A bit about this role:
Are you a highly analytical and experienced investigator with a passion for uncovering the truth and protecting vital healthcare resources? Our Special Investigations Unit (SIU) is looking for a skilled Investigator to join our dedicated team. In this crucial role, you'll be at the forefront of preventing, detecting, and responding to healthcare fraud, waste, and abuse (FWA), safeguarding our members and the integrity of the Medicare Fund. If you're driven by meticulous investigation, data-driven insights, and a commitment to justice, we encourage you to apply.
Responsibilities and Impact will include:
As an SIU Investigator, you'll be responsible for the full lifecycle of complex FWA investigations, acting as a subject matter expert and collaborating with various stakeholders. Your key responsibilities will include:
Lead Complex Investigations: Plan, organize, and execute specialized investigations into allegations of healthcare fraud, waste, and abuse. This includes handling intricate cases requiring advanced investigative knowledge and skills.
Data-Driven Detection: Utilize advanced data mining and analysis techniques to identify aberrancies and outliers in claims, medical records, enrollment, and other healthcare transactions. You'll independently research FWA issues and employ cutting-edge investigative resources.
Expert Guidance: Serve as a subject matter expert for other SIU Investigators, providing specialized knowledge and guidance to elevate team capabilities.
Policy & Strategy Development: Contribute to the development of robust policies and procedures related to FWA detection and investigation, as well as the annual SIU risk assessment and work plan.
Thorough Documentation & Reporting: Conduct comprehensive FWA investigations, ensuring complete and accurate case documentation and detailed investigative reports that adhere to SIU policies and standards.
External Referrals & Collaboration: Prepare comprehensive summary and detailed reports on investigative findings for referral to federal and state agencies, ensuring full compliance with regulatory requirements. You'll also actively participate in OIG Healthcare Fraud Workgroups.
Stakeholder Engagement: Collaborate closely with internal stakeholders (e.g., FWA Monthly Workgroup, Market/Network, Credentialing Committee) to share updates on FWA schemes, coordinate recommendations, and facilitate fund recovery or other necessary actions.
Provider Education: Conduct impactful provider education sessions as a direct response to investigation findings and audits.
Liaison & Point of Contact: Serve as a key point of contact for corporate and field inquiries regarding FWA, and participate in meetings with providers, business partners, regulatory agencies, and law enforcement.
Training & Development: Assist in developing and presenting engaging FWA training programs for internal and external audiences.
Required skills and experience:
Education: A Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent relevant work experience.
Experience: Minimum of 3 years of dedicated experience in health insurance fraud investigation. Proven experience within Medicare and/or Medicaid programs, specifically with medical claim billing, reimbursement, audit, or provider contracting. Demonstrated experience with data analysis techniques. Experience with the Healthcare Fraud Shield platform is a significant plus.
Exceptional Analytical Skills: Ability to interpret and dissect complex data sets, identifying patterns and anomalies indicative of FWA.
Outstanding Communication: Excellent written and verbal communication skills are essential for clear report writing, compelling presentations, and effective stakeholder engagement.
Integrity & Detail-Oriented: A strong commitment to integrity and compliance, coupled with meticulous attention to detail in all aspects of investigations.
Independent & Collaborative: Proven ability to work independently, manage a diverse caseload of investigations, and thrive in a fast-paced environment, while also excelling in collaborative team settings.
Strong Organizational Skills: Highly organized with the ability to manage multiple complex investigations simultaneously and effectively prioritize tasks.
Desired skills and experience:
Certified Fraud Examiner (CFE)
Certified Professional Coder (CPC)
#LI-DS1
#LI-Remote
Salary range: $55,000 - $100,000 annually
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$55k-100k yearly Auto-Apply 9d ago
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Operations Manager, Provider Recoupments
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
The Operations Manager, Provider Recoupments leads the organization's operational execution of provider overpayment recoveries, negative balance management, and collections for our Medicare Advantage business. Reporting to the Senior Manager of Provider Disputes, Appeals & Recoupments, you will serve as the dedicated owner of the recoupment lifecycle-ensuring that once an overpayment is identified, it is recovered accurately, timely, and in a way that preserves provider relationships.
You'll oversee a highly visible function at the intersection of operations, finance, and compliance-responsible for the governance and execution of provider recoveries and collections. You'll collaborate closely with Claims Operations, Configuration, Payment Integrity, Network, and Finance to ensure fair, consistent, and compliant outcomes.
Your Responsibilities will include:
Oversee day-to-day operations for provider overpayments, leading the end-to-end lifecycle of overpayment recovery, from notification and validation to offset or collection as well as the processing of unsolicited refunds.
Develop and execute a strategic plan to maximize recovery yield, reduce the aging of negative provider balances, and minimize "write-offs" due to uncollectible debt.
Partner with Payment Integrity and Claims leadership to provide feedback loops on the root causes of overpayments, helping to prevent leakage before it occurs.
Partner with Finance and Accounting to ensure accurate reconciliation of recouped funds, proper allocation to the general ledger, and precise financial reporting that is auditable.
Collaborate with the Disputes and Appeals team to pause or adjust recoupment activities when a provider formally contests a finding.
Use data analytics to identify trends in unrecoverable balances and drive improvements in how we prioritize collection efforts.
Lead continuous improvement initiatives to clear historical backlogs of negative balances and improve the speed of financial reconciliation.
Required skills and experience:
Strategic analytical horsepower: Proven ability to leverage complex data sets to inform strategic initiatives and team development, while articulating compelling, data-driven narratives that drive organizational vision and ensure alignment.
Operations minded: define an endpoint and formulate & execute against a plan for getting there, with quantifiable mile markers along the way.
Relationship builder: expert at building relationships
Communication skills: conversational agility expertise demonstrated by the ability to reframe, refocus, and redirect conversations to realize accretive partnerships and desired outcomes. Additionally, this individual needs to be able to condense complex concepts into simple explanations with clear and concise calls to action.
Organization skills: super organized with an eye for detail and the ability to understand and document what matters. Staying organized is a critical component of being able to pivot between going deep into the details and stepping back to see themes or levers that inform strategy.
Writing Skills: Strong writing ability to craft thoughtful, clear, and persuasive communications to providers, ensuring messages are data-driven and tailored to meet specific needs and contexts.
Bachelor's degree required, or equivalent work experience
Desired skills and experience:
Experience in healthcare technology or finance
Proven ability to thrive in a fast-paced startup environment
You build strong cross-functional relationships, prioritizing collaborative and empathetic communication
Capacity for high throughput, while working both autonomously and collaboratively with others
Track record of success becoming an expert with a tool or system that was unfamiliar to you
Experience with Data, Analytics, & Business Intelligence Platforms, such as Snowflake or Looker
Experience using Large Language Models to optimize business processes
Proven success developing and operationalizing KPIs
#LI-DS1
#LI-emote
Salary range:
$76,000 - $120,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$76k-120k yearly Auto-Apply 8d ago
Patient Services Coordinator Clinical
HCR Home Care 4.1
Remote or Rochester, NY job
Role and Responsibilities
Directly responsible for scheduling patient visits and assisting with coordination of client care and completion of specific tasks necessary in the operation of clinical services. Maintain HCHB tasks and reports in current status. Follow all procedures as outlined in Standard Operating Procedures (SOP) - PSC Daily Checklist, PSC HCHB responsibilities - as well as all task-specific procedures and policies.
