Key Responsibilities:

• Serve as the primary point of contact for IPAs and supplemental vendors, facilitating structured communication through meeting coordination, issue tracking, and project follow-up in partnership with internal teams.
• Monitor service-level performance metrics and support data-driven reporting processes to ensure transparency and accountability.
• Assist in remediation and continuous improvement efforts to address performance gaps and enhance service delivery.
• Support audit readiness and risk mitigation activities by managing relationships, coordinating operations, and leveraging data insights for effective oversight.
• Collaborate across departments to align delegated oversight activities with broader organizational strategies and compliance requirements.

We’re seeking a talented individual with:

Required:

• A bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or related field, and/or equivalent combination of education experience
• 3 or more years of experience in health plan operations, delegated oversight, performance monitoring, compliance, or related managed care functions
• 2 or more years of experience working with IPAs, vendors, or external partners in a regulated healthcare environment
• Understanding of CMS, DMHC, NCQA, and delegated oversight regulatory frameworks
• Ability to interpret performance metrics, scorecards, and KPI trends
• Strong interpersonal and relationship-building skills with internal and external partners
• Ability to coordinate across operational, compliance, and data teams
• Strong written and verbal communication skills
• Organizational skills to manage multiple workstreams and follow-ups
• Ability to coordinate external communications, meetings, and issue tracking with IPAs and vendors in a regulated healthcare environment

Preferred: