[Remote] Provider Escalation & Education Senior Associate at Devoted Health

United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Strategic analytical horsepower
Operations minded
Relationship builder
Communication skills
Organization skills
Writing Skills
Proven ability to thrive in a fast-paced startup environment
Capacity for high throughput
Proven experience in process development, payment integrity, or issue resolution
Strong analytical skills
Excellent communication and interpersonal skills
Detail-oriented approach
Ability to manage multiple tasks simultaneously and meet deadlines

Responsibilities

Act as a point of contact for escalated issues, providing expertise and guidance
Support development of a structured process for triaging payment integrity issues and escalations
Lead the triage discussions, ensuring that all relevant stakeholders are involved in problem-solving
Collaborate with cross-functional teams to identify and prioritize issues based on their impact
Monitor the resolution process and provide regular updates to stakeholders on status and outcomes
Analyze trends in payment integrity issues and recommend preventative measures
Create detailed documentation of issues, resolutions, and processes for future reference and training
Facilitate training sessions for team members on new procedures and best practices for issue resolution

Skills

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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