Agilon Health

Develop and deploy production-grade AI products using LLMs, NLP, and ML tools to drive clinical recommendations and disease identification. Collaborate with cross-functional teams to communicate the impact of AI solutions and ensure they meet clinical and business requirements.

The Director will lead the markets compliance program for Medicare Advantage and ACO initiatives, ensuring operational alignment with CMS and OIG regulatory requirements. They will also oversee risk adjustment compliance, including clinical documentation audits and the mitigation of regulatory risks across clinical programs.

The Senior Financial Analyst will provide analytical support to the enterprise leadership team to improve business performance and clinical outcomes. Responsibilities include consolidating monthly financial decks, managing budget processes, and developing automated reporting frameworks.

Lead the enterprise compliance and risk management programs, serving as a strategic partner to senior leadership to integrate ethics and regulatory considerations into business planning. Oversee ACO program compliance, clinical coding audits, and the Enterprise Risk Management (ERM) framework to protect the organization from legal and financial risks.