Essential Functions
Ensure voicemail and e-mail are checked on a regular basis and response to messages is timely.
Responsible for scheduling of all disciplines: skilled nursing, physical therapy, occupational therapy, speech therapy, registered dietitian, social work, home health aide, personal care aide.
Complete scheduling as ordered in HCHB to ensure agency has met care requirements for patients.
Ensure that HCHB is updated with case managers for all disciplines on all active patients.
Edit schedule for clinicians calling in sick, ensuring patients are reassigned in computer database.
Receive second calls from the field staff during the Clinical Field Staff Supervisor's lunch hour, weekly Case Conferences, and other busy times. Refer clinical questions to Regional Director/DPS as necessary.
Complete tasks/coordination notes as shown on the action screen in HCHB and assigning staff to the requested visits according to Agency Scheduling Guidelines and PSC HCHB Responsibilities. (Tasks/Coordination Notes to be completed in HCHB on the day they arrive in workflow. Visits that arrive after normal business hours will be completed as necessary by after-hours staff. The balance will remain in workflow to be completed by the PSC who works during normal business hours).
Give direction to field staff regarding their schedules, productivity requirements, visit completion, and adherence to the “Not Home Not Found Protocol.”
Ensure the Hospital Hold Process is followed, as outlined in the SOP.
Ensure the Missed Visit Protocols are followed, as outlined in the SOP.
Run Scheduling Request Report multiple times per day, to ensure all necessary visits are scheduled.
Run Agency Summary Report daily, to ensure all staff have accepted work.
Run Agent Summary Report daily, for follow-up, according to policy. Provide a copy of report daily to Regional Director/DPS.
Run Client Schedule Report daily, to ensure visits are verified for billing as well as review of visits missed, reassigned, declined and office reassigned status. Follow-up with contract agencies as applicable to HHA/PCA visits unverified greater than 30 days.
Assist with internal transfer of patients between branch offices. Update HCHB and computer programs as appropriate.
May be required to serve on at least two agency wide committees per year.
Adhere to and participate in the agency's mandatory HIPAA/Privacy Program and Employee Compliance Program.
Read and adhere to all Agency Policies and Procedures and follow the Employee Handbook Guidelines.
Entry of verbal orders received via phone.
Enter Hospital Hold Orders.
Notify physicians of visit changes, as needed.
Handle clinical patients' questions as appropriate for Clinical scope.
This job description reflects management's assignment of essential functions; and nothing in this herein restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Education Requirements
High school diploma or equivalent required.
For LPN: Graduation from an accredited program of practical nursing education and unexpired/unencumbered NYS LPN licensure required.
For Physical Therapist Assistant: Graduation from an accredited program of Physical Therapist Assistant education and unexpired/unencumbered New York State Physical Therapist Assistant licensure required.
For Occupational Therapy Assistant: Graduation from an accredited program of Occupational Therapy Assistant education and unexpired/unencumbered New York State Occupational Therapy Assistant certification/licensure required.
Qualifications and Requirements
Possess a good understanding of staffing and scheduling requirements related to home health care.
Computer and keyboarding experience and competency.
Possess excellent communication skills.
Ability to interact well with a great diversity of individuals.
Strong organizational skills.
Ability to manage and prioritize multiple assignments, with frequent interruptions.
Work Environment
The Patient Services Coordinator is primarily in an office setting and may be exposed to outdoor conditions.
The working conditions are classified as light work:
Light work - Exerting up to 20 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Light work involves sitting most of the time.
Physical Requirements
The following is a description of the physical requirements on a daily basis for the Patient Services Coordinator. While performing the duties of the job the employee is regularly expected to:
Stand
Sit
Hear
Walk
Talk
Stoop or kneel
Repetitive motion
This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned.
EOE/AA Minority / Female / Disability / Veteran
#ZR
$33k-39k yearly est. 6d ago
Pharmacy Payment Integrity Program Development Lead
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
At Devoted, we know that one of the most important ways we build trust with our network and members is to pay claims accurately and on time while having transparent payment policies. Our Program Integrity Department ensures that claims are paid correctly by the responsible party, for eligible members, according to contractual terms, not in error or duplicate, and free of fraudulent, wasteful or abusive practices.
As the Pharmacy Payment Integrity Program Development Lead, you will serve as the principal strategic owner and hands-on driver of our FWA program within the Medicare Advantage Prescription Drug (MAPD) line of business (Part B and D). You will be responsible for identifying and researching new cost containment and compliance opportunities to improve payment accuracy and mitigate prescription drug fraud, waste, abuse . You will assess new opportunities by leveraging your deep Medicare Part B/ D regulatory expertise, researching and evaluating CMS FWA policies and industry trends, analyzing internal medical and prescription drug claims data, and leading critical cross-functional collaboration.
Your Responsibilities and Impact will include:
Lead the design and execution of the multi-year strategic roadmap for the Pharmacy FWA program, including vendor utilization, tool enhancements, and scheme prioritization.
Proactively and independently analyze integrated medical and pharmacy data (e.g., medical claims, PDEs, POS pharmacy claims, prior authorizations) to detect patterns of abnormal utilization, high-risk prescriber/pharmacy indicators, and emerging prescription drug fraud schemes.
Leverage your deep subject matter expertise, policy research, industry trends, and internal data to generate and prove out novel FWA theories and program concepts that reduce inappropriate prescription drug utilization and claims activity.
Partner with and provide insights and recommended actions to internal teams (e.g., Compliance, Special Investigations Unit (SIU), Clinical, Networks) and the PBM Program Integrity team to address identified claims payment inaccuracies, quantify financial impact, and ensure timely submission of high-quality case leads to the SIU..
Independently create and iterate data sets using advanced query tools to research ideas and develop data insights. Govern the rulesets and algorithms within the third-party FWA analytics platform to maximize high-yield case detection.
Prepare and present regular reports to Executive Leadership on program ROI, regulatory risk exposure, net recoveries, and the strategic direction of the Pharmacy FWA program.
Required skills and experience:
Bachelor's degree and a minimum of 6+ years of progressive experience in Pharmacy Benefit Management (PBM), Managed Care, or Health Plan FWA/Payment Integrity, with a primary focus on the Medicare Part B/D prescription drug regulatory environment.
Expert-level knowledge of Medicare Part B/D claims processing and CMS FWA requirements (42 CFR 423 Subpart K).
Strong communications skills (verbal, written, presentation, interpersonal) with all types/levels of audience, including the ability to articulate complex FWA findings to executives.
Ability to multitask, effectively prioritize critical tasks, and drive outcomes across cross-functional teams without direct reporting authority.
Ability to understand, explain, and break down complex problems related to regulatory compliance and pharmacy claims processing.
