFM reporting, and quarterly executive briefings, all conducted via secure virtual platforms.
• Build and maintain Integrated Master Schedules, Project Management Plans, Risk Management Plans, and Quality Assurance/Quality Control Plans for all supported contracts.
• Conduct monthly and bi-weekly status meetings with government stakeholders via Microsoft Teams and CMS-approved platforms.
• Experience with FAR-based contracts, including risk management, quality assurance, earned value reporting, and integrated master scheduling.
• Oversee subcontractor and joint venture coordination, including deliverable reviews, invoice reconciliation, and performance monitoring across multiple time zones.
• Coordinate remotely with COs, CORs, and agency program leadership on daily execution, monthly progress reporting, and ad-hoc senior-level requests.
• Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes. 
• Mentor and train new claims processors as needed.

If you’re eager to make a positive impact through your project management skills, we encourage you to apply! 

• Fully remote position.
• Bachelor in business administration or a job-related degree. 
• Minimum of 15 years’ project management experience. 
• PMI PMP certified
• Certified in Risk and Information Systems Control (CRISC) [or CISA, CIA, CGFM]
• ITIL v4 Foundations
• Public Trust / Moderate Risk clearance, active [or eligible]
• HHS/CMS Contractor Information Security, Privacy, and Records Management training, current
• Strong attention to detail and accuracy
• Excellent written and verbal communication skills
• Proficient in Microsoft Office Suite (Word, Excel, Outlook)
• Capacity to lead a remote and hybrid team
• Ability to work independently and work collaboratively within a team
• Willing and able to accept constructive feedback, and make necessary changes for improvement
• Commitment to ongoing education and training in industry standards and technology advancements
• Must be flexible and have the ability to adjust to the needs of the client and changes in the program

Job Type: Full-time (40 hours/week)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities

• Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
• Assess payment determinations using clinical information and established guidelines.
• Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
• Provide clear, well-documented rationales for service approvals or denials.
• Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
• Support quality control activities to meet corporate and team objectives.
• Provide guidance to LPN team members and support non-clinical staff through training and discussions.
• Assist with special projects and additional responsibilities as assigned.

Minimum Qualifications

Licensure:

• Active, unrestricted RN license in the U.S. and in the state of hire
  OR
• Active compact multistate RN license (as defined by the Nurse Licensure Compact).

Education:

• Associate Degree in Nursing
  OR
• Graduate of an accredited School of Nursing.

Experience:

• Two years of clinical experience plus at least two years in one of the following:
  • Home Health
  • Utilization/Medical Review
  • Quality Assurance

Skills & Competencies:

• Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
• Ability to interpret and apply medical review criteria and clinical guidelines.
• Proficiency in Microsoft Office and word processing software.
• Strong analytical, organizational, and decision-making skills.
• Ability to work independently while managing priorities effectively.
• Excellent customer service, communication, and critical thinking skills.
• Ability to handle confidential information with discretion.

Preferred Qualifications

• Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
• Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

Max Salary: W-2 ($65,000/$31.25)

Job Type: Full-time (40 hours/week)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM EST (core hours) (Flex between 6am/7pm EST)
Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role:

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities:

• Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
• Assess payment determinations using clinical information and established guidelines.
• Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
• Provide clear, well-documented rationales for service approvals or denials.
• Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
• Support quality control activities to meet corporate and team objectives.
• Assist with special projects and additional responsibilities as assigned.

Minimum Qualifications:

Licensure:

• Active, unrestricted RN license in the U.S. and in the state of hire
  OR
• Active compact multistate RN license (as defined by the Nurse Licensure Compact).

Education:

• Associate Degree in Nursing
  OR
• Graduate of an accredited School of Nursing.

Experience:

• Two years of clinical experience plus at least two years in one of the following:
• Inpatient/Outpatient settings (i.e. medical-surgical, rehabilitation, SNF,  etc..)
• Utilization/Medical Review
• Quality Assurance

Skills & Competencies:

• Strong clinical background in managed care and/or inpatient/outpatient 

 settings.

• Ability to interpret and apply medical review criteria and clinical guidelines.
• Proficiency in Microsoft Office and word processing software.
• Strong analytical, organizational, and decision-making skills.
• Ability to work independently while managing priorities effectively.
• Excellent customer service, communication, and critical thinking skills.
• Ability to handle confidential information with discretion.

Preferred Qualifications:

• Three years of clinical nursing experience in Inpatient/Outpatient settings, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
• Proficiency in using multiple screens and software programs simultaneously.
• Training and experience in ICD coding. 

Program Director – WTC Health Program (COB & Recovery Program)

Position Summary
The Program Director serves as the primary leadership and management point of contact for a large-scale federal healthcare program focused on cost avoidance, coordination of benefits (COB), and claims recovery. This role is responsible for overseeing contract performance, ensuring operational excellence, and maintaining strong relationships with federal stakeholders and program partners.

