Claims Operations Manager – Payment Accuracy

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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

• Conduct deep, end-to-end investigations into complex operational issues, identifying root causes across people, process, policy, and technology • Work through designated queues with high attention to detail, ensuring well-supported and clearly documented determinations • Translate individual errors or anomalies into broader themes, trends, and systemic improvement opportunities • Partner cross-functionally (Operations, Product, Engineering, Compliance, Finance, etc.) to implement durable solutions • Create clear documentation, decision frameworks, and feedback loops to prevent recurrence of known issues • Use data to validate hypotheses, quantify impact, and measure improvement over time • Explore and implement AI-driven solutions (including AI agents and LLM-supported workflows) to enhance investigation quality and automate repeatable analyses • Serve as a trusted advisor and escalation point for ambiguous or high-impact operational issues

🎯 Requirements

• Experience in operations, consulting, analytics, process improvement, or other complex problem-solving environments • Demonstrated strength in root cause analysis and structured problem solving • Proven ability to move from case-level detail to system-level insight • Experience identifying process gaps and driving measurable operational improvements • Strong analytical skills, including comfort working with data to identify trends and quantify impact • Excellent written and verbal communication skills, with the ability to clearly explain complex findings and recommendations • Ability to operate independently with sound judgment in ambiguous, fast-paced environments • Strong cross-functional collaboration skills and ability to influence without direct authority • Experience in healthcare operations (desired) • Experience building dashboards, tracking mechanisms, or structured issue management processes (desired) • Curiosity and hands-on experience with AI tools, automation, or LLM-based workflows in operational settings (desired)

🏖️ 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.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.