Devoted Health

Risk

• Manage a multi-step medical document evaluation process with tight turnaround times, ensuring accuracy and consistency in responding to crucial external audit requests
• Oversee and coordinate production work with offshore teams, maintaining clear expectations and quality standards
• Identify opportunities for process improvement and implement changes that enhance scalability, transparency, and quality
• Communicate updates, risks, and recommendations clearly to cross-functional stakeholders
• Collaborate with risk adjustment coding experts to build a chart evaluation process that extracts the correct information in an efficient and meaningful manner
• Support special projects that require structured thinking, thoroughness, and cross-team collaboration

Risk Adjustment, Operations Manager

Financial Planning and Analysis

• Conduct outreach via mail and telephone to educate and inform members about available state and federal benefits (i.e., Medicaid, SNAP, and Energy Assistance).
• Support members throughout the enrollment process for various programs, handling necessary paperwork and following up with agencies as needed.
• Triaging incoming referrals for members needing social services and financial assistance, providing operational and administrative support across the team.
• Utilize an internal resource library to identify appropriate services, including transportation, financial aid, food support, and medication discounts, to meet member needs.
• Collaborate with other teams to ensure comprehensive support for all member inquiries and needs.
• Conduct follow-up communication with local organizations to ascertain ongoing support for members.
• Meet or exceed performance and quality goals while providing outbound (and at times inbound) call support for members seeking assistance.

Bilingual Financial Eligibility Specialist

Full-stack Engineer

• Building product features across a range of technologies.
• Working with subject matter experts to understand and design solutions to improve our members lives.
• Working with other members of the technology team to improve our technology platform.

Principal Software Engineer

Product Designer

• Lead strategic design for member and clinician-facing products as a cohesive ecosystem, align cross‑functional leadership, and independently identify high‑impact design opportunities that improve business results, clinical outcomes, and user satisfaction.
• Collaborate at speed with engineering, product, operations, and clinical leadership to define implementable solutions that meet user, business, clinical, and regulatory needs with keen attention to detail in a hyper-compliant healthcare environment
• Design with human behavior and psychology in mind —making simple things feel simple and complex workflows feel possible, with emphasis on multi-device interaction design (including native apps) and continuous validation through research and testing
• Create and evolve design systems, patterns, and AI-first interaction models that scale across both member and clinical experiences—know when existing patterns achieve quick wins, and when new, reusable patterns are needed

Director of Product Design

Artificial Intelligence

• Lead the transformation of the Claims operational model into an AI-native ecosystem.
• Design, implement, and continuously optimize a hybrid operating model that blends AI agents and human operators.
• Partner with operational leaders to reimagine service delivery through AI-native design principles.
• Define orchestration models and accountability frameworks for hybrid human–AI work.
• Implement monitoring frameworks to track AI agent performance, data quality, cost, and drift.
• Collaborate with compliance and risk partners for safe AI use.
• Partner closely with Product, Engineering, and Data teams.
• Build programs to elevate AI fluency across the Claims organization.
• Lead pilots and structured experiments to test new agentic patterns and workflows.
• Define and track KPIs for human–AI collaboration.

