Devoted Health

Risk Adjustment Data Submissions Manager

United States

Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health InsuranceIndustries

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

Job Description: Risk Adjustment Data Submissions Manager

A bit about this role: The Risk Adjustment Data Submissions Manager supports the data submissions department by analyzing internal and external data to generate insights, identifying opportunities for operational improvement and creating recommendations for implementation. This role also supports the general day to day operation of the data submissions department.

Your Responsibilities and Impact will include:

  • Analyze and monitor 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

Compensation and Benefits

Salary Range: $76,000 - $126,000 per 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.

Commitment to Diversity and Equality

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

Skills

Risk Adjustment
Data Submissions
Data Analysis
Operational Improvement
Process Documentation
Troubleshooting
Stakeholder Education
Regulatory Compliance
Healthcare Data
Encounter Data
Communication
Interpersonal Skills
Problem-Solving
Attention to Detail
Organizational 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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