Devoted Health

Health Information Retrieval Operations Manager

United States

Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

About Devoted Health

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!

Employment Type: Full time

About This Role

We are seeking a detail-oriented Operations Manager to oversee and execute medical record retrieval and management across Devoted’s Risk Adjustment Operations. This is a full-time role responsible for coordinating provider relationships, managing retrieval processes, ensuring quality and compliance, and supporting both ongoing operations and special initiatives such as Risk Adjustment Data Validation (RADV) and Improper Payment Measure (IPM) audits. The ideal candidate combines operational expertise, relationship management skills, and a collaborative mindset to ensure the efficient, accurate, and timely collection of medical charts across multiple simultaneous initiatives.

Your Responsibilities and Impact

  • Oversee and coordinate chart retrieval efforts across multiple retrieval methods (EHR access, fax, secure file transfer, in-field visits) in close coordination with the Clinical Data Acquisition team.
  • Act as the primary point of contact for assigned providers and markets, managing relationships and resolving retrieval issues.
  • Identify opportunities to streamline requests from Devoted to the providers delivering care to our members.
  • Negotiate fees, address uncooperative provider situations, and escalate issues appropriately.
  • Maintain and update provider group information in a centralized database, ensuring accuracy, completeness, and accessibility to all teams.
  • Manage and analyze performance metrics and dashboards to drive insights and improve retrieval efficiency.
  • Perform quality assurance (QA) checks on retrieved charts, confirming compliance with required standards and readiness for risk adjustment purposes.
  • Support the Clinical Data Acquisition team’s initiatives to expand EHR access and streamline provider record request workflows.
  • Collaborate with cross-functional teams to improve retrieval, QA, and attestation processes.
  • Contribute to the centralization and documentation of all retrieval processes, ensuring operational consistency across projects and teams.

Required Skills and Experience

  • Proven relationship management skills with the ability to navigate time-sensitive or challenging situations.
  • Analytical ability to interpret performance metrics and drive process improvements.
  • Experience managing multiple priorities, deadlines, and retrieval channels in a fast-paced environment.
  • Strong attention to detail, quality control skills, and commitment to accuracy and compliance.
  • Excellent communication and interpersonal skills for working across providers, vendors, and internal teams.

Desired Skills and Experience

  • Experience in chart retrieval, healthcare operations, or medical record management, ideally in a Medicare Advantage or risk adjustment environment.
  • Proficiency in EHR systems, health information technology platforms, and secure document transfer methods.
  • Bachelor’s degree in Healthcare Administration, Business, HIM, or a related field.
  • Familiarity with CMS regulations, Medicare Advantage risk adjustment, and regulatory audit processes.
  • Experience with advanced QA tools or technology-assisted chart review and retrieval processes.

Salary Range

$76,000 - $126,000 annually

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide addit

Skills

Medical Record Retrieval
Operations Management
Provider Relationship Management
Risk Adjustment
Data Validation
Compliance
EHR Access
Fax
Secure File Transfer
Negotiation
Problem-Solving

Devoted Health

Medicare Advantage plans with personalized support

About Devoted Health

Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.

Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees

Benefits

Comprehensive health plan
401(k) retirement plan
Generous vacation and holiday time
Lyra mental health resources
Time off to vote

Risks

Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.
Potential regulatory changes affecting Medicare Advantage plans by CMS.
Rising healthcare costs could impact the affordability of Devoted Health's plans.

Differentiation

Devoted Health offers personalized assistance through Devoted Health Guides for member support.
The company emphasizes preventive care with its Devoted Dollars rewards program.
Devoted Health integrates virtual and in-home care with top local providers.

Upsides

Devoted Health raised $287 million in Series E funding in 2024.
The company expanded Medicare Advantage plans to eight new states in 2023.
Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.

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