Desired skills and experience:
Clinical credentials (e.g., Pharmacist, CPhT).
Experience working with or overseeing PBM program integrity vendors, analytics platforms, or investigative case pipelines; experience with RxShield is a plus.
Prior involvement in CMS audits, ODAG/DAG reviews, MEDIC referrals, or PBM compliance monitoring.
Expert proficiency in querying large datasets using SQL
#LI-Remote
#LI-DS1
Salary range:
$105,000 - $155,000 annually
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$105k-155k yearly Auto-Apply 22d ago
Principal Data Scientist, Claims & Payment Integrity
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
As a Principal Data Scientist, you will serve as a key partner to Devoted Health's Claims and Payment Integrity (PI) teams, and broader Core Service Operations, leading efforts to improve payment accuracy and drive opportunities that allow us to invest more dollars in our members.
In this role, you will build and own robust data pipelines and data models, shaping how Devoted uses data to identify over- and under-payment risk, quantify savings opportunities, and design systems that scale accuracy and throughput across both pre-pay and post-pay operations.
This is a high-impact role critical to Devoted's success. You will report into our Data Science team and work closely with Product Managers, Software Engineers, Business Intelligence Analysts, and Operations leaders to design scalable, technology-driven solutions to complex operational problems.
We are eager to find problem-solvers who iterate quickly, embrace ambiguity, and are deeply committed to our mission. You care about building strong technical foundations that enable real impact for our members and colleagues. You're excited by the evolving AI landscape, but grounded in fundamentals, treating AI and LLMs as powerful tools to accelerate problem-solving, not a replacement for clear thinking or strong data models.
In this role, you will:
Leverage domain knowledge of claims data and provider billing behavior to drive meaningful cost savings and improve operational decision-making
Define high-impact analytical problems in Claims and PI, collaborating with business leads, product managers, engineers, and technical teammate
Collaborate closely with engineering and business partners to ensure scalable, maintainable data pipelines, and determine our most impactful work to scale our payment accuracy program with new opportunities and technology
Scope, communicate, and implement technical solutions collaboratively, delivering value iteratively while independently executing
Advise stakeholders on evaluating and implementing internally developed LLM based agents to improve workflows, and perform data extraction to leverage output of those agents in feature stores and analysis
Required skills and experience:
Ability to thrive in a fast-paced, high-growth environment, that values quick iteration
7+ years of individual technical contributor experience
Strong background in SQL, with fluency in modern data ecosystems (Snowflake, dbt, Looker, Python)
Skilled at collaborating with cross-functional teams and influencing decisions with data-driven insights
Comfort with both building scalable, maintainable data pipelines, and doing deep-dive statistical analysis, predictive modeling and/or experimental design to drive business strategies
Desired skills and experience:
Claims, Payment Integrity, or Medical Economics experience, especially in Medicare Advantage
Comfort with “live” coding and real time problem solving, bringing up a SQL query and iterating in front of stakeholders is part of your toolkit
Familiarity using LLM coding features within an IDE (Github Copilot, OpenAI Codex, Claude Code)
Salary range:
$128,057- $187, 083 annually plus eligibility for discretionary performance based bonus paid out annually. Target bonus is 10% however the actual payout is based on the terms of the bonus plan. The total compensation for this role is: $140,862-$205,791 (base plus bonus)
#LI-Remote
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$140.9k-205.8k yearly Auto-Apply 8d ago
Provider and Network Management Training and Development Lead
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
At Devoted, we believe that strong training and onboarding are critical to the success of our provider network teams. Our network team is often the first point of contact for providers and their staff, making consistency, compliance, and clarity essential to every interaction.
The Network Trainer plays a key role in ensuring our network managers, directors, and both in-house and field network staff are equipped with the knowledge, tools, and resources they need to succeed. This role is responsible for the design, development, and delivery of training programs, as well as close partnership with network leadership to understand workflows, identify best practices, and support standardization where needed.
This is a fast-paced role in an evolving environment. Systems, processes, and priorities change quickly, and the Network Trainer will help ensure the team stays informed, confident, and aligned. Training will be delivered through a variety of methods, including in-person sessions, virtual learning, independent learning modules, and reference materials.
Responsibilities and Impact will include:
Develop training content, schedules, and a consistent onboarding timeline for new network employees
Conduct and facilitate training for new network hires
Evolve, coordinate, and lead ongoing training for existing network staff
Create training materials using authoring tools for independent and self-paced learning
Develop, maintain, and update training resources as processes and information change
Partner regularly with network leadership, operations, and the broader training team to understand needs, updates, and workflows
Identify training gaps and recommend or develop solutions to address them
Follow up with new hires post-training to ensure continued skill development and retention
Collaborate cross-functionally to support consistency across teams and departments
Identify and implement creative, learner-friendly solutions to improve understanding and retention
Build checkpoints and reinforcement moments throughout the training journey
Analyze network staff needs and training effectiveness
Training topics will include (but are not limited to):
Provider engagement and communication
Provider contracting and contractual decision-making
Network tools and systems
Working with other departments
Provider performance reporting and metrics
Required skills and experience:
5 or more years of experience in the healthcare industry, preferably supporting Medicare Advantage
2+ years of experience in a provider network position.
Previous training experience preferred.
Powerpoint, word and spreadsheet skills required
Learning management system skills preferred.
Excellent written, verbal, and interpersonal communication skills required
Strong analytical and problem solving skills
Strong organization and time management skills
Ability to work independently
Ability to multitask
Desired skills and experience:
Curious mindset with a willingness to ask questions and seek clarity
Strong desire to improve processes and positively impact the healthcare experience
Collaborative approach with a focus on breaking down silos
Hands-on mentality with a willingness to roll up sleeves and get the work done
Comfortable operating in a fast-changing environment
Salary Range:
$100,000 - $120,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$100k-120k yearly Auto-Apply 13d ago
Broker Manager
Devoted Health 4.1
Remote Devoted Health job
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Job Description
MUST BE LOCATED IN THE NORTHEASTERN OHIO AREA
A bit about this role:
As the Broker Manager you will be responsible for the success, engagement and production of our independent agents. You will work closely with Operations and field sales management to ensure the brokers have clear line of sight to Devoted's mission and the plan for growth.
Your Impact and Responsibilities will include:
Executing the plan created by the team for the market's brokers
Analyzes reports and providing a plan of action for increased production
Providing real time feedback from the field brokers. Training for brokers both classroom and field
Influence brokers to sell more by positioning our product and promoting our brand
Responsible for the Northeastern Ohio territory, manage contacts Execute on market / region sales goals and objectives (sales events, training, etc) Meet or exceed sales objectives through broker channel
Meet with brokers and agencies to build relationships and promote our brand
Responsible for reporting their daily activities to ensure alignment with creating incremental sales consistent with market goals
Adheres to and maintains current understanding of compliance requirements and organizational policies & procedures
Coordinates effectively with local sales team
Required skills and experience:
State Health Insurance License in good standing
Unrestricted driver's license to verify your eligibility and capability to fulfill the driving responsibilities associated with the position
Strong presentation skills and ability to present to a group or individual
Strong communication skills - both verbal and written and active listening skills
Strong organizational skills
Strong relationship building skills
Ability to collaborate well both internally and externally to support achievement of market objectives
Ability to learn quickly and adapt to change
Knowledge of systems and technology and proficient with data analytics
Knowledge of marketing strategy, value proposition
Adherence to CMS Medicare Marketing Guidelines and procedures
Medicare knowledge preferred
Self starter, flexible, adaptable, highly organized and proactive
Knowledge base of the market and the broker environment within the market. Engaging personality traits that identify with agents and inspires allegiance.
