Manager, Compliance – Delegate Oversight Reporting and Analytics

Full TimeRemoteTeam 501-1,000Since 2013H1B No SponsorCompany SiteLinkedIn

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

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