Key Responsibilities

• Serve as the primary liaison between the organization and the WTC Health Program, including communication with Program Management, Contracting Officer (CO), and Contracting Officer Representative (COR)

• Provide end-to-end oversight of contract operations, ensuring all deliverables meet quality, timeliness, and compliance standards

• Lead execution of a comprehensive cost avoidance, COB, and recovery program across pre- and post-payment processes

• Ensure accurate and timely submission of reports, deliverables, and ad hoc requests

• Oversee implementation and adherence to a robust quality assurance program

• Manage cross-functional teams supporting:

  • Insurance identification and verification

  • Coordination of benefits (COB)

  • Claims recovery (OHI & Workers’ Compensation)

  • Payment integrity and fraud, waste, and abuse (FWA) efforts

• Maintain effective communication channels with internal staff and external stakeholders, including government entities and program partners

• Drive performance monitoring, operational improvements, and cost containment strategies

• Ensure compliance with federal regulations, HIPAA requirements, and contractual obligations

• Foster and maintain strong business relationships with all program stakeholders

Required Qualifications

• Minimum 10+ years of experience in:

  • Coordination of Benefits (COB)

  • Claims recovery / payment integrity

  • Federal healthcare program management

• Proven experience managing large, complex government contracts or programs

• Strong knowledge of:

  • Healthcare claims processing

  • Insurance coordination (OHI, Workers’ Compensation)

  • Payment integrity and recovery operations

• Demonstrated leadership experience managing cross-functional teams and stakeholders

• Experience ensuring contract compliance, reporting accuracy, and SLA performance

• Excellent communication and stakeholder management skills

Preferred Qualifications

• Experience working with federal health programs (e.g., CMS, CDC, or similar)

• Familiarity with data analytics, fraud detection platforms, and recovery systems

• Experience in healthcare cost containment and program integrity initiatives

Work Environment

• 100% remote/offsite, with occasional travel (estimated 4+ trips annually)

• Travel may include Washington, DC; New York City; Cincinnati; Atlanta

Why This Role Matters

This role plays a critical part in improving healthcare efficiency and cost control for a federally mandated program serving 9/11 responders and survivors. The Program Director ensures financial integrity while maintaining high-quality care delivery.

Broadway Ventures is seeking experienced and detail-oriented Provider Enrollment Analysts to support the enrollment process by reviewing, researching, analyzing, and processing provider applications. This role ensures provider file accuracy and compliance with established standards and guidelines.

Worksite & Schedule

This is a full-time (40-hours/week) position, Monday–Friday.

• Work hours: 8:00AM–5:00PM Eastern Standard Time (EST)
• Location: Remote
• If you live within 50 miles of Columbia, SC you will be required to work onsite 5 days a week at - 17 Technology Circle, Columbia, SC, 29203

What You’ll Do

You will support the full lifecycle of medical provider enrollment, helping ensure accurate provider data and regulatory compliance. Duties include:

• Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates)
• Verify provider data via internal databases and external agencies; set up/test EFT accounts
• Enter and update provider information in enrollment databases and directories
• Communicate with providers, agencies, and internal departments to resolve discrepancies
• Supply application materials and process guidance to potential enrollees
• Assist with special projects, process improvements, provider education, and system testing
• Growth and Development

In this role, you will gain exposure to:

• Medicare program regulations, health plan operations, and enrollment systems.
• Cross-functional collaboration with compliance, IT, and provider support teams.
• System testing and process improvement initiatives—opportunities to grow your skills in operational analysis and project participation.

Required Qualifications:

Work Experience:

• At least one (1) year of experience processing CMS 855 applications/managing the enrollment process utilizing the the Medicare enrollment online system PECOS.
• Previous Provider Enrollment for Medicare is required to be considered for the role. 

Education:

• Highschool Diploma or equivalent
• Associates or Bachelors degree preferred

Skills and Abilities:

• Proficiency with word processing, spreadsheets, and databases
• Strong judgment, organization, and customer service skills
• Clear verbal and written communication
• Solid grammar, spelling, and punctuation skills
• Basic business math competency
• Analytical and critical thinking ability
• Discretion in handling confidential information

Software and Tools:

• Microsoft Office

Pre-Hire Requirements

• Completion of an eQIP background investigation
• Successful credit check

Benefits

• 401(k) + company matching
• Medical, Dental, and Vision Insurance
• Disability and Life Insurance
• Paid Time Off 
• Paid Holidays

Max Salary: W-2 ($65,000/$31.25)

Job Type: Full-time (40 hours/week)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM EST (core hours) 
Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role:

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities:

• Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
• Assess payment determinations using clinical information and established guidelines.
• Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
• Provide clear, well-documented rationales for service approvals or denials.
• Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
• Support quality control activities to meet corporate and team objectives.
• Assist with special projects and additional responsibilities as assigned.

Minimum Qualifications:

Licensure:

• Active, unrestricted RN license in the U.S. and in the state of hire
  OR
• Active compact multistate RN license (as defined by the Nurse Licensure Compact).

Education:

• Associate Degree in Nursing
  OR
• Graduate of an accredited School of Nursing.

Experience:

• Two years of clinical experience plus at least two years in one of the following:
• Inpatient/Outpatient settings (i.e. medical-surgical, rehabilitation, SNF,  etc..)
• Utilization/Medical Review
• Quality Assurance

Skills & Competencies:

• Strong clinical background in managed care and/or inpatient/outpatient 

 settings.

• Ability to interpret and apply medical review criteria and clinical guidelines.
• Proficiency in Microsoft Office and word processing software.
• Strong analytical, organizational, and decision-making skills.
• Ability to work independently while managing priorities effectively.
• Excellent customer service, communication, and critical thinking skills.
• Ability to handle confidential information with discretion.

Preferred Qualifications:

• Three years of clinical nursing experience in Inpatient/Outpatient settings, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
• Proficiency in using multiple screens and software programs simultaneously.
• Training and experience in ICD coding.