Vice President Compliance Risk Management Jobs (NOW HIRING)

The Vice President of Compliance is a senior leader responsible for leading, evolving, and continuously strengthening Alignment Healthcare's enterprise‑wide Compliance Program across Medicare Advantage and other lines of business.

• Lead and evolve the Enterprise Compliance Program: design, implement, and continuously enhance a comprehensive, data‑driven, risk‑based compliance program aligned with CMS and state requirements.
• Serve as overall owner of the Compliance Plan and all program documentation, driving annual review and updates.
• Provide strategic regulatory guidance to executive leadership: monitor, interpret, and communicate emerging regulatory and enforcement requirements to the Chief Compliance Officer and senior management.
• Translate complex regulatory requirements into clear, actionable business strategies, enabling proactive, risk‑informed decision making across the enterprise.
• Drive compliance monitoring, auditing, and reporting: oversee design and execution of monitoring and auditing plans, establish dashboards and reporting for real‑time visibility in compliance risk, control effectiveness, and program performance.
• Investigate compliance violations and allegations of HIPAA privacy breaches, ensuring consistency, defensibility, and alignment with Alignment and regulatory expectations; maintain investigation logs and escalation pathways.
• Govern HIPAA privacy and data protection compliance: ensure adherence to privacy and security rules, oversee incident response, breach notifications, remediation plans, and partner with IT, Legal, and operational leaders.
• Champion compliance training and culture: oversee compliance education programs, promote accountability, speak‑up culture, and ethical decision making.
• Lead development, revision, and organization‑wide communication of compliance and HIPAA policies, ensuring clarity, legal alignment, and operational usability.
• Create clear succession pipeline as #2 to the Chief Compliance Officer and develop, retain, and recruit a high‑caliber compliance organization.

• Significant MAO compliance leadership experience (5+ years required, 10+ preferred) interfacing with CMS and state regulators.
• Experience operating within a complex, fast‑scaling enterprise health plan or value‑based care organization.
• Preferred: experience in an MAO undergoing rapid growth, integration, or transformation; prior direct support of a Chief Compliance Officer or serving as #2 compliance leadership role with board exposure.

• Bachelor’s degree in Healthcare Administration, Legal Studies, Business, Public Health, or related field; or equivalent professional experience.
• Preferred: Advanced degree or graduate‑level education in a compliance‑adjacent discipline.

• Data analytics and compliance intelligence, enterprise risk alignment, executive‑level communication.
• Compliance management: monitor and assess systems, conduct audits, implement corrective measures.
• Regulatory compliance: deep understanding of CMS, OIG, and state frameworks for Medicare Advantage operations.
• Health care risk management: identify, assess, and manage risks, knowledge of laws, regulations, and patient safety.
• Compliance reporting: systematic collection, organization, and presentation of information to demonstrate adherence to legal and regulatory frameworks.
• Health laws: specialized knowledge of legal and regulatory requirements related to healthcare services.
• Incident reporting & investigation: document, communicate, and manage compliance incidents; lead investigations and maintain audit‑ready records.
• Ethical judgment & integrity: uphold organizational values, maintain trust, model ethical conduct.

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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly required to talk or hear; regularly required to stand, walk, sit; use hand to finger, handle or feel objects, tools, or controls; reach with hands and arms.
• Frequently lifts and/or moves up to 10 pounds.
• Specific vision abilities required: close vision and ability to adjust focus.

$227,952.00 – $341,928.00 (pay range may be based on 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.

Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission‑focused team makes high‑quality, low‑cost care a reality for members every day.