United States onlyAlignment 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 Project Manager, Delegate Performance supports the Delegation Oversight & Performance team by coordinating and executing projects that advance the organization’s performance focused oversight model. Working under the guidance of the Manager, Delegate Performance, this role ensures that key operational, audit, and monitoring activities are organized, documented, and delivered on schedule to enable effective performance evaluation and intervention of delegated entities.The Project Manager plays a critical role in synthesizing input from audits, monitoring activities, scorecards, and operational workflows to support the development of consolidated performance materials and reporting. This role contributes to maintaining consistent, well structured performance profiles and ensuring information is readily available for cross functional collaboration and delegate discussions.
The ideal candidate is highly organized, proactive, and capable of managing multiple projects and workstreams in a fast moving, fully remote environment. Strong analytical, communication, coordination, and documentation skills are essential, along with the ability to partner effectively with audit, clinical, quality, compliance, and operational stakeholders to support continuous improvement and the team’s overall performance management strategy.
Job Duties/Responsibilities:
Synthesize data to produce actionable delegate performance scorecard
- Compile audit results, monitoring outputs, operational metrics, and scorecard inputs from multiple internal sources to support accurate, consolidated delegate performance scorecards.
- Validate data for completeness, accuracy, and alignment with established performance indicators before integrating into reporting tools.
- Translate raw data into organized, easy‑to‑understand visuals and summaries that support performance discussions with the Manager, Director, and delegated entities.
- Maintain documentation and audit trails for all data sources, methodologies, and version histories to support transparency and regulatory readiness.
Develop and produce performance matrix for internal stakeholders
- Build and maintain performance matrices that highlight key trends, risks, and operational gaps across delegated functions (Claims, UM/CM, Appeals, Credentialing, etc.).
- Partner with internal teams (Compliance, Clinical, Audit, Network, DTS) to gather updates and integrate their inputs into unified performance matrices.
- Update matrices to reflect new metrics, process changes, or evolving enterprise needs and ensure consistency in definitions, formatting, and reporting cycles.
- Deliver matrices in formats tailored to different internal audiences, including leadership, oversight committees, and operational teams.
Manage department initiatives
- Lead project management efforts for department initiatives such as technology enhancements, system transitions, workflow redesigns, and process improvements.
- Track milestones, deliverables, risks, and dependencies across multiple workstreams, escalating concerns when timelines or quality standards may be impacted.
- Facilitate meetings, prepare agendas and action logs, and ensure timely follow‑up on outstanding items to drive project completion.
- Support cross‑functional collaboration by coordinating inputs from business owners, subject‑matter experts, and delegated oversight partners.
Maintain and update department’s tracker and library
- Maintain the Delegation Oversight tracker, ensuring all audit, monitoring, scorecard, and performance‑related activities are logged, updated, and accessible.
- Manage the department’s centralized library of tools, templates, SOPs, and monitoring documentation, ensuring version control and standardization.
- Oversee updates to the Delegation Oversight SharePoint (and future platform), ensuring content remains current, well‑organized, and aligned with department taxonomies.
- Support department readiness by preparing, organizing, and archiving materials for internal reviews, committee meetings, external audits, and regulatory reporting.
Job Requirements:
Experience:
• Required: Minimum 3-5 years of project management experience, preferably with a Medicare Advantage health plan or similar industry.
• Strong understanding of regulatory oversight functions, especially related to delegation.
Education:
• Required: Bachelor’s degree in related subject.
Training:
• Required: None
• Preferred: None
Specialized Skills:
• Required:
- Strong analytical and critical thinking skills with the ability to synthesize data from multiple sources.
- Proficiency in Excel and experience with performance reporting or data visualization tools (e.g., Tableau, Power BI preferred).
- Strong organizational skills with the ability to manage multiple delegates, priorities, and timelines.
- Collaborative, solutions-oriented mindset with comfort operating in evolving and ambiguous environments.
Licensure:
• Required: Project Management Professional (PMP), Certified Associate in Project Management (CAPM) or equivalent certification
Other:
• Required: None
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $70,823.00 - $106,234.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
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.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
