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Monitoring and Compliance Lead, Healthcare Innovations

2 months, 2 weeks ago
United States
Full-time
Lead
Program Manager
Project and Program Management
Apply Now
American Institutes for Research

American Institutes for Research

American Institutes for Research is a leading behavioral and social science research organization dedicated to using rigorous evidence to enhance everyday life and address critical societal issues across various fields, including education, health, and...

Professional Services
1K-5K
Founded 1946
View All Jobs 16

Description

  • Serve as a subject matter and methodological expert in the implementation and monitoring of federal health programs, especially alternative payment models and value-based care initiatives.
  • Design monitoring frameworks, performance metrics, data collection plans, and analytic strategies for implementation and monitoring contracts.
  • Contribute to AIR’s technical vision for CMS and CMMI work, ensuring rigor, transparency, and accuracy.
  • Direct large, complex implementation, monitoring, or evaluation projects and portfolios while meeting federal requirements, quality standards, timelines, and budgets.
  • Oversee the planning, design, and implementation of project procedures, including monitoring plans, analytic plans, research protocols, reports, risk summaries, and stakeholder engagement strategies.
  • Support model testing, real-time monitoring, operational assessments, and rapid cycle learning tasks.
  • Collaborate with data and analytic teams to connect monitoring indicators to claims, administrative, practice-based, and state-based data sources.
  • Develop data protocols, dashboard requirements, and reporting structures for monitoring deliverables.
  • Lead or contribute to proposal development, including methodological design, narrative review, staffing decisions, and budgeting.
  • Coach, mentor, and support junior and midcareer staff while collaborating across research, analytics, communications, TA, and operations teams.

Requirements

  • Ph.D. in Economics, Health Services Research, or a related field with at least 7 years of relevant experience, or a Master’s degree with at least 11 years of relevant experience.
  • Minimum of 5 years of project leadership or large task leadership experience on complex implementation, analytics, research, or evaluation projects.
  • Direct experience with CMS implementation, monitoring, evaluation, or operational support.
  • Proven track record of winning or contributing to new business with CMS or other HHS agencies.
  • Extensive knowledge of Medicare payment policy, Medicaid, and/or Medicare Advantage.
  • Experience working with Medicare or Medicaid claims and other publicly available datasets.
  • Demonstrated monitoring expertise, including developing monitoring plans, indicators, protocols, and analysis for federal program oversight.
  • Strong leadership, organizational, and interpersonal skills appropriate for a senior-level researcher.
  • Excellent written communication skills with a commitment to accuracy, clarity, and evidence-based messaging.
  • Ability to collaborate effectively with multidisciplinary teams and external partners.
  • Strong strategic thinking and ability to understand the broader context of complex research and implementation projects.
  • Applicants must be currently authorized to work in the U.S. on a full-time basis; employment-based visa sponsorship, including H-1B sponsorship, is not available.
  • Qualified candidates may need to meet certain residency requirements depending on project work.

Benefits

  • Remote work within the United States or from one of AIR’s U.S. office locations.
  • Anticipated annual salary range of $147,600 to $196,800 USD.
  • AIR’s Total Rewards Program designed to reward staff competitively.
  • Reasonable accommodation support during the employment process for applicants with disabilities.
  • Equal employment opportunity and affirmative action consideration for all qualified applicants.
  • Reference and background checks for selected candidates.
  • Drug-free work environment.

Interested in this position?

Apply directly on the company website

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