Desired skills and experience:
Goal oriented but flexible. Achieving goals by adapting to changing circumstances
Curious and inquisitive. Understanding the mission but challenging norms for better results
Calm under pressure and cultivate a growth mindset.
Salary range:
$65,000 - $85,000 annually plus commission
Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
A bit about this role:
This position represents an amazing opportunity for a motivated and passionate pharmacist to join a high performing team that runs award winning programs and is at the forefront of innovation in pharmacy care. We're looking for a superstar pharmacist to help us build the future of pharmacist-led care.
You'll play a crucial role in helping our members get the most out of their medication and ensuring our members take the right medication at the right time, driving better clinical outcomes through better medication adherence and chronic disease education. You'll also be partnering with our members' providers, guiding them through the complex world of medication therapy management.
The Clinical Pharmacist will report to the Senior Manager, Clinical Pharmacy and will have indirect reporting relationships with other clinical and operational leadership.
Required skills and experience:
A pharmacist with 3 or more years of clinical experience working in direct patient care
State licensure in good standing is required at time of application in any of the following states: Florida, Texas, Colorado, North Carolina, Pennsylvania, and Alabama. You will be required to be licensed in at least 5 states within 6 months of employment and additional states as needed. License must be in good standing without restrictions or sanctions. Travel may be required to secure additional licensure based on state licensing requirements.
Desired skills and experience:
Experience with implementing or working under collaborative pharmacy practice agreements
Board certification or experience specifically in complex geriatric care
Licensure requirements:
Licensed and in good standing in any of the following states at the time of application: Alabama, Florida, Georgia, Missouri, North Carolina, South Carolina, Texas
Licensed in 3 or more of the following states at the time of application: Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington
Preference for candidates who can provide coverage during western US business hours (Pacific and Mountain time zones) to support our patients and healthcare partners in those regions
Additional consideration will be given to candidates with fluent proficiency in Spanish
Your Responsibilities and Impact will include:
Pharmacist Consult Services
Working directly with patients to bring their chronic conditions in control
Providing and/or creating educational materials for patients to help them manage their chronic conditions
Ensuring patients (and their providers) understand their benefits and how they can be used to better their health
Iterating on our disease management process in collaboration with our Clinical Team to continuously improve our disease management programs
Consulting in interdisciplinary teams to develop treatment plans for various disease states
Addressing drug utilization trend and devising a plan for mitigating trend
Medication Therapy Management
Conduct comprehensive medication reviews with members who have complex medication regimens
Identifying and resolving drug therapy issues to optimize care and improve outcomes
Quality Programs
Delivering 5 Star performance on pharmacy-related clinical measures by delivering the best in class care
Working directly with patients and providers to recommend the initiation, modification, or discontinuation of drug therapy
Assessing for therapy gaps and addressing them (e.g. starting statins for members with diabetes or cardiovascular disease)
Promoting and performing comprehensive medication reviews
Interacting with members compassionately and helping them reach their health goals
Practice Operations
Support on-call rotation to support the organization with any urgent pharmacy needs
Training the team on pharmacotherapy and pharmacy practice related topics
Act as pharmacy clinical subject matter expert in clinical model/intervention development, as needed
Analyze drug utilization patterns within your clinical focus area and suggest interventions to mitigate any risks, as needed
Securing additional state licensure in a timely manner
Other duties as assigned
#LI-REMOTE
Salary Range:
$74,000 - $145,000 / year
Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$74k-145k yearly Auto-Apply 60d+ ago
Bilingual Clinical Guide: Case Manager (Gold Care)
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
Devoted Medical was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America's most vulnerable patient populations. The Complex Care Department is at the heart of this goal: we are a highly collaborative, multidisciplinary team of geriatricians, nurse practitioners, case managers, social workers and community health workers united by our mission to build a better care delivery system for Devoted's most complex members. The RN case manager is a key member of this team.
Your Responsibilities and Impact will include:
Develop trusting long-term patient relationships that truly transform patients' lives and empower you to do the best work of your career supported by technology and data tools
Conducting holistic assessments to identify comorbid conditions, functional status, ED/hospitalization history, medications, psychosocial factors, and member values and preferences
Developing care plans in partnership with the interdisciplinary team, members and their caregivers, with a focus on the members priorities - problems, goals, interventions - while continuously evaluating the member's progress
Ensuring smooth transitions of care for patients in the hospital or recently discharged, seeking to minimize readmissions working with complex DME & Home Health needs
Supporting chronic disease management, using motivational interviewing and teach back method techniques, which includes coaching, remote monitoring, educating members on their chronic conditions in plain language including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements
Execution and Oversight of SNP ICPs for members enrolled in Complex Care
Oversight of care coordinators in certain aspects of the care model
Required skills and experience:
An unrestricted compact RN license
RN Complex Case Management experience
Strong knowledge of interdisciplinary team work
Comfort with participating in interdisciplinary discussions
A minimum of 5 years of direct clinical experience in acute care,
(critical care, ICU, ED or other high acuity specialties )
Desired skills and experience:
Health insurance experience, particularly Medicare Advantage
Prior experience working with a complex patient population
Prior experience with managing high call volumes daily
You enjoy being on the phone caring for patients, and can pivot from a comfortability of assessing with your eyes to assessing with your ears
Salary Range: $80,000 - $95,000
SNP: Special Needs Plans
ICP: Individualized Care Plan
#LI-REMOTE
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$80k-95k yearly Auto-Apply 41d ago
Cook
Allen View Healthcare Center 3.7
Springfield, OH job
Job Description
Role: Cook
Join Healthcare Services Group (HCSG) as a Cook, where you will play a vital role in preparing and cooking nutritious meals for residents in a long-term care facility. At HCSG, we are passionate about positively impacting the communities we serve. If you share our commitment to excellence and enhancing customer and resident experiences, join us and make a difference!
Available Benefits For All Employees
Free Telemedicine*
Free Prescription Discount Program
Free Employee Assistance Programs
Get paid when you need it with PNC EarnedIt
Financial Wellness Support from PNC Workplace Banking
Hands-on-Training & Support
Career Development
Click here for more benefits information
or copy this link: https://go-internal.hcsgcorp.com/l/1036773/2025-07-02/5xbpsq/1036773/***********MrQym5A/Employee_Benefits_for_Job_Descriptions__7_.pdf
*Not available in AR.
