Senior Manager, Medicare Advantage Portfolio Strategy, Analytics

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $110.5k - $173k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 strategic analysis behind Medicare Advantage portfolio decisions, including product and service-area mix • Determine which strategic questions matter and drive analysis behind growth and margin decisions • Decompose PMPM trends into utilization versus unit cost • Build defensible comparison groups and estimate the claims impact of benefit or network changes • Independently assess benefit-design effects on revenue and cost, including limitations of estimates • Present and defend data-backed recommendations to senior leaders, including the CEO • Build agentic workflows, AI-assisted code-generation processes, and automated pipelines for portfolio and bid-cycle work • Support go-to-market teams with analyses for marketing, sales, and brokers • Monitor AEP enrollment against bid assumptions by plan, county, product mix, and member profile • Serve as the internal resource for metric definitions and data interpretation

🎯 Requirements

• Six or more years in Medicare Advantage with hands-on data experience • Knowledge of claims structure, place-of-service and revenue codes, allowed versus paid amounts, completion factors, and risk adjustment • Cost and utilization analytics, including PMPM trend decomposition, comparison groups, and impact sizing • Strong SQL and comfort with a large claims warehouse such as Snowflake, Databricks, or similar • Experience turning claims analysis into strategy and defending recommendations to senior leadership • Ability to work independently end to end: finding data, sanity-checking it, modeling it, and presenting it • Ability to communicate complex results clearly in a single slide or Slack message • Collaborative working style and comfort with constant remote communication • Fluent, practical use of AI tools in analytical work • Bid math experience, including benchmarks, rebates, benefit valuation, and CMS bid-cycle assumptions (desired) • Experience with optimization, Python, or actuarial training applied to strategy (desired) • Python analysis and modeling with pandas, statsmodels, scikit-learn, clustering, regression, PCA, and trees (desired) • ASA or FSA actuarial credential is not required

🏖️ 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