Lead the design and execution of internal auditing systems that support continuous improvement in operational quality and compliance.
Develop and track operational compliance KPIs, using data to drive strategy and operational enhancements.
Ensure operational frameworks align with federal and state regulations, industry best practices, and Alma’s standards.
Monitor audits, risk protocols, and compliance efforts to proactively identify risks and uphold the highest operational standards.
Serve as the operational lead for Alma’s documentation review program, translating strategic vision into phased, actionable workflows.
Develop and optimize scalable processes that ensure compliant operational workflows and documentation standards.
Collaborate with the COO to integrate operational quality efforts into company-wide operational systems and performance metrics.
Partner with cross-functional leaders to align operational strategy with product, technology, and operations initiatives.
Use performance data and audit trends to inform quality initiatives and provide strategic updates to executive stakeholders.
Direct the Integrity Standards team in monitoring provider adherence to administrative and membership standards, including conduct and fraud monitoring.
Guide the development and execution of protocols to detect and address deviations from Alma’s operational expectations.
Review findings and recommendations from the team and ensure appropriate follow-up actions are taken.
Work cross-functionally to implement corrective actions and long-term improvements.
Provide coaching and professional development for team leaders, ensuring high team performance and engagement.
Oversee resource planning and ensure effective internal and cross-functional communication.
Collaborate with senior leadership to ensure operational initiatives support broader strategic priorities, including growth, technology adoption, and provider engagement.
Partner with Product and Marketing teams to align rollout milestones with provider experience and operational capacity.
Provide operational expertise to initiatives focused on workflow innovation, efficiency, and request fulfillment (e.g., medical record requests).
Requirements
10+ years of progressive experience in operations management and leadership in a tech-forward environment, with significant operational and quality improvement responsibilities.
Demonstrated success in leading data-driven operational quality and compliance programs at scale.
Strong track record of integrating technology into operational workflows and documentation practices.
Knowledge of healthcare regulations, compliance standards, and risk mitigation strategies.
Exceptional leadership, communication, and change management skills.
Ability to use operational metrics to inform strategy and drive accountability across multidisciplinary teams.
Benefits
We’re a remote-first company
Health insurance plans through Aetna (medical and dental) and MetLife (vision), including FSA and HSA plans
401K plan (ADP)
Monthly therapy and wellness stipends
Monthly co-working space membership stipend
Monthly work-from-home stipend
Financial wellness benefits through Northstar
Pet discount program through United Pet Care
Financial perks and rewards through BenefitHub
EAP access through Aetna
One-time home office stipend to set up your home office
Comprehensive parental leave plans
12 paid holidays and 1 Alma Give Back Day
Flexible PTO
Applicant Tracking System Keywords
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