Devoted Health

Senior Manager, Audit and Program Operations

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: Audit Program Senior Manager

As the Audit Program Senior Manager, you will be responsible for the successful delivery of audit production across simultaneous audit projects. You will play a key role in enabling the Risk Adjustment department to perform rigorous oversight over risk adjustment data. You’ll lead a team of risk adjustment auditors, manage production, and ensure quality outcomes. This role works closely with other operators and technical leads to align on process and project objectives and foster a culture of continuous improvement. This role blends strong leadership, effective communication, project management, and a proactive problem-solving mindset.

Your Responsibilities and Impact

  • Manage a robust portfolio of audit projects from generation to results presentation
  • Develop and write insightful reporting used to support risk assessment, provider education, vendor management, and audit strategy
  • Work collaboratively with engineering, product, data, and other operational partners in cross-functional work groups to advance other initiatives as described by the annual work plan
  • Serve as an expert on audit tooling and reporting
  • Drive continuous innovation and improvement to ensure operational excellence
  • Responsible for timely department maintenance of policies, procedures, and oversight monitoring

Required Skills and Experience

  • Bachelor's Degree - or related work experience
  • 6+ years of experience in leading project-based work, detecting and ameliorating bottlenecks, and addressing root causes to drive process improvements
  • Ability to distill and communicate complex problems
  • Strong problem-solving skills and adaptability in a fast-paced environment
  • Curiosity to learn new skills, technologies, and subject matter
  • Experience with leveraging analytics and critical thinking to digest complex quantitative information and produce rigorous insights
  • Capacity for high throughput and working both autonomously and with others
  • Build strong cross-functional relationships

Desired Skills and Experience

  • Operational & People Leadership – Track record of leading high-volume healthcare audit programs, managing teams, and driving process improvements to ensure accuracy, compliance, and efficiency.
  • Analytical & Technical Skills – Strong data analysis capabilities with SQL or similar tools to monitor audit performance, identify trends, and inform strategic decisions.
  • Healthcare, Medicare & Risk Adjustment Expertise – Proven experience in Medicare Advantage operations, HCC coding/Risk Adjustment, and compliance with CMS, OIG, and HIPAA regulations a plus.

Salary and Total Rewards

Salary range: $105,000 - $160,000 /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.

Skills

Audit Management
Risk Adjustment
Reporting
Project Management
Team Leadership
Process Improvement
Cross-functional Collaboration
Policy Development
Procedure Development

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.

Land your dream remote job 3x faster with AI