Devoted Health

Bilingual

• Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and an interdisciplinary team.
• Guide and oversee the medical management of patients (utilizing the 5M framework) during their tenure with Gold Care.
• Work closely with other members of the patient's care team including their PCP, specialists, and other Devoted teams such as pharmacy, or specialty care.
• Collaborate with the patients’ support systems such as family members and caregivers in order to coordinate care for the patient and deliver a collaborative care plan.
• Perform comprehensive assessment visits, provide post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs.
• Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines.

Bilingual Advanced Practice Provider, Complex Geriatric Care

Digital Marketing

• Build and deploy digital marketing campaigns across multiple channels such as Meta, YouTube, Search, and more
• Coordinate with external ad vendors
• Collaborate with our creative team to produce beautiful marketing materials that advance the Devoted brand and generate successful results
• Ensure 100% compliant, error free marketing materials
• Use Monday.com to manage creative requests with our in house video, design, copy, and compliance teams
• Leverage Looker and google sheets to track channel performance

Contract Digital Marketing Associate

Operations

• Partner with Workforce Management and Operations to turn forecasts, backlog, service levels, staffing availability, and priorities into smart deployment decisions — before members feel a gap.
• Own when to flex, where to flex, and how to move fast across queues, teams, vendors, and temporary staffing pools.
• Own staff augmentation strategy and execution, getting the most value out of vendor-supported operations.
• Set the metrics, scorecards, escalation paths, and governance routines that close gaps in quality, productivity, attendance, and timeliness.
• Keep vendor relationships performance-driven, transparent, and aligned with where the business is heading.
• Be the connective tissue across Workforce Management, Operations, Recruiting, Training, Quality, Data, and Vendor teams, turning staffing decisions into coordinated action.
• Lead complex initiatives from idea to execution — setting milestones, tracking progress, surfacing risks, and driving accountability.
• Establish the daily, weekly, and monthly rhythm for capacity deployment and performance management.
• Create one central source of truth for capacity, demand, flex movements, vendor performance, and risk.
• Build the playbooks, SOPs, and prioritization frameworks that make decisions faster, more consistent, and less reliant on any one person's knowledge.

Senior Manager, Capacity Operations & Vendor Performance

• 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 specialty 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, Spanish/English Cardiometabolic Specialty Care Advanced Practice Provider

• Serve as the operational architect for scaling initiatives within Practice Operations
• Balance the oversight of daily compliance and healthcare quality metrics with the governance of advanced LLM operations
• Identify agentic opportunities and serve as the architect for scaling initiatives across Practice Operations
• Build agentic solutions and manage evaluations and feedback in partnership with Sr Mgr, Practice Operations
• Serve as the high-level escalation backstop for compliance initiatives
• Conduct formal milestone validations prior to project transitions to ensure accurate risk classification
• Review and develop tools for oversight for new users added to projects
• Oversight of monthly SLAs for all Devoted Medical AHS workstreams

Manager, Practice Operations

General

• 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 specialty 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.

Cardiometabolic Specialty Care Advanced Practice Provider

Medical writer

• Perform audits based on organizational priorities, including concurrent CDI workflows and retrospective auditing.
• Conduct reviews that may lead to the addition, deletion, adjustment, or confirmation of diagnoses.
• Initiate queries for documentation clarification to ensure the highest level of clinical accuracy.
• Utilize and review AI tools and 'Human-in-the-Loop' outputs to support modern auditing processes.
• Assist in creating and communicating provider and vendor education regarding trends and opportunities in compliant coding practices.
• Collaborate with the CDI Manager to make recommendations that enhance coding quality goals and outcomes.
• Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment guidance.

Clinical Documentation Integrity, Claims Auditor

• Perform comprehensive initial TOC visits.
• Conduct a thorough post-discharge assessment of the patient's medical conditions, medications, functional status, and psychosocial needs.
• Complete a full post-discharge medication reconciliation — including identifying duplicate, inappropriate, or contraindicated therapy and optimizing guideline-directed medical therapy.
• Place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), provide disease-specific education, and communicate clear contingency plans and red flags for worsening symptoms.
• Perform acute / virtual urgent-care TOC visits.
• Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed — with a clear bias to action.
• Manage the clinical trajectory across the 30-day window.
• Reinforce and adjust each patient's plan of care in response to their evolving clinical picture, their priorities, and the barriers they face — including chronic disease management, symptom management, and timely changes to the medical regimen.
• Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission, and collaborate closely with RN case managers, care coordinators, social work case managers, pharmacy, and patients' PCPs and specialists.
• Enhance team culture by facilitating safe, open communication across roles and supporting clear patient escalations.
• Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR.
• Embrace a build environment. As our service needs evolve, this role may expand to support new clinical and organizational initiatives. We seek people who are adaptable, eager to learn, and comfortable in a fast-paced, dynamic setting where change is constant.

Transitions of Care Advanced Practice Provider

• Provide virtual primary care visits via telehealth, including comprehensive assessments, chronic disease management, preventive screenings, and acute care interventions.
• Diagnose and manage chronic conditions (e.g., hypertension, diabetes, COPD, heart disease) and develop individualized care plans to optimize patient health.
• Order and interpret lab tests, imaging, and other diagnostics, coordinating follow-up care as necessary.
• Manage medication prescriptions including controlled substances, titrations, and refills, ensuring patient adherence and safety.
• Provide health coaching, lifestyle modification guidance, and patient education to empower patients in managing their health.
• Identify patients needing referrals, or home-based services, and facilitate appropriate coordination with specialists or community resources.
• Utilize and provide feedback on our electronic health platform, contributing to its continuous improvement to enhance patient and provider experience.
• Participate in clinical case reviews, team huddles, and interdisciplinary collaborations to ensure high-quality, patient-centered care.
• Engage in continuous learning and improvement, staying up-to-date with best practices in virtual care and primary care management.

