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Our mission: to dramatically improve the health & well-being of older Americans by caring for everyone like family
Integrations Manager
Location
United States
Posted
127 days ago
Salary
$80K - $135K / year
Seniority
Senior
Job Description
Integrations Manager
Devoted Health
• Collaborate with Business, Product Management, Engineering, and Data Science teams to scope, build, and scale new system workflows and data exchanges using a variety of technologies, including X12, batch file exchanges over SFTP, and APIs. • Own system and workflow design, data specifications, scoping, development, unit testing, and end-to-end implementation to ensure seamless system integrations. • Test and validate internal workflows, collaborating with business and technical teams on claims processing in the healthcare insurance arena, specifically Medicare Advantage. • Apply knowledge of payment integrity, benefit configurations, clearinghouses, payment platforms, pharmacy claims, and interactions with state agencies to ensure accurate and efficient system integrations. • Troubleshoot the performance, quality, and speed of data exchange transactions, while supporting stateside and offshore teams to ensure accurate, reliable, and timely information flows with external partners. • Analyze data to identify workflow, data exchange, and internal process gaps; develop insights and influence stakeholders across Devoted on technical solution and internal processes and tools improvements to improve efficiency, scalability, and product effectiveness. • Partner with vendors and internal business stakeholders to ensure service level agreements (SLAs) and CMS compliance requirements are met; serve as the primary liaison between Devoted teams and external vendors. • Define, implement, and drive key performance indicators (KPIs) to measure integration success and operational health. • Create technical and support documentation, standard operating procedures and best practices
Job Requirements
- 6+ years of professional experience in program or project management, preferably within a technical environment.
- Strong understanding of healthcare IT systems, including standards and methods for healthcare data exchanges (e.g., X12/ANSI, HL7, FHIR, XML, SFTP, APIs), familiarity with regulations and industry best practices, and experience with tools and practices for project tracking, issue management, and reporting (e.g., JIRA, Confluence, or similar).
- Strong knowledge of claims processing in healthcare insurance, including Medicare Advantage.
- Familiarity with benefit configurations, clearinghouses, payment platforms, pharmacy claims, and interactions with state agencies.
- Experience with integration project lifecycles, including system design, testing, deployment, and post-implementation monitoring, with knowledge of best practices for workflow automation, batch and real-time data exchanges, and partner/vendor integrations.
- Proven ability to analyze complex data sets, derive actionable insights, and develop execution plans, with proficiency in SQL, spreadsheets (e.g., Google Sheets), and data visualization tools for reporting and decision-making.
- Ability to manage multiple priorities and critical tasks in a fast-paced, dynamic environment, with strong technical acumen and a results-oriented mindset—able to interpret complex requirements, identify solutions, manage technical risks, review processes, uncover improvement opportunities, and drive projects to completion independently.
- Excellent communication skills with the ability to influence and collaborate across all levels, from peers to senior leadership, while incorporating the company’s vision, mission, and values into decision-making.
Benefits
- 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....
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