Senior Manager, Provider Operations

Job not on LinkedIn

🔥 0 minutes ago

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 provider data accuracy end to end across roster intake, credentialing, downstream publication, validation, verification, exception handling, and remediation • Serve as accountable owner for provider directory compliance, including CMS Medicare Advantage requirements and online directory obligations • Maintain audit-ready documentation and lead responses to regulatory inquiries and audits • Lead, manage, and grow a hybrid onshore and offshore team, including hiring, onboarding, training, quality assurance, capacity planning, and performance management • Improve signal-driven accuracy infrastructure using scoring and prioritized verification queues • Define, instrument, and report provider data accuracy metrics and SLAs to executive stakeholders • Shape directory strategy with product, engineering, and network leaders to support care navigation • Ensure accurate and complete data for specialty, panel status, accepting-new-patient indicators, location, and PCP assignment • Partner with product and engineering to automate manual validation work • Evaluate and manage vendors supporting provider data and directory accuracy

🎯 Requirements

• Bachelor’s degree • Minimum of 6 years of relevant experience • At least 2 years directly managing a team • Experience at a health plan or in healthcare operations • Hands-on ownership of provider data, provider directory, credentialing, or network operations • Working knowledge of provider-directory regulations, including CMS Medicare Advantage directory and network adequacy requirements • Proficiency analyzing data sets and translating insights into action • Success building repeatable operational processes with measurable quality outcomes, including QA frameworks and documented workflows • Strong communication skills for cross-functional collaboration and stakeholder influence • Exceptional organizational skills and ability to prioritize tasks and consistently meet deadlines

🏖️ 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 • 401K program • Parental leave program