Senior Risk Adjustment Operations Associate

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

⚕️ Healthcare Insurance

🧘 Wellness

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

• Manage the end-to-end administrative review process, including document triage, classification, and the technical execution of document management processes. • Coordinate and direct day‑to‑day work activities of assigned team members for document‑related tasks, ensuring priorities, timelines, and quality standards are met; partner with Devoted’s internal management team to align assignments and resolve resource issues. • Conduct detailed quality assurance checks to ensure accuracy of work output. • Oversee and refine the use of AI-native tools for automated administrative information extraction to support the highest quality work of the team and process. • Serve as a bridge between teams, providing rapid feedback on success and document quality to inform strategic pivots in audit approach. • Partner closely with internal technology teams to resolve system issues and optimize processes. • Prepare and deliver metrics, error trends, and resolution summaries for audit operations reporting; leverage AI, SQL, Looker, or other BI tools to extract and analyze workstream data where appropriate. • Document and update standard operating procedures (SOPs) to ensure operational consistency.

🎯 Requirements

• Proven experience as an operator who takes initiative with a strong problem-solving mindset and the ability to adapt to changing situations and requirements. • Strong attention to detail with the ability to perform meticulous QA under time‑sensitive conditions. • High degree of comfort pulling and analyzing data using spreadsheets, with experience or appetite to leverage database query tools. • Ability to identify anomalies and troubleshoot technical errors and partner effectively with IT and technical teams. • Strong organizational skills and experience managing high‑volume workflows with compressed timelines. • Experience collaborating with offshore resources or distributed teams, with the ability to clearly communicate priorities and task requirements without direct managerial authority. • Excellent communication and collaboration skills for working with cross-functional teams. • Bachelor’s degree in Healthcare Administration, Health Information Management (HIM), Business, or related field. Relevant professional experience will be considered in lieu of a bachelor's degree. • Familiarity with healthcare data (e.g., ICD‑10-CM medical diagnosis codes)

🏖️ 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 • And more....