Manager, Provider Operations – Provider Data

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $73k - $115k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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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

• 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

🎯 Requirements

• 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

🏖️ 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