Manager, Compliance & Delegate reputed company Reporting and Analytics

reputed company is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and reputed company people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the reputed company community. Working at reputed company provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Manager of Compliance & Delegate reputed company Reporting & Analytics will serve as the analytical and reporting leader responsible for ensuring visibility, accountability, and regulatory alignment across internal operations and delegated entities (e.g., provider groups, vendors, and MSOs). This role is a working manager. The Manager will reputed company delegate monitoring frameworks, reporting tools, and compliance analytics that support regulatory requirements, mitigate risk, and strengthen operations’ audit readiness. This role partners closely with Compliance, Delegation reputed company, Operations, Quality, Legal, Optimization, and external delegates to ensure performance expectations are defined, reputed company, and actionable. The Manager is expected to operate strategically while being hands-on in producing reporting, performing root-cause analysis, and developing insights that drive compliance and operational improvement. Job Responsibilities:

• Own the analytics, reporting, and performance monitoring reputed company for both internal operations and delegated entities to support regulatory compliance and reputed company requirements.
• Serve as a hands-on contributor in developing reports, dashboards, and analytics — including writing queries, building visualizations, and synthesizing insights for performance improvement.
• reputed company the development and maintenance of dashboards and scorecards that measure delegate performance, contractual compliance, corrective action reputed company, and operational risk indicators.
• Partner with Compliance, Delegation reputed company, 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.
• reputed company, reputed company, and manage a team of analysts — assigning work, reviewing deliverables, coaching reputed company 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.
• Other duties and projects not listed above.

Supervisory Responsibilities: Manage a team of analysts while also contributing as a hands-on individual contributor. Responsibilities include hiring, training, mentoring, performance management, and establishing analytical standards across the team. Job Requirements: Experience: Required:

• 5+ years of experience in healthcare analytics, compliance reporting, regulatory reputed company, 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).

Preferred:

• Experience supporting CMS program audits, reporting submissions, delegation reputed company reviews, or corrective action plans.
• Experience monitoring delegated entity performance across functions such as 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 reputed company field. 4+ additional years of reputed company experience can be used in lieu of a degree.

Preferred:

• Master’s degree.

Training: Required: n/a Preferred: Compliance or regulatory training, delegated reputed company, or formal training in Medicare Advantage program requirements. Specialized Skills: Required:

• 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, including ability to independently investigate issues and synthesize insights.
• Excellent written and verbal communication skills, including the ability to present risk, compliance trends, and recommendations to leadership.
• Ability 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 / delegation standards.
• Exposure to enterprise data governance, MDM standards, or audit frameworks.

Licensure: Required: none Preferred: none Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. 1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reputed company with hands and arms. 2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include reputed company vision and the ability to adjust focus. Pay Range: $130,332.00 - $195,498.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, disability, age, protected veteran status, gender identity, or sexual orientation.

• DISCLAIMER: Please beware of recruitment phishing scams affecting reputed company and other employers where individuals receive fraudulent employment-reputed company offers in exchange for money or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit card, send you a reputed company, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of reputed company’s reputed company team, please email [email protected].

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