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

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 the Role

Our Provider Operations team is responsible for managing Devoted's provider data and for streamlining our operations with providers across markets. We are building operational processes and data infrastructure that allows us to deliver on our mission to serve as true partners to our providers, achieve industry-leading provider satisfaction, and reduce administrative complexity for providers. Devoted has agreements with our providers that contain a variety of payment models, including value-based care. These agreements enable us to carry out our mission to align all stakeholders to care for members like family. The Provider Operations Manager will be responsible for operationalizing our provider contracts, while providing key support for other Provider Operations functions. We are looking for a creative and analytical thinker who is excited about value-based healthcare, and eager to work in partnership with our product and engineering teams to improve our tools and processes and help us scale.

Your Responsibilities and Impact will include:

  • Build processes and tooling to drive scalability in our end-to-end contract configuration and implementation
  • Manage our 3rd party contract management software, including all relevant measurement and tracking, and managing future builds
  • Partner with our Network team to ensure our contact submission process is as clear and efficient as possible
  • Partner with our Product & Tech teams to continue to develop tooling & capabilities to support the process improvement
  • Manage relationship with our offshore partner team
  • Evolve and own KPIs and metrics, and lead efforts to build and enhance key business intelligence dashboards to evaluate performance, drive improvements and provide visibility

Required skills and experience:

  • Analytical horsepower: leveraging data to formulate insights. This includes manipulating and understanding data to craft data-driven messages, as well as thinking of new ways to draw insights from data.
  • 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 with a broad range of internal and external stakeholders.
  • 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.

Desired skills and experience:

  • Proven ability to thrive in a fast-paced startup environment
  • Capacity for high throughput, while working both autonomously and collaboratively with others
  • Experience with leveraging analytics and critical thinking to digest complex quantitative information, produce rigorous insights, design & implement operational models based on those insights, & develop appropriate analytics to measure success
  • You build st

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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