Job Description
This role is fully remote and must be located within the 50 U.S. states. Preference for residence in the Greater Boston Area. Standard working hours are in Eastern Timezone. Semi-annual travel may be required to a Devoted office for on-site work.
A bit about this role:
We are seeking a detail-oriented Operations Manager to support medical record retrieval and management for a new and highly critical area of work for Devoted’s Risk Adjustment Operations. This role requires strong analytical abilities, an appetite for problem solving. and a collaborative mindset to ensure the efficient and accurate collection of medical charts across multiple simultaneous initiatives. While your primary focus is executing medical record retrieval, you will also serve as a key member of the External Audit Program team, supporting the end-to-end management of the entire audit lifecycle.
Your Responsibilities and Impact will include:
Oversee and coordinate chart retrieval efforts across various methods and initiatives
Manage and analyze performance metrics and dashboards to drive actionable insights and improvements in record retrieval processes. This includes building out AI-native monitoring of program-wide KPIs that support regular operational updates and reporting to leadership
Support efforts to establish and/or expand Electronic Health Record “EHR” access
Support and improve Devoted’s ability to request provider records
Implement strategies to identify and rectify discrepancies in record retrieval efforts
Collaborate with cross-functional teams to establish and/or improve processes
Support and improve Devoted’s operational ability to obtain provider attestations
Standardize and document all processes
Required skills and experience:
Proven experience in healthcare operations management, particularly in audit preparation and medical record retrieval.
Strong analytical skills and the ability to interpret complex regulatory requirements and audit standards.
Experience in managing performance metrics and dashboards to evaluate process effectiveness and drive continuous improvement. This includes continuously evaluating operations for automation opportunities and efficiency gains.
Effective project management techniques, with experience managing multiple priorities and deadlines in a fast-paced environment.
Excellent communication and interpersonal skills, with a demonstrated ability to collaborate across various teams and stakeholders. Serve as a primary liaison between the External Audit Program and other internal departments such as Clinical Data Acquisition and Network to facilitate data exchange.
Proficiency in various EHR systems and healthcare data management platforms.
High degree of comfort pulling and analyzing data using spreadsheets, with experience or appetite to leverage database query tools.
Initiative-driven with a strong problem-solving mindset and the ability to adapt to changing situations and requirements.
Desired skills and experience:
Bachelor’s degree in Healthcare Administration, Business, or a related field; Master’s degree preferred.
Familiarity with CMS regulations, Medicare Advantage and RADV audit processes is a plus.
Salary range: $73,000 - $125,000 annually
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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.
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Originally posted on Himalayas