AI Transformation Lead

Manager

• 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

Integrations Manager

• This position is an amazing opportunity for an ambitious nurse practitioner (NP) to take on an impactful leadership role in the Devoted Medical Specialty Department to help develop the clinical excellence of the team.
• The Specialty Care NP Manager will be responsible for the clinical and operational oversight of the NPs in the Heart Center (CHF and Virtual Cardiology Clinics) and the CKD Clinic while continuing to provide clinical care to patients in either the Heart Center or CKD Clinic.
• Responsibilities will include: 50% of your time will be dedicated to providing patient care either in the heart center or the CKD clinic (18 hours per week): These responsibilities include: Conduct focused and thorough assessments of patients with conditions that impact heart or kidney health through virtual consultations including ordering diagnostics as needed, interpreting labs and imaging data, and developing a treatment plan in collaboration with the clinic team.
• Formulate accurate diagnoses and develop individualized treatment plans for patients with heart or kidney needs, including medication management, lifestyle modifications, and monitoring recommendations.
• Work with interdisciplinary teams including lead clinic physicians, social workers, pharmacists, and nurses. 50% of the time will be dedicated to serving as the NP manager of the Devoted Heart Center. Your team will consist of those NPs who work in the Heart Center (CHF and Virtual Cardiology Clinics) as well as the CKD Clinic.
• Provide oversight and accountability for the clinical performance of the NP team, quality chart reviews, coaching and teaching.
• Lead and maintain a strong team culture, being the standard-bearer for a collaborative, unified, engaged provider group.
• Serve as the liaison to the Clinic Managers and Medical Director on issues regarding patient care, interdisciplinary coordination, and performance management challenges.

Specialty Care Nurse Practitioner Manager

Bilingual

• Conduct focused and thorough assessments of patients with hypertension through virtual consultations including ordering diagnostics as needed, interpreting labs and imaging data, and developing a treatment plan in collaboration with the specialty care clinic team.
• Formulate accurate diagnoses and develop individualized treatment plans for patients, including medication management, lifestyle modifications, and monitoring recommendations.
• Mitigate the risk of cardiovascular disease by proactively initiating and managing statin therapy in persons with diabetes and/or cardiovascular disease
• Collaborate with an interdisciplinary care team—including primary care providers, specialists, and Devoted team members such as pharmacy, social work, and health coaches—as well as family members and caregivers to coordinate holistic, patient-centered care, ensure continuity, and implement a collaborative care plan.
• Serve as the clinical advisor and provide clinical escalation support for the speciality clinic staff and other teams during business hours.
• Participate in regular panel review discussions to offer advice and provide guidance around medical management.
• Utilize our home grown electronic health information system for visits while also providing feedback on how to improve the interface.
• Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines.
• Participate in quality improvement initiatives and ongoing professional development to stay current on best practices and advancements in hypertension and atherosclerotic cardiovascular disease risk reduction.
• Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations.

Bilingual Hypertension Specialty Care Nurse Practitioner

Operations

• Oversee day-to-day operational execution of provider refund check processing
• Partner with Payment Integrity and Claims leadership to provide feedback loops on the root causes of overpayments, helping to prevent leakage before it occurs
• Partner with Finance and Accounting to ensure accurate reconciliation of recouped funds, proper allocation to the general ledger, and precise financial reporting that is auditable
• Use data analytics to identify trends and opportunities to improve our processes
• Support the Appeals and Disputes function of our team

Senior Claims Operations Associate

Business Intelligence Developer

• Use your healthcare knowledge to proactively identify unexpected changes in data and investigate root causes by analyzing trends and underlying factors.
• Turn insights into actions. You will not only analyze data but also transform your findings into clear recommendations for strategic adjustments, workflow improvements, and smarter investments for various audiences.
• Design, build, and own the development and communication of KPIs for the Provider Operations and Provider Performance teams, enabling those teams to make real time performance adjustments and strategy pivots as well as long term technical and process investments to achieve our goals.
• Simplify metric definitions and tools while advocating for data governance and creating a trustworthy reporting layer in Looker.
• Implement effective analytical strategies through dashboards and additional tools for proactive monitoring.
• Share findings and their limitations with leaders and teams that have mixed technical backgrounds.
• Collaborate with Product, Data Science, and Engineering teams to define requirements for supporting data warehousing systems in Snowflake or our internal operating platform.

Principal Business Intelligence Analyst – Provider Performance and Operations

• Engage members with empathy and professionalism across inbound calls and digital channels, in English and Spanish.
• Build high-quality connections that create trust and empower members to take confident steps in their care.
• Translate complex benefits and healthcare information into simple, clear terms.
• Flex between inbound service, outbound engagement, and digital outreach as priorities evolve.
• Adhere to HIPAA compliance and all regulatory requirements to protect member privacy and ensure high-quality service.
• Master multi-tasking skills : you’ll be listening to members, talking and typing...all at the same time!

