Devoted Health

Provider Operations Manager

United States

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

Requirements

Candidates must possess strong analytical horsepower, leveraging data to formulate insights and craft data-driven messages. An operations-minded approach is crucial, involving the ability to define endpoints and execute plans with quantifiable mile markers. Excellent relationship-building skills are required for managing diverse internal and external stakeholders. Strong communication skills, including conversational agility and the ability to condense complex concepts into simple explanations, are essential. The role also demands superior organization skills with a keen eye for detail and the capacity to understand and document critical information. Experience in a fast-paced startup environment, high throughput capacity, and the ability to work both autonomously and collaboratively are desired. Proficiency in leveraging analytics and critical thinking to digest complex quantitative information, produce rigorous insights, design and implement operational models, and develop appropriate analytics to measure success is also preferred.

Responsibilities

The Provider Operations Manager will be responsible for operationalizing provider contracts and providing key support for other Provider Operations functions. This includes building processes and tooling to drive scalability in end-to-end contract configuration and implementation. The manager will also manage the 3rd party contract management software, including measurement, tracking, and future builds. Key responsibilities involve partnering with the Network team to streamline contract submission processes and collaborating with Product & Tech teams to develop tooling and capabilities for process improvement. Additionally, the role includes managing the relationship with the offshore partner team and evolving/owning KPIs and metrics, leading efforts to build and enhance business intelligence dashboards to evaluate performance, drive improvements, and provide visibility.

Skills

Provider data management
Operational process improvement
Value-based healthcare
Contract management software
Data infrastructure
Product development
Engineering collaboration

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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