Responsibilities
Prepare and cook meals according to planned menus and recipes.
Ensure food quality, taste, and presentation meet HCSG standards.
Adhere to food safety and sanitation guidelines; maintain a clean and orderly kitchen.
Assist with inventory management and ordering of supplies.
Interact positively with residents, staff, and guests, providing excellent customer service.
All other duties as assigned.
Qualifications
High school diploma or equivalent.
Previous experience as a cook or in food preparation is preferred.
Ability to follow recipes and dietary restrictions.
Maintain a positive attitude and effectively communicate with building occupants, administration, and HCSG leadership to perform daily tasks.
Compliance with COVID-19 vaccination policies
Must be able to lift/carry a maximum of 50 pounds, push/pull a maximum of 50 pounds, stand, sit, bend and walk for extended periods.
Must be able to perform routine, repetitive tasks continuously.
Must be able to work around food and cleaning products.
May be required to complete an approved sanitation and safety course.
Current ServSafe or Food Handler certification is required based on State / County law.
Residency within the service area required
Ready to Join Us?
If you're looking for a role where you can contribute to serving delicious meals and be part of a supportive and dedicated team, apply now and start making a difference at HCSG!
HCSG is proud to be an equal opportunity employer committed to diversity and inclusion in the workplace. We encourage employees to bring their authentic, original, and best selves to work for a culturally inclusive team. We offer equal employment opportunities (EEO) to all employees and applicants regardless of race, color, religion, sex, national origin, age, disability, genetics, ethnicity, pregnancy status, gender identity, sexual orientation, marital status, political opinions or affiliations, veteran status, or other legally protected classes. HCSG also complies with applicable state and local laws and federal law requirements that govern nondiscrimination in every location where we operate.
$24k-30k yearly est. 22d ago
Manager, Clinical Data Acquisition
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
We can't transform health care for America's seniors alone. It requires coordination and information exchange within the healthcare supply chain. If we do it well, we believe we can improve how healthcare is paid for, delivered, and experienced.
Having member clinical data is critical for understanding member healthcare needs to drive their health outcomes. The Clinical Data Acquisition Team ensures that clinical data is available at the right place and the right time for the Devoted teams.
Your Responsibilities and Impact will include:
Develop deep understanding of the clinical data needs (e.g. medical records, lab results, ADT, etc.) and data usability requirements across Devoted Health Plans and Devoted Medical.
Collaborate with and align on outcomes with stakeholders across a variety of teams including Network Management, Risk Adjustment, Stars, Devoted Medical, Payment Integrity, and others.
Analyze clinical data availability across geographical areas to develop insights about data gaps, the reasons data is not available, and opportunities to obtain data.
Using data insights, define an execution plan to ensure the broadest coverage of clinical data in the markets and ensure clinical data is usable by stakeholder teams.
Implement technical integrations with Health Information Exchanges (HIEs), Labs, Electronic Health Record (EHR) systems, and other sources of clinical data and ensure quality of data received.
Understand industry dynamics in order to consistently consider and vet new vendors or services that might improve our efficiency in obtaining and utilizing key clinical data.
Explore and apply new processes and methodologies using AI to ensure clinical data is consistently available and usable by key stakeholders.
Define, implement, and drive appropriate KPIs to measure success.
Required skills and experience:
5+ years of healthcare related and/or program management professional experience
Understanding of healthcare IT systems, and methods/standards of healthcare data exchanges (e.g. SFTP, FHIR, API, HL7, XML, etc)
Proven ability to analyze complex data sets, derive insights, and develop an execution plan based on the data.
Proficiency in performing data analysis and reporting using SQL queries and Google Sheets. Experience with Looker is a plus.
Excellent communication skills and a track record of working cross-functionally with a variety of teams including Operations, Network Management, Product, and Technology, as well as external partners.
Ability to effectively manage multiple priorities, critical tasks, and conflicting requirements in a fast-paced environment.
Results-oriented with the proven ability to review processes, identify opportunities, and work independently, driving projects to completion.
Ability to incorporate company vision, mission, and values in decision making
#LI-Remote
Salary range: $80,000-$135,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$80k-135k yearly Auto-Apply 21d ago
Risk Adjustment Encounter Submissions Manager
Devoted Health 4.1
Remote Devoted Health job
A bit about the Risk Adjustment Encounter Submissions team:
The Risk Adjustment Encounter Submissions team is one of the 5 functional areas in Devoted's Risk Adjustment Department and is responsible for ensuring the timely and accurate submission of risk adjustment encounter data to CMS. Risk Adjustment Encounter Submissions work collaboratively with the other functional areas of the Risk Adjustment department, other departments across the organization, and external provider partners to continuously improve the accuracy of the data we submit to CMS.
The Risk Adjustment Encounter Submissions team includes:
Director of Encounter Submissions
Encounter Submissions Manager
Close partnership with Risk Adjustment focused data scientists and software engineers
A bit about this role:
The Risk Adjustment Encounter Submissions Manager supports the department by reviewing internally and externally sourced encounter data, identifying opportunities for improving day-to-day submissions operations and creating recommendations for implementation. This role also supports ongoing successful submissions of all ADDs and DELETEs to the Encounter Data Processing System (EDPS).
Your Responsibilities and Impact will include:
Review and monitor encounter data submissions for accuracy and completeness, identifying discrepancies and potential areas for improvement.
Collaborate with cross-functional teams to implement and monitor corrective actions
Develop and maintain documentation of submission processes, including troubleshooting and resolution strategies for data submission errors.
Educate and train stakeholders on policies, procedures, and best practices related to encounter data submissions.
Stay up-to-date on regulatory changes and industry best practices affecting risk adjustment and encounter data submissions.
Required skills and experience:
Bachelor's degree in healthcare, data analytics, or a related field; advanced degree preferred.
Excellent communication and interpersonal skills, with a collaborative approach to problem-solving.
Strong attention to detail and organizational skills to manage multiple priorities effectively.
Ability to take initiative and drive projects forward in a fast-paced environment.
Strong analytical skills with a proven ability to interpret complex data sets and identify key insights.
Ability to establish and improve operational processes
Desired skills and experience:
Strong command of SQL; experience with Snowflake database
Minimum of five years of substantive health care experience, operational experience or other consulting experience.
#LI-Remote
#LI-DS1
Salary Range:
$76,000 - $126,000 per year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$76k-126k yearly Auto-Apply 51d ago
Cardiovascular Clinical Guide
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
Devoted Medical has built a best-in-class Hypertension Clinic to manage and coordinate care in a manner consistent with Devoted's values of treating every member like family. Members with chronic conditions, like hypertension, often lack access to high-quality care because of a scarcity of primary or specialist care in their community or personal barriers to traveling to seek care. Elevated blood pressure is the leading contributor of cardiovascular morbidity and mortality- in fact, complications from raised blood pressure account for 53% of all heart disease and stroke deaths globally. Despite a mountain of proven effective interventions, the prevalence of hypertension and adverse events related to cardiovascular disease are rising at an alarming rate.
