Compliance Analyst III – Delegation Oversight

We are so glad you are interested in joining Sutter Health!

**Organization:**

SHSO-Sutter Health System Office-Valley

**Position Overview:**

The Delegation Oversight Compliance Analyst supports the implementation and ongoing execution of the health plan’s delegation oversight program, helping ensure compliance with DMHC, Knox Keene, CMS, and NCQA requirements. This role contributes to the oversight of delegated entities (e.g., medical groups, subcontracted plans, vendors) across key functions such as utilization management, claims processing, grievances and appeals, credentialing, and care management. The analyst is responsible for supporting the full delegation oversight lifecycle, including coordination of pre-delegation assessments, facilitation of audits, monitoring of delegated entity performance, and tracking of corrective action plans (CAPs). The role assists in ensuring that delegated entities meet regulatory, contractual, and operational req...