Senior Director, Delegate Oversight

🕒 May 1

🏄 California – Remote

🏄 California – Remote

💵 $130.3k - $195.5k / year

⏰ Full Time

🟠 Senior

👔 Director

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Own and evolve the enterprise delegated oversight strategy, ensuring alignment with corporate objectives, regulatory requirements, and value-based care priorities. • Establish a holistic performance framework that integrates clinical, operational, financial, and compliance metrics across all delegated entities. • Maintain accountability for delegated performance outcomes, including quality, utilization, risk adjustment, member experience, and cost of care. • Ensure oversight models are scalable and adaptable to support organizational growth and increasing complexity in risk-bearing arrangements. • Define and lead enterprise governance structures that proactively identify, assess, and mitigate risks across the delegated network. • Oversee risk stratification methodologies, performance scoring, and audit frameworks to ensure consistency, rigor, and regulatory alignment. • Act as the senior escalation point for performance and compliance risks, ensuring timely intervention and resolution of issues with enterprise impact. • Provide regular, transparent reporting to executive leadership on delegated performance, risks, and mitigation strategies. • Serve as the lead relationship owner for delegated partner executives, driving alignment on performance expectations and long-term strategy. • Facilitate executive-level performance reviews with IPAs and MSOs, ensuring accountability and measurable improvement. • Influence internal executive stakeholders by translating performance insights into strategic recommendations and action plans. • Represent delegated oversight in enterprise initiatives, regulatory readiness efforts, and cross-functional planning. • Drive the evolution of delegated oversight into a proactive, insight-driven function, leveraging analytics to identify opportunities and intervene early. • Lead cross-functional collaboration with Clinical, Quality, Compliance, Network, and Operations teams to improve delegated outcomes. • Promote standardization, best practice sharing, and continuous improvement across the delegated network. • Ensure tools, reporting, and processes enable effective performance management and decision-making. • Lead and develop a high-performing team, setting clear expectations and fostering a culture of accountability and continuous improvement.

🎯 Requirements

• 10–12+ years of experience in healthcare operations, delegated oversight, provider network management, or value-based care. • 5+ years of leadership with delegation oversight specifically, compliance or provider performance • 5+ years of leadership experience with accountability for performance outcomes. • Experience developing and executing performance management strategies across clinical, operational, and compliance domains. • Demonstrated ability to influence senior stakeholders and manage external partner relationships. • Strong understanding of healthcare regulatory frameworks (CMS, DMHC, DHCS, NCQA) and delegated models. • Experience working in matrixed organizations and driving cross-functional initiatives. • Bachelor's degree required in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field. • Master’s degree strongly preferred (e.g., MHA, MPH, MBA, MSN) with a focus in healthcare management, policy, or operations.

🏖️ Benefits

• Health insurance • Competitive salary • 401(k) • Paid time off • Flexible work arrangements