Senior Data Submissions Operations Associate

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

We are seeking a meticulous and technically skilled Operations Senior Associate to lead the preparation, submission, and quality control of healthcare data and medical records to support normal operations and special projects. Special projects include CMS Risk Adjustment Data Validation (RADV) audits and Part C Improper Payment Measurement audits. This role is responsible for ensuring that all submissions to CMS are timely, accurate, compliant, and fully documented. You will act as one of a limited number of users of CMS data abstraction and data processing systems and serve as the primary liaison between Devoted Health, CMS, and internal technical teams. The ideal candidate combines operational precision and technical troubleshooting ability with strong awareness, compliance, and discipline handling sensitive healthcare data to ensure our submissions meet the highest quality standards—especially during high volume periods.

Responsibilities and Impact

• Own the end-to-end audit file submission process, including file validation, coversheet completion, and final upload via CMS portal.
• Coordinate and direct day-to-day work activities of assigned team members for submission-related tasks, ensuring priorities, timelines, and quality standards are met; partner with Devoted’s internal management team to align assignments and resolve resource issues.
• Conduct detailed quality assurance checks on all files, ensuring alignment with CMS specifications (naming conventions, file size limits, date visibility, provider credentials, and document legibility).
• Monitor and triage submission feedback, routing issues to coding, file prep, compliance, or audit teams as appropriate.
• Maintain meticulous tracking of submission status, metadata, and resolution notes in internal audit logs.
• Partner closely with internal Tech and IT Submission teams to resolve system issues, optimize processes, and manage secure file transfers.
• Prepare and deliver submission metrics, error trends, and resolution summaries for RADV operations reporting; leverage SQL, Looker, or other BI tools to extract and analyze submission data where appropriate.
• Document and update standard operating procedures (SOPs) for submission, QA, and feedback resolution to ensure operational consistency.

Required Skills and Experience

• Proven experience in healthcare data submissions, medical record management, or health information operations, ideally in a Medicare Advantage or risk adjustment audit environment.
• Strong attention to detail with the ability to perform meticulous QA under time-sensitive conditions.
• Proficiency with SQL, Looker, or other BI/database query tools a plus for analyzing and validating submission data.
• Ability to troubleshoot technical submission errors and partner effectively with IT and technical teams.
• Strong organizational skills and experience managing high-volume workflows with compressed timelines.
• Experience collaborating with offshore resources or distributed teams, with the ability to clearly communicate priorities and task requirements without direct managerial authority.
• Excellent communication and collaboration skills for working with cross-functional teams.

Desired Skills and Experience

• Bachelor’s degree in Healthcare Administration, Health Information Management