Senior Director, Delegate Oversight

🕒 May 28

🏄 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

👥 B2C

💰 $321.1M Post-IPO Debt - Alignment Health on 2024-11

Healthcare Insurance • B2C

Alignment Health is a Medicare-focused health insurance company that offers Medicare Advantage plans and member-centered services. It provides 24/7 on-demand access to care via in-person, in-home, and mobile channels and features a concierge-style on-demand card to help members schedule appointments, arrange transportation, and answer health questions. Alignment Health partners with brokers, providers, Accountable Care Organizations (ACOs), and institutional partners, operates in multiple U. S. states (including Arizona, California, Nevada, North Carolina, and Texas), and has earned high CMS ratings and industry recognition.

📋 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. • 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. • Provide regular, transparent reporting to executive leadership on delegated performance, risks, and mitigation strategies. • Facilitate executive-level performance reviews with IPAs and MSOs, ensuring accountability and measurable improvement. • Drive the evolution of delegated oversight into a proactive, insight-driven function, leveraging analytics to identify opportunities and intervene early. • 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.

🏖️ Benefits

• N/A