Routine Care Advanced Practice Provider – NP/PA

• Perform comprehensive initial TOC visits.
• Conduct a thorough post-discharge assessment of the patient's medical conditions, medications, functional status, and psychosocial needs.
• Complete a full post-discharge medication reconciliation — including identifying duplicate, inappropriate, or contraindicated therapy and optimizing guideline-directed medical therapy.
• Place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), provide disease-specific education, and communicate clear contingency plans and red flags for worsening symptoms.
• Perform acute / virtual urgent-care TOC visits.
• Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed — with a clear bias to action.
• Manage the clinical trajectory across the 30-day window.
• Reinforce and adjust each patient's plan of care in response to their evolving clinical picture, their priorities, and the barriers they face — including chronic disease management, symptom management, and timely changes to the medical regimen.
• Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission, and collaborate closely with RN case managers, care coordinators, social work case managers, pharmacy, and patients' PCPs and specialists.
• Enhance team culture by facilitating safe, open communication across roles and supporting clear patient escalations.
• Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR.
• Embrace a build environment. As our service needs evolve, this role may expand to support new clinical and organizational initiatives.

Bilingual – Transitions of Care Advanced Practice Provider

Full-stack Engineer

• Design and deliver enterprise capabilities and user-facing workflows within Orinoco to streamline operations and core business processes
• Extend Orinoco's platform capabilities to support new enterprise use cases
• Reduce operating costs by bringing key services in-house when it makes sense
• Architect a robust system of integrations between corporate and production environments, with clear source-of-truth data ownership
• Improve internal compliance procedures, including logging, auditing, permission controls, and tracking access to external systems
• Securely share enterprise data — such as licensing, permissions, and user attributes — with Orinoco
• Enable efficient access to internal and external data sources, including third-party APIs
• Partner closely with HR, Business Systems, Finance, CorpIT, Security, and Tech to design and deliver end-to-end solutions
• Deliver clear, actionable reporting on enterprise metrics like request volume, escalations, and workload trends
• Lead the rollout of new platforms, automations, and technologies that help Devoted scale effectively
• Automate manual workflows related to employee onboarding and offboarding, reducing administrative burden and ensuring smooth, secure transitions

Principal Engineer, Enterprise Engineering

Analyst

• Support cash management operations and execution across the corporate and operating regulatory entities by completing the processing of all ACH files for provider, broker and operating expense payments.
• Responsible for daily liquidity.
• Assist accounting team in the execution and administration of the monthly close.
• Support the accounting team with audit preparation and execution, and maintain documentation of tested treasury functions.
• Review of current procedures and controls to drive accuracy and efficiency across core financial operations.
• Recommend and implement new banking services to drive continuous process improvement, while ensuring appropriate controls are in place to protect the Company's assets.

Treasury Analyst

Manager

• Manage the full lifecycle of edit and audit development — from initial coding and billing hypothesis to detailed rule design.
• Convert complex medical policy, CMS rules, AMA/CPT guidance, and coding regulations into actionable logic specifications, mapping out precise conditions, exclusions, thresholds, and flags.
• Must be capable of running data queries to prove the financial validity of a coding and billing hypothesis and authoring the resulting technical specification document.
• Design payment policies where CMS guidance needs to be supplemented to ensure defensibility in supporting the concept.
• Post-release, improve concept efficacy, false positives, and provider abrasion, continuously refining active rules based on real-world results and updated behavioral trends.
• Use large language models (LLMs) or automated pattern-matching tools to review claim trends and develop narratives, accelerating the translation of signal into active payment logic.
• Connect identified billing anomalies directly to published primary defense sources, including CMS guidelines, NCCI bundling frameworks, LCD/NCD rules, and AMA coding mandates.
• Plan, organize, and coordinate discrete initiatives and concepts to achieve specific, measurable payment accuracy goals and deadlines.
• Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and billing appropriateness, regulatory compliance, and cross-functional strategic alignment.

Payment Integrity Program Development Manager

Medical Director

• Assists in development and maintenance of an efficient UM program to meet the needs of health plan members commensurate with company values.
• Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions.
• Participate in inter-rater reliability activities.
• Participate in analysis of utilization data and suggest improvement opportunities.
• Provide appropriate mentoring and leadership to clinical teams as well as develop relationships to support growth and fiscal responsibility.
• Participate in committees and workgroups to achieve department and corporate objectives.
• Provide clinical support and participate in utilization management, quality management, clinical services and care management programs to identify opportunities for improvement and efficiency.
• Serves as a clinical resource and subject matter expert to both clinical and non-clinical staff throughout the Devoted Health Plan.
• Active participation in acute and post acute clinical rounds.
• Conduct discussions with physicians in the Devoted network regarding: medical policies, utilization management, use of resources, and quality.

Medical Director II – Utilization Management

Sales

• Support inbound and outbound call campaigns, educating both prospective and current members about Devoted products, answering questions, and assisting with the completion of enrollment applications in compliance with Medicare requirements.
• Establish rapport with prospective members by demonstrating a friendly, positive demeanor, patience, and empathy, while assessing their needs through effective questioning and active listening to offer solutions that convert them into customers.
• Assist current members in evaluating their coverage, identifying gaps, and making appropriate plan changes when necessary, all while meeting and exceeding sales quotas and consistently achieving quality and productivity goals.
• Support ongoing projects and execute all responsibilities in alignment with directives from the Telesales Leadership Team.
• Transition from Telesales duties after the Annual Enrollment Period (AEP) to supporting the Member Service Guide team from December 15 through March 31, focusing on member service, engagement, and retention to ensure a seamless experience.