Director, Compliance Technology, Data Insights

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Aledade, Inc.

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2014

⚕️ Seguro de Saúde

🏢 Corporativo

Healthcare Insurance • Enterprise

Aledade, Inc. é uma corporação de benefícios públicos que opera como a maior rede de práticas independentes de cuidados primários nos Estados Unidos. A empresa é especializada em Organizações de Cuidados Responsáveis (ACOs), que ajudam práticas de cuidados primários e centros de saúde a melhorar os resultados dos pacientes e gerar receita sustentável por meio de soluções de cuidados baseados em valor. A Aledade oferece insights de dados, suporte e soluções de negócios para alcançar sustentabilidade e autonomia clínica. Ela colabora com uma ampla gama de provedores de saúde, incluindo práticas de cuidados primários, centros de saúde comunitários e redes de ACOs, garantindo melhoria na qualidade do cuidado e satisfação dos pacientes. Com operações em 45 estados e afiliações com mais de 20. 000 clínicos atendendo mais de 2,5 milhões de pacientes, a Aledade está comprometida em reduzir a fragmentação do cuidado e melhorar a qualidade de vida geral tanto dos clínicos quanto dos pacientes.

Descrição

• Perform complex data mining and trend analysis to proactively assess compliance risks and enhance monitoring mechanisms, guiding the organization toward preventive measures. • Create comprehensive compliance dashboards and automated reporting systems to enhance compliance program maturity and effectiveness, and to provide real-time insights into compliance performance and business insights. • Develop and implement predictive models to assess risk and identify strategic areas for compliance intervention, while optimizing resource allocation. • Drive technological initiatives and system optimizations to align compliance operations with cutting-edge data analytics processes; develop automation to identify abnormalities and outliers that may be an indicator of non-compliance • Work cross-functionally to support all compliance functions (e.g., investigations, monitoring, risk assessment) to address compliance-related issues and help support the implementation of effective controls; Spearhead collaborative efforts across Product, Tech, BI, and other departments to ensure seamless data integration and process improvement, advocating for technological enhancements and compliance innovations. • Provide executive-level compliance insight based on data analytics to facilitate compliance discussions at the Board of Directors and Compliance Committee level; Develop metrics to measure progress against compliance program maturity model goals; Collaborate with the Compliance leadership to assess current program maturity levels and identify opportunities for enhancement.

🎯 Requisitos

• Bachelor's degree or equivalent combination of education and experience. • Minimum of 8 years of progressive experience in data analytics with a strong focus on healthcare compliance program management, monitoring, auditing, or a combination of these areas. • Proficiency in Tableau, SQL, and visualization tools • Strong knowledge of HIPAA, fraud, waste, and abuse laws (Stark Law, Anti-Kickback Statute, False Claims Act). • Excellent analytical, problem-solving, and critical thinking skills. • Exceptional written and verbal communication skills, with the ability to translate complex data findings into clear and actionable guidance. • Strong interpersonal skills and the ability to collaborate effectively with diverse teams.

🏖️ Benefícios

• Flexible work schedules and the ability to work remotely are available for many roles • Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners • Robust time-off plan (21 days of PTO in your first year) • Two paid volunteer days and 11 paid holidays • 12 weeks paid parental leave for all new parents • Six weeks paid sabbatical after six years of service • Educational Assistant Program and Clinical Employee Reimbursement Program • 401(k) with up to 4% match • Stock options • And much more!