Membership Operations Associate

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $23 - $34 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• Perform day-to-day operational tasks related to enrollment, billing, and reconciliation of Medicare and Medicaid member data and payments • Make independent decisions on standard operational activities using established procedures and professional experience • Identify discrepancies in member data and payments, resolve issues when possible, and escalate as needed • Apply analytical skills to safeguard data integrity and payment accuracy across the membership lifecycle • Maintain accurate, audit-ready documentation supporting CMS and organizational compliance requirements • Identify workflow and process improvement opportunities within operational guidelines • Explore AI and large language model tools for data review, exception identification, and pattern detection • Collaborate with teammates and cross-functional partners and contribute to team meetings and process improvement initiatives • Stay current on operational knowledge, internal systems, and CMS and state regulatory requirements • Report to a Manager or Senior Manager of Membership Operations

🎯 Requirements

• 1–3 years of experience in healthcare operations, Medicare Advantage, enrollment, billing, or data reconciliation • Strong attention to detail and a track record of accuracy in high-volume, data-driven work • Demonstrated ability to work independently, prioritize, and meet deadlines with limited oversight • Strong problem-solving and analytical skills, including the ability to investigate discrepancies in data or payments • Clear written and verbal communication skills, with the ability to collaborate across teams and functions • Curiosity about AI/LLM tools and genuine interest in applying them to operational processes • Bachelor's degree in Business, Healthcare Administration, Data Analytics, or a related field (desired) • Working knowledge of Medicare/Medicaid operations and CMS systems (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 • Equal opportunity, safe and supportive work environment • Total rewards package for full time employees