We are on a mission to eradicate preventable death due to hypertension by replicating best-in-class hypertension care through our virtual care platform. Our multidisciplinary team combines remote monitoring, medication management, and high-touch disease education to deliver seamless speciality care in the comfort of our members' homes.
As a Cardiovascular Clinical Guide, you will make a meaningful impact every day by supporting members throughout their care journey. Drawing on your coaching skills, you'll review each member's medical history, medications, and lifestyle habits, and help them build the confidence and tools they need to monitor and improve their cardiovascular health. You'll play a key role on our specialty care team, empowering members to set achievable goals, overcome barriers, and make lasting changes that lead to healthier, more fulfilling lives.
Responsibilities will include:
Screen members for eligibility in the Hypertension Clinic
Provision BP monitors, assess proper measurement technique, and reinforce accurate self-monitoring practices
Conduct comprehensive hypertension assessments, including review of medical history, medications, adherence patterns, and lifestyle habits
Deliver intensive lifestyle and nutrition counseling focused on sodium and alcohol reduction, weight management through heart-healthy eating and portion control, increased physical activity, and smoking cessation support
Identify barriers to healthy behaviors and coach members toward realistic, sustainable health goals
Utilize motivational interviewing skills with the goal to influence positive sustained behavioral changes
Maintain accurate and timely documentation of all member interactions
Schedule follow-up appointments with yourself, program providers, or the member's primary care provider as needed
Connect members with the right resources within Devoted to troubleshoot clinical or care-coordination issues
Coordinate multidisciplinary care with Devoted teams, including Specialty Care NPs, Clinical Pharmacists, Social Workers, Behavioral Health, Community Guides (financial assistance), Clinical Associates, and Outbound Guides
Serve as the member's primary point of contact throughout program enrollment, guiding them through the care journey
Synchronize and communicate care plans with PCP or other community care providers
Conduct outreach calls to members as needed
Identify and close applicable Stars measure gaps during member visits to support quality and performance goals
Attributes to success
Great communication skills - you have the desire and ability to listen and engage with our members in a virtual setting
Basic understanding of hypertension (high blood pressure) and/or cardiovascular disease
Ability to counsel members on therapeutic lifestyle modifications
Influential with the ability to motivate and empower people to change
Comfort with multi-tasking (e.g., talking to member while simultaneously typing notes)
Great organization and prioritization skills
Independent and natural problem solver
Experience working as part of a multidisciplinary care team
Customer service is built into the very fibers of your being and you are passionate about helping others
Self-reflective and have a can-do attitude
You welcome change with embracing arms
Desired skills and experience:
Certified health coach required
At least 2 years of work experience in longitudinal chronic disease management (e.g., primary care, specialty care, etc.)
Spanish bilingual is highly desired
Experience caring for Medicare patients
Pay range:
$27-$32/hour
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$27-32 hourly Auto-Apply 12d ago
Community Health Worker
Devoted Health 4.1
Remote Devoted Health job
This is a fully remote role.
A bit more this role:
Devoted Medical was founded on the belief that if we treat each patient like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America's most vulnerable patient populations. The Gold Care Program is at the heart of this goal: we are a highly collaborative, multidisciplinary team of physicians, nurse practitioners, nurse case managers, social work case managers, community health workers, and outreach specialists united by our mission to build a better care delivery system for Devoted's most complex members. Through a mixture of in-home and virtual interventions, we provide whole-person clinical, social and logistical support for patients with complex chronic conditions and patients at high risk of hospital admissions.
The Community Health Worker (CHW) is vital to the Gold Care Program, playing a critical role in building trusting patient relationships and empowering patients to live healthy, dignified, independent lives. The CHW's primary responsibilities include in-home and/or virtual patient visits (dependent on geography and program needs) using the 5M's framework, front-line patient advocacy, community resource connection, care navigation/coordination, and wellness & life skills coaching (details below). To succeed in this role, an individual must be an adaptable & resourceful problem-solver, a compassionate & collaborative team player, and feels a deep connection to our mission to treat each of our patients as we would our own family.
Your Responsibilities and Impact will include:
Patient Advocate & Community Resource Connector
Screening patients for Social Determinants of Health (SDOH) needs & mobilize appropriate community-based resources, ensuring long term patient success
Identify & maintain list of community resources to meet patient needs (i.e., transportation, housing, financial, food, medication discounts, support groups)
Perform a mixture of virtual, telephonic & field-based (depending on geography) patient outreach, education & engagement visits to build rapport and overcome barriers
Care Navigator/Coordinator
Serve as Care Traffic Controller, working closely with patients' PCP, specialists, and the interdisciplinary care team to facilitate and track resolution of clinical orders, such as scheduling appointments, diagnostic testing, DME, and Home Health
Collaborate with interdisciplinary care team in reviewing patient panel needs and expediting/prioritizing key tasks such as scheduling follow-up visits and coordination of STARs gaps closure
Prepare for, and actively participate in, weekly interdisciplinary care team meetings, helping the team to identify high risk patients, solutions to overcome barriers, and defining next steps towards meeting goals
Wellness & Life Skills Coach
Assist patients with practical skill development, such as tech and health literacy, smoking cessation, budgeting, and nutrition education
Conduct Fall Risk Assessments in home and provide education to patient on safety concerns identified
Educate & motivate patients' families and caregivers on patient needs to establish a sustainable support system
Required skills and experience:
Community Health Worker Certification, Certification of Medical Assistant (CMA), Registered Medical Assistant (RMA), or an Associates degree or higher in health sciences or related field and 3+ years' work experience in a healthcare setting
Understanding of how to identify community resources and experience working with patients to access these
Experience working on an interdisciplinary team of healthcare professionals
Comfortable working with internal and external stakeholders to advocate for our patients
Prior experience working with complex patients and/or underserved populations
Desired skills and experience:
Bilingual preferred (English/Spanish) but not required
Geriatric experience or experience caring for a Medicare population
Health insurance experience, particularly Medicare Advantage
Two (2) years of experience in outpatient medical care, with a bonus if you have experience with telehealth or house call visits
Attributes to success:
You love helping others improve their health and navigate a complex healthcare system with compassion, empathy, and warmth
You are able to ease the stress and anxiety of patients during difficult times
You have a natural ability to successfully communicate and interact with different stakeholders in a patient's life from doctors to pharmacies to nurses to caregivers
Agility, resilience, and collaboration are critical to your success - we are a fast-paced, high-energy, growing organization and have a start-up mentality
You are comfortable engaging and learning new technologies including electronic health records, computer platforms, operating systems and programs (Google Chrome, Google Sheets)
You have a passion for supporting the delivery of healthcare that we would want for our own family
Salary range
: $24-$26/hour
Employer-sponsored health insurance and dental and vision plan with low or no premium
#LI-Remote
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$24-26 hourly Auto-Apply 1d ago
Pharmacy Technician, Formulary Management
Devoted Health 4.1
Remote Devoted Health job
A bit about this role:
As a Pharmacy Technician on the Formulary Management Team, you will perform oversight of various Part D formularies and contribute to drug specific evaluations and coverage recommendations by analyzing utilization patterns, monitoring new drug releases, and conducting comprehensive regulatory research to ensure CMS compliance. You will serve as a key contributor to ensure the overall success of our formulary management division to ensure that our members are well informed of all things related to pharmacy and formulary benefits.
