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

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

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

SQLBI toolsreport developmentdashboard developmentanalyticsperformance monitoringroot cause analysistrend evaluationdata validationreporting

Soft Skills

analytical skillscritical-thinking skillscommunication skillsleadershipproject managementstorytellingprioritizationcollaborationproblem-solvingdata-backed recommendations