Member Service Guide, Bilingual – Spanish

• Lead cross-functional teams through ambiguity, aligning stakeholders to a shared vision through your design work
• Collaborate with engineering, product, and operations to define implementable solutions that meet user, business, and regulatory needs with a keen attention to detail in a hyper-compliant healthcare environment
• Independently identify design opportunities that will drive business results and member satisfaction - with an eye for AI-first and conversation-forward interactions
• Design with human behavior and psychology in mind, making simple things feel simple and complex things feel possible, with an emphasis on solid multi-device interaction design and usability testing
• Create design deliverables using Figma, LucidChart, Adobe Suite and other tools—including sitemaps, workflows, wireframes, and prototypes
• Know when existing design patterns achieve quick wins, and when new, reusable patterns are needed. Design for the long-haul, creating patterns that can be used again and again

Principal Product Designer

Human Resources

• Champion Culture and Mission: Join a disruptive, mission-driven organization, contributing to a high-growth environment focused on making a tangible impact
• Manage End-to-End Employee Relations: Oversee the full scope of ER matters, including conflict resolution, policy compliance, and the administration of corrective actions
• Drive Process Consistency: Partner closely with HR Business Partners (HRBPs) to ensure standardized and fair ER processes across all assigned client groups
• Deliver Results in Fast-Paced Environments: Navigate a dynamic, rapidly evolving workplace, utilizing a results-driven approach to solve complex people-related challenges
• Facilitate Resolution and Compliance: Act as a subject matter expert in balancing organizational policy with empathetic conflict resolution to maintain a positive work environment

Employee Relations Specialist

• Screen members for eligibility in the Hypertension Clinic
• Provision BP monitors, assess proper measurement technique, and reinforce accurate self-monitoring practices
• Conduct comprehensive hypertension assessments, including review of medical history, medications, adherence patterns, and lifestyle habits
• Deliver intensive lifestyle and nutrition counseling focused on sodium and alcohol reduction, weight management through heart-healthy eating and portion control, increased physical activity, and smoking cessation support
• Identify barriers to healthy behaviors and coach members toward realistic, sustainable health goals
• Utilize motivational interviewing skills with the goal to influence positive sustained behavioral changes
• Maintain accurate and timely documentation of all member interactions
• Schedule follow-up appointments with yourself, program providers, or the member’s primary care provider as needed
• Connect members with the right resources within Devoted to troubleshoot clinical or care-coordination issues
• Coordinate multidisciplinary care with Devoted teams, including Specialty Care NPs, Clinical Pharmacists, Social Workers, Behavioral Health, Community Guides (financial assistance), Clinical Associates, and Outbound Guides
• Serve as the member’s primary point of contact throughout program enrollment, guiding them through the care journey
• Synchronize and communicate care plans with PCP or other community care providers
• Conduct outreach calls to members as needed
• Identify and close applicable Stars measure gaps during member visits to support quality and performance goals

Bilingual Cardiovascular Clinical Guide – Health Coach

• Coach and support RN Case Managers through 1:1 meetings, shadowing, audit reviews, and time studies
• Identify workflow challenges, contribute to cross-functional problem-solving, and help standardize best practices across teams
• Design and implement workflows, assessments, and protocols that improve efficiency and demonstrate patient impact
• Provide ongoing support to RN Case Managers by assisting with escalated or complex patient needs.
• Actively participate in clinical huddles and maintain a consistent presence in patient outreach efforts, dedicating at least 10% of time monthly to direct engagement
• Develop onboarding and ongoing education experiences for new and existing staff
• Collaborate with cross-functional leaders to align and optimize care coordination across programs
• Meet regularly with the Senior Manager of TOC to review performance metrics, surface risks, and celebrate team successes