Sr. Director, Delegate Oversight

Alignment Health

9d

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Senior Director, Delegate Oversight is an enterprise leader accountable for the vision, strategy, and performance of Alignment Healthcare’s delegated oversight function. This role elevates oversight from a programmatic and compliance-focused function to a strategic, enterprise capability that drives value-based performance, mitigates risk, and enables growth across the delegated network. With end-to-end accountability for First Tier, Downstream, and Related (FDR) entities, the Senior Director ensures that delegated partners (IPAs, MSOs, and others) consistently deliver against clinical, operational, financial, and regulatory expectations. This leader operates with significant autonomy and executive visibility, shaping how delegated performance is governed, measured, and improved across the organization. The Senior Director serves as the primary executive partner to internal leadership and external delegated entities, aligning incentives, driving accountability, and ensuring performance outcomes that support enterprise priorities. This role requires a strategic, data-driven leader with deep expertise in value-based care and the ability to influence at the highest levels of the organization.

Requirements

• 10–12+ years of experience in healthcare operations, delegated oversight, provider network management, or value-based care.
• 5+ years of leadership with delegation oversight specifically, compliance or provider performance
• 5+ years of leadership experience with accountability for performance outcomes.
• Experience developing and executing performance management strategies across clinical, operational, and compliance domains.
• Demonstrated ability to influence senior stakeholders and manage external partner relationships.
• Strong understanding of healthcare regulatory frameworks (CMS, DMHC, DHCS, NCQA) and delegated models.
• Experience working in matrixed organizations and driving cross-functional initiatives.
• Bachelor’s degree required in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field.
• Strong strategic thinking with the ability to translate into execution.
• Analytical mindset with experience using data to drive decisions and performance improvement.
• Excellent communication and stakeholder management skills.
• Ability to manage ambiguity and balance multiple priorities.
• Collaborative leadership style with the ability to influence without authority.

Nice To Haves

• Master’s degree strongly preferred (e.g., MHA, MPH, MBA, MSN) with a focus in healthcare management, policy, or operations.
• Advanced training or certification in value-based care, population health, healthcare compliance (e.g., CHC, CPCO), or project management (e.g., PMP) is a plus.
• Lean/Six Sigma

Responsibilities

• Own and evolve the enterprise delegated oversight strategy, ensuring alignment with corporate objectives, regulatory requirements, and value-based care priorities.
• Establish a holistic performance framework that integrates clinical, operational, financial, and compliance metrics across all delegated entities.
• Maintain accountability for delegated performance outcomes, including quality, utilization, risk adjustment, member experience, and cost of care.
• Ensure oversight models are scalable and adaptable to support organizational growth and increasing complexity in risk-bearing arrangements.
• Define and lead enterprise governance structures that proactively identify, assess, and mitigate risks across the delegated network.
• Oversee risk stratification methodologies, performance scoring, and audit frameworks to ensure consistency, rigor, and regulatory alignment.
• Act as the senior escalation point for performance and compliance risks, ensuring timely intervention and resolution of issues with enterprise impact.
• Provide regular, transparent reporting to executive leadership on delegated performance, risks, and mitigation strategies.
• Serve as the lead relationship owner for delegated partner executives, driving alignment on performance expectations and long-term strategy.
• Facilitate executive-level performance reviews with IPAs and MSOs, ensuring accountability and measurable improvement.
• Influence internal executive stakeholders by translating performance insights into strategic recommendations and action plans.
• Represent delegated oversight in enterprise initiatives, regulatory readiness efforts, and cross-functional planning.
• Drive the evolution of delegated oversight into a proactive, insight-driven function, leveraging analytics to identify opportunities and intervene early.
• Lead cross-functional collaboration with Clinical, Quality, Compliance, Network, and Operations teams to improve delegated outcomes.
• Promote standardization, best practice sharing, and continuous improvement across the delegated network.
• Ensure tools, reporting, and processes enable effective performance management and decision-making.
• Lead and develop a high-performing team, setting clear expectations and fostering a culture of accountability and continuous improvement.
• Provide direction and oversight across analytics, audit, and performance management activities within the function.
• Influence and align matrixed teams to drive enterprise performance goals.
• Direct oversight of team members supporting delegated oversight, including performance, audit, and analytics functions.
• Matrix leadership across cross-functional stakeholders involved in delegated performance.

Benefits

• Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive