Manager, Compliance – Delegate Oversight, Reporting, Analytics

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Alignment Health

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2013

⚕️ Assurance santé

👥 B2C

💰 €321 050 000 Post-IPO Debt - Alignment Health en 2024-11

Healthcare Insurance • B2C

Alignment Health est une entreprise d'assurance santé centrée sur Medicare, offrant des plans Medicare Advantage et des services orientés vers l'adhérent. Elle propose un accès aux soins à la demande 24/7 via des canaux en personne, à domicile et mobiles et propose une carte à la demande de type conciergerie pour aider les membres à prendre des rendez-vous, organiser des transports et répondre à des questions de santé. Alignment Health collabore avec des courtiers, des prestataires, des Organisations de Soin Responsable (ACOs) et des partenaires institutionnels. Elle opère dans plusieurs États des États-Unis (dont l'Arizona, la Californie, le Nevada, la Caroline du Nord et le Texas), et a obtenu de hautes évaluations de la CMS et une reconnaissance dans l'industrie.

Description

• Own the analytics, reporting, and performance monitoring framework for both internal operations and delegated entities to support regulatory compliance and oversight requirements. • Serve as a hands-on contributor in developing reports, dashboards, and analytics — including writing queries, building visualizations, and synthesizing insights for performance improvement. • Lead the development and maintenance of dashboards and scorecards that measure delegate performance, contractual compliance, corrective action progress, and operational risk indicators. • Partner with Compliance, Delegation Oversight, and Operations teams to define expectations, metrics, and escalation criteria for delegate monitoring. • Conduct root cause analysis and trend evaluations on compliance issues, audit findings, or delegate performance gaps, providing data-backed recommendations for corrective action. • Translate regulatory, contractual, and audit requirements into measurable analytic and reporting structures. • Prepare and validate data and reports to support CMS, state, or internal audits and readiness reviews, including universe build development and reconciliation. • Serve as a subject matter expert on compliance reporting definitions, data structures, and methodologies. • Lead, develop, and manage a team of analysts — assigning work, reviewing deliverables, coaching skill development, and building analytical rigor. • Work with BI, Data Engineering, and IT teams to improve data access, reporting automation, and governance of compliance data sources. • Present findings and risks to leadership and cross-functional stakeholders with clear storytelling and recommended actions.

🎯 Exigences

• 5+ years of experience in healthcare analytics, compliance reporting, regulatory oversight, or delegated entity monitoring. • 2+ years of experience leading analysts or project teams, preferably in a working manager or hybrid leadership role. • Demonstrated experience producing reporting and insights in regulated environments (Medicare Advantage preferred). • Bachelor's degree in Data Analytics, Business, Public Health, Information Systems, Healthcare Administration, or a related field. • SQL and/or BI tools (Power BI, Tableau, etc.) proficiency • Ability to translate regulatory and contractual requirements into measurable KPIs and reporting structures. • Strong analytical and critical-thinking skills.

🏖️ Avantages

• Health insurance • Performance bonuses • Paid time off • Professional development opportunities