Claims Operations Manager – Payment Accuracy

Devoted Health

Claims Operations Manager focusing on operational investigations and improvements in a healthcare setting. Collaborating with cross-functional teams to enhance accuracy and reduce friction.

Posted 6/12/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $73,000 - $120,000 per yearWebsite

About the role

Key responsibilities & impact

Conduct deep, end-to-end investigations into complex operational issues, identifying root causes across people, process, policy, and technology
Work through designated queues with high attention to detail, ensuring well-supported and clearly documented determinations
Translate individual errors or anomalies into broader themes, trends, and systemic improvement opportunities
Partner cross-functionally (Operations, Product, Engineering, Compliance, Finance, etc.) to implement durable solutions
Create clear documentation, decision frameworks, and feedback loops to prevent recurrence of known issues
Use data to validate hypotheses, quantify impact, and measure improvement over time
Explore and implement AI-driven solutions (including AI agents and LLM-supported workflows) to enhance investigation quality and automate repeatable analyses
Serve as a trusted advisor and escalation point for ambiguous or high-impact operational issues

Requirements

What you’ll need

Experience in operations, consulting, analytics, process improvement, or other complex problem-solving environments
Demonstrated strength in root cause analysis and structured problem solving
Proven ability to move from case-level detail to system-level insight
Experience identifying process gaps and driving measurable operational improvements
Strong analytical skills, including comfort working with data to identify trends and quantify impact
Excellent written and verbal communication skills, with the ability to clearly explain complex findings and recommendations
Ability to operate independently with sound judgment in ambiguous, fast-paced environments
Strong cross-functional collaboration skills and ability to influence without direct authority
Experience in healthcare operations (desired)
Experience building dashboards, tracking mechanisms, or structured issue management processes (desired)
Curiosity and hands-on experience with AI tools, automation, or LLM-based workflows in operational settings (desired)

Benefits

Comp & perks

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.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

root cause analysisprocess improvementdata analysisAI-driven solutionsLLM-supported workflowsdashboard buildingissue management processesquantifying impacttrend identificationcomplex problem solving

Soft Skills

attention to detailwritten communicationverbal communicationindependent judgmentcross-functional collaborationinfluencing without authoritycuriosityanalytical thinkingstructured problem solvingdocumentation skills