Embracing technology and innovation, our dynamic team navigates Medicare rules and regulations while prioritizing exceptional member care. We're looking for a certified pharmacy technician experienced in managed care specifically Part D/MAPD and who has had additional PBM collaboration relative to the administration of Part D and Part B pharmacy claims. Additionally, having a strong overall drug knowledge coupled with analytical skills that can help proficiently navigate data and BI tools will be highly valued in candidates.
At Devoted Health, we're dedicated to providing personalized, coordinated care to every Medicare-eligible member, aligning with the care and support we'd want for our own families.
Required skills and experience:
Nationally Certified Pharmacy Technician (CPhT) in good standing.
Familiarity with drug products, both generic and brand names.
2+ years of experience with Medicare Part D operations (e.g. pharmacy help desk, utilization management, formulary management) at a Health Plan and/or PBM.
Desired skills and experience:
Proficiency with Google Sheets or Excel, including basic to intermediate formula knowledge.
Strong analytical skills - you are confident making sense of operations through data, you can establish quantitative goals, and you can articulate a case from first principles.
Experience utilizing business intelligence tools to interpret, analyze, and visualize data with a high degree of technological aptitude, preferred.
Responsibilities & Impact will include:
Contribute to the development, implementation, maintenance, and evaluation of formularies, ensuring adherence to CMS rules and state-specific regulations.
Collaborate across departments to analyze data influencing pharmacy benefits, tier placements, and excluded drug coverage decisions.
Conduct detailed analysis of various data points alongside clinical pharmacists to assess drugs for formulary placement.
Coordinate the review of formulary and utilization management recommendations with finance and other relevant departments as needed.
Assist in preparing timely formulary submission files and CMS submissions via HPMS.
Oversee change notification processes and drug file maintenance to uphold accuracy and operational efficiency.
Provide clinical expertise and support to internal teams and members, acting as a go-to resource for formulary-related inquiries.
Effectively communicate formulary changes and updates to internal and external stakeholders.
Support the creation of the user interface and offer expertise for the online formulary search tool.
Perform quality assurance checks on formulary submissions, bid submissions, formulary documents, and other documents as assigned.
Review and validate claims testing outputs to ensure coding accurately reflects the clinical intent of formulary design as needed.
Manage and maintain accuracy in published formulary documents on the website.
Create, implement, and maintain policies and procedures for effective formulary management.
Perform regulatory plan document reviews as a pharmacy benefit Subject Matter Expert (SME) for EOC, Summary of Benefits, ANOCs, LIS Riders, etc.
Manage the clinical pharmacy inbox, responding to any inquiries from external partners and triaging emails to business owners.
Review overrides entered by the pharmacy team for accuracy and ensure they follow the internal override policy.
Develop and maintain internal knowledge resources.
Assist in various ad-hoc projects and responsibilities as needed to support the functioning of the department or organization.
Salary Range
: $21-$27/hour
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$21-27 hourly Auto-Apply 7d ago
In-House Representative
Devoted Health 4.1
Remote Devoted Health job
MUST BE LOCATED IN VA
A bit about this role:
This role will be an opportunity for someone to enter the exciting and challenging realm of provider network servicing/contracting at an entry level. The selected candidate will have the opportunity to learn from an experienced team of provider network professionals while supporting them in their day to day functions. This is the first step in what could be a lifelong career.
Your Responsibilities and Impact will include:
Identify and outreach to providers by phone or in person to educate on Devoted Health and initiate contract process.
Follow contracting guidelines and processes established by team.
Communicate effectively with internal teams on contracting roadblocks, issues, concerns.
Fielding all calls from providers who are calling to request access to our network.
Create and monitor internal network cases through resolution.
Supporting Network Field Leads by coordinating with provider performance Joint Operation Committee meetings.
Support Network Development by coordinating with Network Operations and reviewing necessary worksheets, documents, etc.
Others duties as assigned.
Required skills and experience:
Solid ability to navigate either Google or MS Suite of products.
High School Diploma or equivalent
Desired skills and experience:
Ability to articulate telephonically and written.
Attention to detail.
Organization is key in this role - getting back to those who are interested in being part of Devoted is important to representing our brand.
Comfort using multiple systems.
Sales background/experience a plus
Healthcare or Health Insurance experience a plus
Salary range: $50,000 - $60,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$50k-60k yearly Auto-Apply 1d ago
Product Leader
Devoted Health 4.1
Remote Devoted Health job
About Devoted
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Role Overview
As a Product Leader, you will play a pivotal role in shaping the strategy and execution of critical product initiatives that directly impact clinical and operational outcomes across our health plan and medical group. Your success will be measured by your ability to own and deliver product solutions and drive decisions toward meaningful outcomes, including improved clinical quality, greater operational efficiency, and an enhanced member experience. You will partner closely with cross-functional teams, including Clinical, Legal, Operations, Engineering, and Data, to deliver solutions that align with both member and provider needs and business goals
Required skills and experience:
Track record of delivering results: 8+ years of software product management experience, preferably with 4+ years in healthcare or health insurance with proven track record of shipping new workflows / solutions to drive key business outcomes.
Leadership & collaboration: Ability to partner with a wide-array of stakeholder groups and cross-functional teams, including the ability to listen and solicit carefully, and synthesize all their input into an action plan. Then communicate it back to them, and eventually, the whole company.
Data-driven mindset: Strong analytical skills with demonstrated experience in leveraging data to drive product strategy, optimization, and decision-making.
A super proactive "get it done" attitude, and the skills to back it up.
Comfort with the uncertainty, fast pace and flexibility inherent in a startup.
Desired skills and experience:
Provider Experience: Relevant working experience in a care delivery environment, partnering across clinical and operational leaders to drive patient outcomes and experience
Value-based Care: Understanding of payment incentives and frameworks for delivering value to payor partners from a risk-bearing provider perspective.
Your responsibilities and impact will include:
Lead Outcome-oriented Product Strategy: Design your own product road map for clinical operations with a focus on driving measurable operational outcomes (e.g. cost reduction, payment accuracy, etc)
Cross-Functional Collaboration: Work closely with Engineering, Data Analytics, and Operations teams to define and execute product initiatives, driving cross-team alignment and ensuring smooth delivery of key projects.
Stakeholder Communication: Regularly communicate insights, progress, and outcomes to senior stakeholders, effectively communicating complex data and product strategies in a clear, actionable manner.
Act as the subject matter expert on care delivery and population health tooling within the organization, providing insights and guidance to senior leadership.
Salary Range:
$160,000 - $216,000 / year
#LI-Remote
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$160k-216k yearly Auto-Apply 14d ago
Telehealth Preventative Primary Care Advanced Practice Provider (NP/PA)
Devoted Health 4.1
Remote Devoted Health job
Full-time (40 hours/week) · Fully Remote Position
Schedule options: Standard schedules available; eligibility for 4x10 schedule after successful completion of first 90 days (post onboarding) and performance expectations.
