Manager, Provider Operations – Provider Data

🕒 Outubro 27

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $73.000 - $115.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

⚙️ Operações

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Devoted Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2017

🏥 Saúde

⚕️ Seguro de Saúde

🧘 Bem-estar

Healthcare • Healthcare Insurance • Wellness

A Devoted Health é uma empresa de saúde que oferece planos Medicare Advantage projetados para fornecer cobertura de saúde abrangente com benefícios adicionais como cuidados dentários, óculos, associações a academias e medicamentos prescritos a preços competitivos. A empresa enfatiza o suporte e serviço ao membro, garantindo que os clientes possam navegar facilmente por seus benefícios e acessar os serviços de saúde necessários. A Devoted Health está comprometida em ajudar os clientes a economizar dinheiro e melhorar sua saúde e bem-estar por meio de um pacote completo de benefícios e suporte.

Descrição

• Support and advance initiatives that improve the accuracy, completeness, timeliness, and scalability of provider and facility data operations from onboarding through ongoing maintenance and verification • Help oversee the operating performance of offshore teams and automated solutions supporting provider data and verification initiatives, including monitoring quality, productivity, capacity, and issue trends • Develop and maintain reporting, dashboards, and monitoring that provide visibility into operational performance, verification results, data quality trends, emerging risks, and opportunities for intervention • Partner with product and engineering to define requirements, test enhancements, and improve the usability, accuracy, and scalability of verification tools and workflows • Help design, build, and monitor AI agents and other automation solutions that improve the efficiency, scalability, and accuracy of provider data operations and initiatives • Analyze root causes of recurring data issues and recommend process, tooling, or upstream improvements that prevent issues from recurring • Partner with claims and other internal data teams to develop reporting and analyses that quantify the operational and business impact of provider data issues • Serve as a flexible operational leader who can build structure in ambiguous environments, take on new problem areas, and shift priorities as business and member needs evolve

🎯 Requisitos

• Bachelor’s degree and 3–5+ years of relevant experience in healthcare operations, provider data, provider directory, credentialing, claims, network operations, data quality, or a related field • Experience managing operational workflows involving provider data, record validation, data quality, research, verification, or issue remediation • Demonstrated ability to build, document, and scale repeatable operational processes with measurable quality and productivity outcomes • Strong analytical skills, including the ability to investigate data issues, identify patterns and anomalies, and translate findings into clear operational actions • Experience building or maintaining dashboards, reporting, or monitoring tools to identify risks and track performance • Experience partnering with product and engineering teams to define requirements, test enhancements, and improve operational tooling • Strong project management, communication, and organizational skills, with the ability to prioritize competing needs and work effectively with offshore teams and cross-functional partners • Self-directed and comfortable operating in a fast-paced, metrics-driven environment with ambiguity and evolving priorities • Experience managing or scaling offshore, vendor, or shared-services teams • Experience applying AI, agentic workflows, machine learning, or automation to reduce manual operational work • SQL or equivalent ability to query, join, and validate provider, claims, or operational data directly • Familiarity with provider directory requirements, CMS Medicare Advantage directory accuracy expectations, or other healthcare data and network regulations

🏖️ Benefícios

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above • Parental leave program • 401K program

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