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Devoted Health logo
Devoted Health

Our mission: to dramatically improve the health & well-being of older Americans by caring for everyone like family

Senior Manager, Business Operations – Payment Integrity

Business OperationsBusiness OperationsFull TimeRemoteSeniorTeam 1,001-5,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

50 days ago

Salary

$104.5K - $155K / year

Seniority

Senior

Bachelor Degree6 yrs expEnglishSQL

Job Description

Senior Manager, Business Operations – Payment Integrity

Devoted Health

• Optimize payment integrity initiatives across internal, vendor, and AI-enabled workflows, maintaining full accountability for prepay and postpay performance. • Manage the health of audit queues by ensuring work inflow and outflow are accurately forecasted, balanced, and executed against SLA targets. • Monitor program KPIs—including savings, throughput, and audit yield—taking corrective action and optimizing vendor/AI-supported execution to meet goals. • Convert organizational strategy into actionable operational plans that align with savings targets, audit integrity, and regulatory compliance. • Bridge high-level strategic design with hands-on execution to build repeatable workflows and robust process controls that sustain performance during rapid growth. • Integrate LLM-driven automation and AI capabilities into operational workflows to streamline manual hand-offs and maximize cost efficiency. • Use data to identify root causes of inefficiencies across workflows and systems, leading the development of solutions to reduce future operational risk.

Job Requirements

  • Bachelor’s degree and 6+ years of professional experience in high-growth operations, strategy, or healthcare management.
  • Experience working with data-driven or AI-enabled workflows (no coding required) to drive operational impact.
  • Proven ability to drive results across Operations, Product, and Engineering.
  • A strong understanding of the US healthcare ecosystem and its financial 'pipes,' with the ability to navigate the claims lifecycle even if you aren't a niche billing expert.
  • The ability to manage and optimize complex, multi-layered processes across vendors, tools, and teams.
  • You are energized by the 'messy middle'—you can build processes where none exist and pivot gracefully as the company needs a shift.
  • Ability to use the company’s vision and values as a North Star when making difficult operational trade-offs.
  • Proficiency with SQL
  • Familiarity with agile methodologies or frameworks for managing complex, cross-functional initiatives

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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