About the Role
As a Devoted Preventative Primary Care Provider, you'll be part of a mission-driven, interdisciplinary clinical team focused on improving the health, dignity, and quality of life of our members. You'll meet patients in the first step of their primary care journey with Devoted Medical. You'll conduct 1 hour comprehensive clinical assessments, support chronic condition management, and emphasize preventative and proactive care. You'll collaborate closely with primary care providers, specialists, pharmacists, nurses, care coordinators, caregivers, and families to deliver coordinated, member-centered care.
This role sits at the intersection of preventative care, primary care and complex care management - it is not a traditional primary care panel role, and it's not a one-time Annual Wellness Visit role. You'll develop a relationship with your members while working in a supportive, tech-enabled environment designed to optimize clinical time and connection.
What You'll Do
Conduct primarily telehealth video visits, with limited and occasional in-home visits to members in your local area.
Perform comprehensive assessments and provide evidence-based care focused on prevention, chronic condition support, medication optimization, and health maintenance.
Identify and address care gaps, coordinate with external and internal care team members, and contribute to individualized, whole-person care plans.
Utilize integrated technology and AI-enabled workflows to reduce administrative burden and maximize meaningful member interaction time.
Communicate with empathy and clarity, fostering trust and confidence with members and caregivers.
Required Skills & Experience
Active Nurse Practitioner (APRN/NP) or Physician Assistant (PA) license.
3+ years of outpatient clinical practice, ideally in primary care, family medicine, internal medicine, or geriatrics.
Active and clear NP/PA license in at least one of the following states:
AL, AZ, AR, CO, FL, GA, HI, IL, IN, KY, MS, MO, NC, OH, PA, SC, TN, TX
(must be willing to obtain additional licenses within the first 90 days - support and reimbursement provided)
Active BLS certification at time of hire.
Comfort with delivering care via video telehealth and using electronic documentation systems.
Preferred Experience
Familiarity with managed care models, including STARS/HEDIS and identification of care gaps.
Experience performing comprehensive or preventive care visits with Medicare populations.
Experience supporting older adults and/or individuals with complex medical or social needs.
You'll Thrive in This Role If You…
Find meaning in caring for older adults and supporting them in living healthier, more independent lives.
Lead with empathy, humility, and curiosity.
Value feedback, reflection, and personal and professional growth.
Enjoy working within a collaborative, supportive, tech-enabled care team environment.
Why You'll Love Working Here
Member-first care: Time to build relationships - quality matters more than quantity.
Mission with heart: Every visit is an opportunity to improve someone's health and dignity.
Flexible remote environment: Work from home while still being part of a tight-knit clinical community.
Growth & stability: Opportunities to expand licensure, clinical skills, and career pathways.
If you're passionate about providing thoughtful, preventative care - and want to make a lasting impact on the lives of older adults - we'd love to meet you.
Salary Range:
$120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K
Employer-sponsored health insurance and dental and vision plan with low or no premium
#LI-Remote
Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$30k-42k yearly est. Auto-Apply 60d+ ago
Collaborating Physician Contractor-Mississippi
Devoted Health 4.1
Remote Devoted Health job
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Job Description
Job Type: Part-time
Required Skills and Experience:
Active and unencumbered Mississippi state Medical License
Active primary care, internal medicine, or hospitalist practice
Physically resides and practices in Mississippi
Potential travel for quarterly meetings
Comfort with learning and adapting to new technologies
Preferred:
Willingness to obtain other state licenses in order to hold additional collaborations
Your Responsibilities will include:
Primary responsibility includes supervision of Advanced Practice Registered Nurses(APRNs) to satisfy the state of Mississippi supervision requirements for collaborating physicians - mid level providers(s)
Monthly Meetings are required, quarterly in-person meetings with NPs; Devoted Medical will schedule all meetings as well as provide charts for review on a monthly basis
Ensures clinical care and supervision delivered is consistent with evidence-based guidelines
Willingness to attend Mississippi Board of Medicine (the “Board”) meeting or submit request to the Board in support of proposed collaborative relationships with Mississippi-licensed APRNs
Maintain an active and valid Mississippi medical license and maintain active practice (primary care, internal medicine, hospitalist) in Mississippi
Benefits include:
Flexible schedule
Professional liability insurance provided by Devoted
#LI-DS1
Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
$114k-209k yearly est. Auto-Apply 60d+ ago
Broker Manager
Devoted Health Services 4.1
Devoted Health Services job in Ohio
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Job Description
MUST BE LOCATED IN THE NORTHEASTERN OHIO AREA
A bit about this role:
As the Broker Manager you will be responsible for the success, engagement and production of our independent agents. You will work closely with Operations and field sales management to ensure the brokers have clear line of sight to Devoted's mission and the plan for growth.
Your Impact and Responsibilities will include:
Executing the plan created by the team for the market's brokers
Analyzes reports and providing a plan of action for increased production
Providing real time feedback from the field brokers. Training for brokers both classroom and field
Influence brokers to sell more by positioning our product and promoting our brand
Responsible for the Northeastern Ohio territory, manage contacts Execute on market / region sales goals and objectives (sales events, training, etc) Meet or exceed sales objectives through broker channel
Meet with brokers and agencies to build relationships and promote our brand
Responsible for reporting their daily activities to ensure alignment with creating incremental sales consistent with market goals
Adheres to and maintains current understanding of compliance requirements and organizational policies & procedures
Coordinates effectively with local sales team
Required skills and experience:
State Health Insurance License in good standing
Unrestricted driver's license to verify your eligibility and capability to fulfill the driving responsibilities associated with the position
Strong presentation skills and ability to present to a group or individual
Strong communication skills - both verbal and written and active listening skills
Strong organizational skills
Strong relationship building skills
Ability to collaborate well both internally and externally to support achievement of market objectives
Ability to learn quickly and adapt to change
Knowledge of systems and technology and proficient with data analytics
Knowledge of marketing strategy, value proposition
Adherence to CMS Medicare Marketing Guidelines and procedures
Medicare knowledge preferred
Self starter, flexible, adaptable, highly organized and proactive
Knowledge base of the market and the broker environment within the market. Engaging personality traits that identify with agents and inspires allegiance.
Desired skills and experience:
Goal oriented but flexible. Achieving goals by adapting to changing circumstances
Curious and inquisitive. Understanding the mission but challenging norms for better results
Calm under pressure and cultivate a growth mindset.
Salary range:
$65,000 - $85,000 annually plus commission
Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Zippia gives an in-depth look into the details of Devoted Health, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Devoted Health. The employee data is based on information from people who have self-reported their past or current employments at Devoted Health. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Devoted Health. The data presented on this page does not represent the view of Devoted Health and its employees or that of Zippia.
Devoted Health may also be known as or be related to Devoted Health, Devoted Health Inc and Devoted Health, Inc.