Delegate Jobs in Minnesota (NOW HIRING)

Company overview

MOBE helps people discover new ways to live healthier. We are the whole-person, cross-condition solution that goes further to deliver better health and lower overall costs through evidence-based individual health guidance and pharmacist-led medication management. We empower individuals to make meaningful changes that improve their health and overall well-being. Behind our innovative solutions are robust data analytics, digital application, and a uniquely human philosophy. With one-to-one connection and compassion, we uncover opportunities, overcome challenges, and motivate people to transform their lives.

At MOBE our team is our most significant asset. We cultivate a culture grounded in curiosity, innovation, and growth. We encourage new ideas, fresh solutions, and meaningful impact. We value a workforce made up of people with differences who are eager to learn from each other and grow personally and professionally. We extend this approach to our partners and communities, seeking to increase understanding and expand opportunities across all groups.

Your role at MOBE: This is a contract to hire opportunity

As Mobe expands into Complex Care Management for major health plan partners, the Director, Accreditation & Delegation Oversight will own the strategy, infrastructure, and day-to-day execution that keep our clinical program audit-ready and accreditation-ready. This leader serves as Mobe’s primary point of contact with NCQA surveyors and delegating health plan oversight teams and is accountable for ensuring our Complex Care Management program consistently meets NCQA standards, delegation agreement requirements, and applicable regulatory expectations. The role partners closely with Clinical Operations, Care Management, Pharmacy, Quality, Compliance, Privacy, and Information Security to translate accreditation requirements into operational reality, and to build a culture where quality, transparency, and continuous improvement are how we work every day.

Responsibilities

• Own MOBE’s NCQA accreditation lifecycle for the Complex Care Management program – including readiness assessments, gap analyses, file reviews, evidence collection, mock surveys, and on-site or virtual survey execution – ensuring continuous compliance with all applicable NCQA standards (CM 1–CM 9 and supporting standards).

• Build, lead, and continuously mature MOBE’s delegation oversight program for delegated functions performed on behalf of health plan partners – including pre-delegation assessments, annual audits, ongoing performance monitoring, corrective action plan (CAP) management, and routine reporting to delegating entities.

• Serve as MOBE’s primary external contact for NCQA surveyors and for delegating health plan oversight teams; coordinate document requests, file pulls, walkthroughs, and corrective responses with professionalism and speed.

• Chair MOBE’s internal Accreditation & Delegation Oversight Committee; set the agenda, drive cross-functional accountability, document decisions, and escalate risks to executive leadership when warranted.

• Translate NCQA standards, delegation agreements, and regulatory requirements into clear policies, procedures, workflows, training, and audit tools that frontline clinical and operational teams can use every day.

• Design and oversee a robust file review program covering Complex Care Management cases, including inter-rater reliability, sampling methodology, scoring, root-cause analysis of findings, and remediation tracking.

• Partner with Clinical Operations and Care Management leadership to operationalize evidence-based clinical criteria, member rights and responsibilities, complex case management workflows, transitions of care, and population health management activities in line with NCQA expectations.

• Produce monthly and quarterly delegation oversight reports for health plan partners; lead joint operating committee (JOC) preparation, presentation, and follow-up commitments.

• Monitor regulatory and accreditation changes (NCQA, CMS, state Medicaid agencies, URAC where applicable) and lead MOBE’s response – including impact analysis, policy updates, and stakeholder communication.

• Build and lead a small but high-performing accreditation and delegation oversight team; hire, coach, and develop analysts and specialists as the program scales with new client commitments.

• Partner with Compliance, Privacy, and Information Security to maintain alignment across HIPAA, member confidentiality, information security controls, and member rights requirements that intersect with accreditation standards.

• Champion a culture of continuous quality improvement – using data, trend analysis, and member experience insights to drive measurable program improvements year over year.

• Demonstrated people-leadership experience – hiring, developing, and managing accreditation, quality, or compliance professionals.

• Strong policy and procedure authorship skills – able to translate complex standards into clear, operational documents that auditors, clinicians, and operators can all use.

• Excellent executive communication, facilitation, and stakeholder-management skills; comfort presenting to health plan oversight committees and Mobe senior leadership.

• Strong analytic and project-management discipline; able to manage multiple concurrent audit cycles, document requests, and CAPs without dropping commitments.