Director, Compliance Technology, Data Insights

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Aledade, Inc.

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2014

⚕️ Assurance santé

🏢 Entreprise

Healthcare Insurance • Enterprise

Aledade, Inc. est une société d'intérêt public qui opère comme le plus grand réseau de cabinets de soins primaires indépendants aux États-Unis. L'entreprise se spécialise dans les Organisations de Soins Responsables (Accountable Care Organizations ou ACOs), qui aident les cabinets de soins primaires et les centres de santé à améliorer les résultats des patients et à générer des revenus durables grâce à des solutions de soins axées sur la valeur. Aledade offre des informations sur les données, un support et des solutions commerciales pour parvenir à une durabilité et une autonomie clinique. Elle collabore avec un large éventail de prestataires de soins de santé, y compris des cabinets de soins primaires, des centres de santé communautaires, et des ACOs en réseau, garantissant une amélioration de la qualité des soins et de la satisfaction des patients. Avec des opérations dans 45 États et des affiliations avec plus de 20 000 cliniciens desservant plus de 2,5 millions de patients, Aledade s'engage à réduire la fragmentation des soins et à améliorer la qualité de vie globale des cliniciens et des patients.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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!