Manager, Compliance – Delegate Oversight Reporting and Analytics
Location
United States
Posted
2 days ago
Salary
$130.3K - $195.5K / year
Bachelor Degree5 yrs expExperience acceptedEnglishSQLTableau
Job 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
• Prepare and validate data and reports to support CMS, state, or internal audits and readiness reviews, including universe build development and reconciliation
• Present findings and risks to leadership and cross-functional stakeholders with clear storytelling and recommended actions
Job Requirements
- 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 (4+ additional years of related experience can be used in lieu of a degree)
- Preferred: Master’s degree
- Proficiency in SQL and/or BI tools (Power BI, Tableau, etc.) — including 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
- Excellent written and verbal communication skills
- Ability to manage multiple priorities and deadlines in a high-visibility environment
Benefits
- Health insurance
- 401(k) retirement plans
- Flexible working arrangements
- Professional development opportunities