Senior Manager, Claims Operations

🕒 April 24

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Issue Identification: End-to-end review of claims lifecycle to identify issues and vulnerabilities contributing to payment inaccuracies. • Systemic Problem Solving: Delve into the most complex operational challenges, untangling intricate root causes to resolve persistent accuracy issues. • AI-Native Workflow Design: Design, build, and implement the next generation of policies and processes, leveraging AI agents and automation to improve the accuracy and consistency of claim payments. • Cross-Functional Partnership: Partner with Product, Engineering, and Data teams to ensure operational needs inform the technical roadmap and bridge the gap between business challenges and technical opportunities. • Change Management: Lead the organization through significant evolution, creating confidence and momentum as you pivot teams to new ways of working. • Strategic Execution: Execute a roadmap that modernizes operations while maintaining stability and high-quality standards.

🎯 Requirements

• Proven Leadership: At least 5 years of experience in complex operational environments with a track record of delivering measurable results. • Systems Thinking: You can visualize the end-to-end lifecycle of a complex process and turn complexity into clear, repeatable business processes. • Operational Rigor: Exceptional attention to detail and a reputation for "sweating the details" to get the hardest operational last mile right. • Analytical Horsepower: Proficiency in leveraging complex data sets to inform strategic initiatives and drive data-driven narratives. • Influence & Communication: Outstanding verbal and written communication skills, with a proven ability to influence senior leaders and cross-functional partners. • Urgency & Resilience: Demonstrated ability to move quickly and maintain a high pace-setting standard in a fast-paced environment.

🏖️ Benefits

• 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; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....