Devoted Health

Senior Manager, Clinical Pharmacy Operations

United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, Healthcare, BiotechnologyIndustries

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: Senior Manager, Clinical Pharmacy Operations

As Senior Manager, Clinical Pharmacy Operations, you’ll lead Devoted’s mission-critical medication optimization interventions with the goal of improving the health outcomes of tens of thousands of Medicare Advantage members while driving millions in cost savings for them and Devoted. You’ll be the operational architect behind an AI-enabled, technology-forward, and clinically complex program that changes how our members understand and manage their medications. Working at the intersection of clinical excellence, regulatory compliance, and technology, you’ll build systems and processes to deliver healthcare innovation at scale.

This role sits at the heart of Devoted's population health strategy, with high visibility across clinical leadership and executive teams. Reporting to the Head of Population Health and partnering closely with our Director, Clinical Pharmacy, you'll shape critical decisions that influence both member outcomes and key performance indicators. As we grow from managing medication for hundreds of thousands or members to millions of members, the operational excellence and strategic frameworks you develop will scale to enable sustainable, high-quality care delivery.

Responsibilities and Impact

  • Cross-functional execution:
    • Manage performance against operating KPIs and clinical and financial outcomes for medication management programs that reduce total cost of care.
    • Partner with clinical teams to design and implement pharmacy interventions, translating clinical goals into actionable operational strategies.
    • Guide initiatives from pilot phase through full-scale implementation across our member population.
  • Analysis:
    • Leverage data analysis tools to determine root cause barriers to major medication therapy problems that drive clinical outcomes, ranging from operational considerations (i.e. outreach connection rates, encounter throughput, care team productivity) to clinical outcomes (i.e. total cost of care and clinical outcome measures).
  • Process Improvement:
    • Own portfolio of high-value cross-disciplinary pharmacy initiatives to advance programmatic efficiency/effectiveness, including close collaboration with product, engineering, data science, & member experience teams.
  • Strategic Planning:
    • Partner with leadership to identify, prioritize, and execute on pharmacy programs spanning MTM and cost reduction initiatives that span a multidisciplinary integrated health system that includes primary care, specialty care, and acute care.
  • MTM Program Leadership & Compliance:
    • Ensure our Part D Medication Therapy Management (MTM) program, which involves Devoted aiming to do comprehensive medication reviews with tens of thousands of our members, sets the industry standard for both compliance and member experience.
    • Balance regulatory requirements with operational efficiency, delivering exceptional results across quality metrics while maintaining the personal touch that defines Devoted's approach to member care.

Required Skills and Experience

  • 4+ years of experience driving operational performance improvement in complex, regulated, or high-stakes environments through data-driven approaches (i.e. developing metrics & targets, analyzing trends, driving performance improvement, reporting outcomes).
  • Experience in healthcare

Skills

Clinical Pharmacy Operations
Medication Optimization
Population Health
Healthcare Innovation
Regulatory Compliance
AI
Technology
Process Improvement
Performance Management

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