Integrations Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $73k - $130k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • 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

• Own Devoted’s integrations end to end, from system and workflow design and data specifications through development, testing, launch, and ongoing monitoring, across X12, batch file exchanges over SFTP, and APIs • Partner with Business, Product Management, Engineering, and Data Science teams to scope, build, and scale workflows and data exchanges supporting claims processing and operations for Medicare Advantage members • Investigate files, data, and code to identify root causes of complex integration issues and drive fixes affecting claims, payments, or members • Analyze data to uncover gaps in workflows, data exchanges, and internal processes, then create improvement plans • Redesign and scale integrations with AI and automation, including building AI agents • Serve as primary liaison with external vendors and clearinghouses, ensuring SLAs and CMS compliance requirements are met • Evaluate vendor relationships and industry trends to improve data exchange quality and reduce operational risk • Define and drive integration KPIs and establish documentation, standard operating procedures, and best practices

🎯 Requirements

• 6+ years in technical program management, EDI/integration operations, implementation, or technical product roles, with hands-on ownership of system integrations • Working knowledge of healthcare data exchange standards and methods, such as X12/ANSI, HL7, FHIR, XML, SFTP, and APIs, including batch and real-time exchanges • Experience owning the full integration lifecycle, from system design and data specifications through testing, deployment, and post-launch monitoring, often in partnership with external vendors • Strategic problem solver who can analyze complex data and workflows, identify the root causes of gaps, and turn findings into a clear plan that improves scale, accuracy, and efficiency • A hands-on troubleshooter comfortable digging into files, data, and code to find root causes and solve ambiguous problems • Ability to manage multiple priorities, meet deadlines, and keep business goals in view • Clear communication skills to translate between technical and business teams and build relationships with external vendors, partners, and senior leadership • Experience with healthcare claims processing, especially Medicare Advantage, including benefit configurations, clearinghouses, payment platforms, or pharmacy claims • Understanding of healthcare data exchange industry dynamics and experience evaluating vendors and partners • SQL and data analysis skills; Looker, Snowflake, or GitHub experience is a plus • Experience using or building with AI tools, automation platforms, or LLM-based agents

🏖️ 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 • Parental leave program • 401K program

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