This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Director of Program Delivery in United States.
This senior leadership role sits at the intersection of risk management, regulatory compliance, and program execution within a large, complex healthcare environment. The Director of Program Delivery will lead enterprise-wide oversight of risk adjustment quality audit programs, ensuring the accuracy and completeness of data submitted to federal regulatory bodies. This role plays a critical part in minimizing financial and compliance risk through robust audit strategies, strong operational governance, and data-driven decision-making. You will collaborate closely with cross-functional stakeholders across compliance, legal, analytics, and market operations to strengthen organizational performance. The position requires a strategic mindset with strong analytical capabilities and deep experience in audit and program management. In addition, you will lead and develop high-performing teams while shaping a culture of accountability, precision, and continuous improvement. This is a highly visible role with direct impact on regulatory outcomes and organizational integrity.
Accountabilities:- Lead the strategy, execution, and continuous improvement of risk adjustment quality audit programs to ensure compliance with regulatory requirements and data accuracy standards
- Oversee operational execution of coding audits, ensuring consistency, quality, and alignment with organizational objectives
- Develop and implement audit analytics and performance reporting frameworks to identify trends, risks, and improvement opportunities
- Ensure timely and accurate response to regulatory audits while maintaining strong compliance oversight across all related processes
- Define, track, and manage key performance metrics, budgets, staffing, and operational priorities for the function
- Collaborate cross-functionally with compliance, legal, analytics, and market teams to strengthen risk mitigation strategies and program effectiveness
- Provide strategic leadership to improve processes, reduce financial exposure, and enhance overall program performance
- Foster a culture of accountability, collaboration, and continuous improvement across the team
Requirements:
- 10+ years of experience in strategic operations, program management, or risk/compliance-related functions within complex organizations
- 5+ years of leadership experience managing teams and driving organizational performance
- Strong background in process improvement, operational excellence, and performance analytics
- Experience designing and managing large-scale programs using metrics, dashboards, and reporting tools
- Demonstrated ability to influence cross-functional stakeholders and senior leadership
- Experience working with regulatory frameworks and external audit processes preferred
- Strong communication skills, both written and verbal, with experience presenting to executive stakeholders
- Highly analytical, detail-oriented, and capable of managing multiple priorities in a fast-paced environment
- Bachelor’s degree in a relevant field or equivalent professional experience required
Benefits:
- Competitive annual compensation estimated between 150,000 and 206,300 dollars depending on experience and location
- Bonus incentive plan based on individual and company performance
- Comprehensive medical, dental, and vision insurance coverage
- 401(k) retirement savings plan
- Generous paid time off, including holidays, personal days, and volunteer time off
- Paid parental and caregiver leave
- Short-term and long-term disability coverage
- Life insurance benefits
- Fully remote work environment with occasional travel for meetings or training
- Strong culture focused on employee well-being, inclusion, and professional development
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Why Apply Through Jobgether?
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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