Jobs at Alignment Healthcare

Support and sustain data governance practices across data quality, metadata, standards, and lifecycle management. Investigate and resolve data quality issues, maintain metadata/catalog and lineage, track governance decisions, validate data integrations, and assist compliance activities for Medicare Advantage operations.

Senior executive accountable for end-to-end launch readiness of Medicare Advantage market expansions and enterprise technology implementations. Leads cross-functional governance, program and portfolio management, regulatory compliance, change management, and post-launch stabilization to ensure scalable, compliant operations and exceptional member/provider experiences.

Lead design, delivery, and scaling of production AI/ML and enterprise automation systems (LLMs, RAG, RPA) for Medicare Advantage workloads. Own data infrastructure, MLOps, integration, monitoring, compliance (HIPAA), and reliability. Mentor engineers, set engineering standards, and drive responsible AI and automation governance across the organization.

Lead FP&A activities including budgeting, forecasting, cash flow and variance analysis; build and maintain financial models; support financing and M&A; prepare investor and board presentations; analyze results, identify trends, recommend actions, and communicate findings to senior management.

Create and maintain structured, decision-based work instructions and workflows for frontline customer experience teams. Translate product, policy, and system requirements into real-time CRM/knowledge-management guidance, support content lifecycle and KM tagging, integrate documentation into training, and drive improvements in FCR, AHT, and onboarding.

Prepare and review federal, state, and local tax filings; own ASC 740 quarterly and annual tax provisions; manage audits, notices, and external advisors; partner with Accounting, FP&A, Legal, and Operations; monitor tax legislation; improve tax processes, SOX controls, and tax automation using tax and ERP platforms.

Process high-volume AP transactions, manage weekly cash disbursements and bank/wire transfers, reconcile invoice discrepancies, support vendors and internal stakeholders, maintain cash reports and month-end accruals, handle employee expense reports, assist audits and 1099 reporting, and participate in process improvement and special projects.

Serve as executive IT owner for Oracle Cloud Financials implementation and ongoing operations. Lead end-to-end ERP delivery, integrations (Workday, Azure), SOX/HIPAA compliance, vendor/SI management, data governance, ITIL-aligned support, roadmap and team leadership to support Medicare Advantage finance operations and reporting.

Design, build, and maintain high-volume data pipelines and integrations between Oracle Cloud Financials and the enterprise data ecosystem (Azure Data Lake, Snowflake). Ensure secure, compliant financial data flows, support reporting infrastructure, act as Tier 3/4 escalation for incidents, and lead integration workstreams through implementation and continuous improvement using scripting, DevOps, and automation.

Lead administration and optimization of Oracle EPM/Hyperion Planning and Essbase to support FP&A. Build and maintain data pipelines between Oracle Fusion GL and EPM, create business rules, calc scripts, dashboards, and executive reports. Support predictive planning, ensure SOX/HIPAA governance and cell-level security, provide Tier 3/4 escalation and on-call support during budget and CMS bid cycles, and mentor junior analysts.

Serve as the technical SME for Oracle GL and Financial Close: maintain GL configuration, troubleshoot close and integration issues, automate close workflows, build reconciliation queries and reports, enforce SOX/CMS compliance, and act as tier 3/4 escalation during month-end, quarter-end, and year-end close cycles.

Lead development and management of Medicare Advantage products for assigned markets and segments. Drive benefit design, CMS bid and regulatory activities, market analysis, member communications, go-to-market initiatives, and cross-functional product projects. Track product performance and present insights to leadership to improve membership growth, retention, satisfaction, and financial outcomes.

Lead month-end close and reconciliations, prepare journal entries, accruals, expense reporting, and financial statements with footnotes. Perform variance and trend analysis, regulatory reporting (DOI/DMHC), monitor TNE/RBC and investments, review contracts for accounting treatment, oversee allocations, and support special projects to ensure accurate GAAP/SAP-compliant reporting.

Provide high-level, confidential administrative support to senior leadership: manage complex calendars, travel and meeting logistics, prepare reports and presentations, take and follow up on meeting notes, conduct research, lead process improvements, and represent executives internally and externally.

Lead and coach a team of Customer Experience Specialists in a hybrid contact center to deliver compassionate, end-to-end member support for Medicare Advantage members. Drive KPIs including first-call resolution, quality, schedule adherence, and member satisfaction; oversee workforce management, documentation, escalations, training, hiring, and continuous improvement while ensuring HIPAA and regulatory compliance.

Drive strategy, development, and lifecycle of technical healthcare payer products (STARS/HEDIS focus). Define requirements, lead cross-functional Agile teams, ensure regulatory compliance (CMS/HIPAA), manage vendors, analyze data/metrics, and coordinate launches to deliver business and customer value.

The AVP, Contracting & Network Management will strategize and manage provider network contracts, enhancing healthcare delivery systems and market success while leading a team and collaborating with executives.

Senior leader responsible for designing, maturing, and operating a data-driven, risk-based enterprise Compliance Program for Medicare Advantage and related lines. Provides strategic regulatory guidance, oversees monitoring, audits, investigations, HIPAA privacy and breach response, compliance training, policy governance, and builds a scalable compliance team and reporting dashboards to drive compliance outcomes and board-level oversight.

The Senior Software Engineer will develop enterprise-level software applications, lead technical design and implementation, ensure quality deliverables, conduct research, and collaborate across teams. They will drive improvements in system architecture and product features.

The Hybrid Customer Experience Lead is responsible for leading customer service operations, supporting team performance, and ensuring high quality care for members. This role includes managing inbound and outbound call experiences, addressing member grievances, and collaborating on staff training and performance standards.