Broadway Ventures

Role Description 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: - 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 - Performance Improvement & Specialty Case Reviews - Review cases initiated for non-standardized performance improvement reasons - Assess medical decision-making and compliance with best practices - Medical Advisory Opinions - Provide expert medical opinions - Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications - Active, unrestricted physician license in any U.S. state or territory - Board certification in Hematology or Medical Oncology - 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) Requirements - After submitting your application, our recruiting team will review your qualifications. - This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. - Interviews will be conducted with the most qualified candidates. - Broadway Ventures conducts background checks and drug testing prior to the start of employment. - Some positions may also require fingerprinting. Benefits - Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. - We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. - Reasonable accommodations are available for applicants with disabilities. - Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

Role Description 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: - 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 - Performance Improvement & Specialty Case Reviews - Review cases initiated for non-standardized performance improvement reasons - Assess medical decision-making and compliance with best practices - Medical Advisory Opinions - Provide expert medical opinions - Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications - 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) Benefits - 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! What to Expect Next After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Company Description Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

Role Description 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: - 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 - Performance Improvement & Specialty Case Reviews - Review cases initiated for non-standardized performance improvement reasons - Assess medical decision-making and compliance with best practices - Medical Advisory Opinions - Provide expert medical opinions - Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications - 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 Benefits - 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! What to Expect Next: - After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. - Interviews will be conducted with the most qualified candidates. - Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Equal Opportunity Employer Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

Title: RN – Lead Case Manager (ARNG) Location: Colchester, VT Job Description: At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation. N – Lead Case Manager (ARNG) The selected person will provide Non-Clinical Case Management support to the Vermont Army National Guard at the VTARNG State Medical Detachment, Green Mountain Armory, Camp Johnson, Colchester, VT. This role supports service members with medical readiness by coordinating case management activities, maintaining medical documentation, tracking Soldier care, supporting PHA/SRP events, updating required systems such as MEDCHART, eCase, and MEDPROS, and helping ensure Soldiers remain medically ready and deployable. The position generally works Monday through Friday, 7:30 AM–4:30 PM, with occasional support for weekend Soldier readiness events. Telework is authorized when appropriate, but some onsite support may be required. Qualification and Experience: - Minimum of 5-7 years RN experience, in good standing - Minimum of 3 years RN lead/manager/supervisory experience - Must possess an active Vermont RN state license in good standing - 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 - Preferred experience - Prior nurse case management, care coordination, utilization review, managed care, workers’ compensation, disability, occupational health, or non-clinical case management experience. - Experience with government contracts, quality assurance, HIPAA, compliance, case management systems, documentation standards, and reporting deliverables is also preferred. - Knowledge of Vermont healthcare systems, community resources, and multidisciplinary coordination is beneficial. - Certified Case Manger (CCM), Accredited Case Manager (ACM), or similar certification - Knowledge of MEDPROS, eProfile, MHA/PHA, AHLTA, MODS, MWDE, AVS, DENCLASS, eCase and MEDCHART systems - Bachelor's of Science in Nursing (BSN) - Benefits: - 401(k) - 401(k) matching - Dental insurance - Health insurance - Paid sick time - Paid time off - Work Location: Hybrid remote in Colchester, VT 05439 What to Expect Next: After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Role Description 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: - 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 - Performance Improvement & Specialty Case Reviews - Review cases initiated for non-standardized performance improvement reasons - Assess medical decision-making and compliance with best practices - Medical Advisory Opinions - Provide expert medical opinions - Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications - 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) Benefits - 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! What to Expect Next After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Equal Opportunity Employer Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

Role Description 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: - 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 - Performance Improvement & Specialty Case Reviews - Review cases initiated for non-standardized performance improvement reasons - Assess medical decision-making and compliance with best practices - Medical Advisory Opinions - Provide expert medical opinions - Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications - 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) Benefits - 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! What to Expect Next After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Equal Opportunity Employer Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

Role Description 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 - 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 - Performance Improvement & Specialty Case Reviews - Review cases initiated for non-standardized performance improvement reasons - Assess medical decision-making and compliance with best practices - Medical Advisory Opinions - Provide expert medical opinions - Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications - 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 Benefits - 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! What to Expect Next After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Company Description Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.

Role Description 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, and risk management skills. - Lead federal program delivery for CMS, HHS, and DoD clients in a fully remote model. - 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. - 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. - 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. Qualifications - 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 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. What to Expect Next - After submitting your application, our recruiting team will review your qualifications. - This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. - Interviews will be conducted with the most qualified candidates. - Broadway Ventures conducts background checks and drug testing prior to the start of employment. - Some positions may also require fingerprinting. Company Description Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.

Role Description The Redetermination (Appeals) Specialist supports the Medicare Appeals team by performing non-medical reviews, preparing redetermination letters, and ensuring timely and accurate processing. This role requires strong organizational skills, attention to detail, and the ability to work with reports, documentation, and multiple software tools in a fast-paced environment. - 50% – Perform non-medical reviews and process redetermination letters, ensuring accuracy and compliance with established timelines. - 30% – Prepare unit reports, analyze and interpret workload data, and address processing issues using various software tools. - 10% – Update letters, templates, and departmental documents as needed. - 10% – Gather and prepare documentation for legal inquiries and administrative requests. Qualifications - High School Diploma or equivalent required. - Associate’s or Bachelor’s degree preferred. - Minimum of 2 years of relevant experience in healthcare, insurance, or Medicare/Medicaid services. - Customer service experience preferred. - Medicare-specific experience preferred but not required; comprehensive training provided. Requirements - Proficiency with Microsoft Office (Word, Excel, Outlook). - Strong organizational skills with excellent attention to detail. - Effective written and verbal communication skills. - Demonstrated ability to exercise sound judgment and handle confidential information. - Strong spelling, grammar, and punctuation skills. Benefits - 401(k) & matching - Dental insurance - Vision insurance - Health insurance - Life insurance - Paid Time Off (PTO) - Paid Holidays

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation. 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 hireOR - Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education: - Associate Degree in NursingOR - 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. What to Expect Next: After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting. Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).