Primary Duties:
- Advanced Data Analysis: Perform complex data mining and trend analysis to proactively assess compliance risks and enhance monitoring mechanisms, guiding the organization toward preventive measures.
- Strategic Dashboard Development: Create comprehensive compliance dashboards and automated reporting systems to enhance compliance program maturity and effectiveness, and to provide real-time insights into compliance performance and business insights.
- Predictive Modeling Leadership: Develop and implement predictive models to assess risk and identify strategic areas for compliance intervention, while optimizing resource allocation.
- Technology and System Optimization Leadership: Drive technological initiatives and system optimizations to align compliance operations with cutting-edge data analytics processes; develop automation to identify abnormalities and outliers that may be an indicator of non-compliance
- Cross-Departmental Leadership: Work cross-functionally to support all compliance functions (e.g., investigations, monitoring, risk assessment) to address compliance-related issues and help support the implementation of effective controls; Spearhead collaborative efforts across Product, Tech, BI, and other departments to ensure seamless data integration and process improvement, advocating for technological enhancements and compliance innovations.
- Analytical Strategy and Executive Reporting: Provide executive-level compliance insight based on data analytics to facilitate compliance discussions at the Board of Directors and Compliance Committee level; Develop metrics to measure progress against compliance program maturity model goals; Collaborate with the Compliance leadership to assess current program maturity levels and identify opportunities for enhancement.
Minimum Qualifications:
- Bachelor's degree or equivalent combination of education and experience.
- Minimum of 8 years of progressive experience in data analytics with a strong focus on healthcare compliance program management, monitoring, auditing, or a combination of these areas.
- Proficiency in Tableau, SQL, and visualization tools
- Strong knowledge of HIPAA, fraud, waste, and abuse laws (Stark Law, Anti-Kickback Statute, False Claims Act).
- Excellent analytical, problem-solving, and critical thinking skills.
- Exceptional written and verbal communication skills, with the ability to translate complex data findings into clear and actionable guidance.
- Strong interpersonal skills and the ability to collaborate effectively with diverse teams.
Preferred knowledge, skills, and/or abilities:
- Understanding of healthcare regulations, including those specific to Accountable Care Organizations (ACOs) and value-based care models (e.g., MSSP, Direct Contracting).
- Compliance certification (e.g., CHC, CCEP).
- Experience with compliance management software or platforms.
- Experience working in a rapidly growing organization or startup environment.
- Familiarity with compliance program maturity models (e.g., OIG Seven Elements, DOJ Guidelines).
- Proficiency in G-Suite or Microsoft Office Suite.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
Top Skills
What We Do
Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care. Aledade’s data, personal coaching, user-friendly workflows, health care policy expertise, strong payer relationships and integrated care solutions enable primary care organizations to succeed financially by keeping people healthy. Together with more than 1,900 practices and community health centers in 45 states and the District of Columbia, Aledade manages accountable care organizations that share in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives. To learn more, visit www.aledade.com or follow on X (Twitter), Facebook or LinkedIn.
Why Work With Us
At Aledade, we’re all about doing good for patients, practices and society - which is why we’re so passionate about value-based care and the work we do every day. Because we’re working to benefit all of society, we believe the best way to do so is to utilize all of our team members and their unique experiences, interests, backgrounds and beliefs.
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