Delegation Oversight Supervisor

LSMA Management Inc • San Bernardino, CA

10d

About The Position

The Delegation Oversight Supervisor supports the daily operations of Delegation Oversight activities for contracted medical groups. This position ensures delegated entities meet regulatory, accreditation, and health plan requirements. The Supervisor oversees letter and reporting governance, supports audits, monitors operational performance, and provides day-to-day leadership to staff responsible for denial/deferral letter accuracy, reporting tasks, and compliance documentation. The role collaborates closely with Medical Management leadership, IT teams, and delegated medical groups to promote consistent, compliant, and efficient operational processes.

Requirements

• Associate’s degree in Healthcare Administration, Business, or related field.
• 7+ years of experience in Delegation Oversight, Utilization Management, Quality Management, Medical Management, or related healthcare operations.
• Prior experience in a lead, senior, or supervisory role.
• Strong understanding of regulatory and delegation oversight requirements.
• Ability to support audits, corrective actions, and compliance monitoring.
• High accuracy in reviewing data and letter content.
• Strong organizational and documentation skills.
• Effective communication, coaching, and team coordination abilities.
• Ability to manage competing priorities in a fast-paced environment.

Nice To Haves

• Bachelor’s degree in Healthcare Administration, Public Health, Business, or related field.
• Experience with HEDIS or other healthcare quality metrics.
• Experience collaborating with IT or participating in system testing.
• Familiarity with reporting tools (e.g. SQL/BI) and advanced Excel proficiency.
• CPHQ, CPUM, or related healthcare operations credentials.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree