Remote Manager, Compliance & Delegate Oversight Reporting and Analytics

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. Our mission is to put seniors first and serve those who need us most. The Manager of Compliance & Delegate Oversight Reporting & Analytics will lead the analytical and reporting functions that ensure visibility, accountability, and regulatory alignment across internal operations and delegated entities (provider groups, vendors, and MSOs). The fully remote manager oversees delegate monitoring frameworks, reporting tools, and compliance analytics that support regulatory requirements, mitigate risk, and strengthen audit readiness. Job Responsibilities Own the analytics, reporting, and performance monitoring framework for internal operations and delegated entities to support regulatory compliance. Develop reports, dashboards, and analytics – including writing queries, building visualizations, and synthesizing insights for performance improvement. Lead development and maintenance of dashboards and scorecards measuring delegate performance, contractual compliance, corrective action progress, and operational risk indicators. Partner with Compliance, Delegation Oversight, and Operations 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 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. Other duties and projects not listed above. Supervisory Responsibilities Manage a team of analysts while also contributing as an individual contributor. Handle hiring, training, mentoring, performance management, and establish analytical standards across the team. Experience Required: 5+ years in healthcare analytics, compliance reporting, regulatory oversight, or delegated entity monitoring. 2+ years 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). Preferred: Experience supporting CMS program audits, reporting submissions, delegation oversight reviews, or corrective action plans; monitoring delegated entity performance across claims, encounters, provider data, UM, appeals, grievances, etc. Education Required: Bachelor’s degree in Data Analytics, Business, Public Health, Information Systems, Healthcare Administration, or a related field. 4+ additional years of related experience may substitute a degree. Preferred: Master’s degree. Training Required: None. Preferred: Compliance or regulatory training, delegated oversight, or formal training in Medicare Advantage program requirements. Specialized Skills Proficiency in SQL and/or BI tools (Power BI, Tableau, etc.) – hands‑on report and dashboard development. Ability to translate regulatory and contractual requirements into measurable KPIs and reporting structures. Strong analytical and critical‑thinking skills; ability to independently investigate issues and synthesize insights. Excellent written and verbal communication skills, including presentation of risk, compliance trends, and recommendations to leadership. Capacity to manage multiple priorities and deadlines in a high‑visibility environment. Preferred: Experience with automation, report scheduling, or data quality validation workflows; familiarity with CMS reporting and other regulatory or delegation standards; exposure to enterprise data governance, MDM standards, or audit frameworks. Licensure Required: None. Preferred: None. Essential Physical Functions The role requires regular speaking or hearing, standing, walking, sitting, using hands to manipulate objects, and handling or feeling tools or controls. It also involves lifting or moving up to 10 pounds and close vision to adjust focus. Pay Range $130,332.00 – $195,498.00; salary may vary based on location, education, responsibilities, and experience. Equal Opportunity Statement Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. #J-18808-Ljbffr