Senior Data Submissions Operations Associate
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Senior operations associate managing CMS healthcare data submissions and RADV audit files for Devoted Health. Ensuring accurate, compliant uploads, quality control, reporting, and technical issue resolution.
Responsibilities:
- Own the end-to-end audit file submission process, including file validation, coversheet completion, and final upload via CMS portal
- Coordinate and direct day-to-day work activities of assigned team members for submission-related tasks, ensuring priorities, timelines, and quality standards are met
- Partner with Devoted’s internal management team to align assignments and resolve resource issues
- Conduct detailed quality assurance checks on all files against CMS specifications, including naming conventions, file size limits, date visibility, provider credentials, and document legibility
- Monitor and triage submission feedback, routing issues to coding, file prep, compliance, or audit teams
- Maintain tracking of submission status, metadata, and resolution notes in internal audit logs
- Partner with internal Tech and IT Submission teams to resolve system issues, optimize processes, and manage secure file transfers
- Prepare and deliver submission metrics, error trends, and resolution summaries for RADV operations reporting
- Leverage SQL, Looker, or other BI tools to extract and analyze submission data where appropriate
- Document and update standard operating procedures for submission, QA, and feedback resolution
Requirements:
- Proven experience in healthcare data submissions, medical record management, or health information operations, ideally in a Medicare Advantage or risk adjustment audit environment
- Strong attention to detail with the ability to perform meticulous QA under time-sensitive conditions
- Ability to troubleshoot technical submission errors and partner effectively with IT and technical teams
- Strong organizational skills and experience managing high-volume workflows with compressed timelines
- Experience collaborating with offshore resources or distributed teams, with the ability to clearly communicate priorities and task requirements without direct managerial authority
- Excellent communication and collaboration skills for working with cross-functional teams
- Bachelor’s degree in Healthcare Administration, Health Information Management (HIM), Business, or related field is desired; relevant professional experience will be considered in lieu of a bachelor's degree
- Proficiency with SQL, Looker, or other BI/database query tools for analyzing and validating submission data is a huge plus
- Experience working with CMS systems such as the Central Data Abstraction Tool (CDAT), Encounter Data Processing System (EDPS), or similar healthcare submission portals
- Familiarity with ICD-10 coding or risk adjustment data
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
- Parental leave program
- 401K program
Similar Jobs
Manager, Network Planning – Operations
Network planning manager scaling HCP capacity for Impiricus’s AI-powered HCP engagement platform. Supporting pharma sales, campaign delivery, forecasting, and inventory reporting.
Field Operations Associate II
Field operations associate managing customer inventory and onsite services for Grainger, a broad-line MRO products distributor. Traveling across Saskatchewan customer sites and supporting account growth.
Manager, Senior Manager – Strategy & Operations
Strategy and operations manager solving high-priority business problems for Intellect, a global mental health benefits company. Owning implementation, operating capabilities and growth initiatives across regional markets.
Fractional Head of Growth & Operations
Fractional growth leader scaling BE THAT LAWYER’s legal coaching and training brand. Growing its community, lead pipeline, partnerships, CRM, and marketing operations.
Senior Analyst, Commercial Operations
Commercial operations analyst optimizing pricing, rebates, master data, and analytics. Supporting Clearwater Paper’s North American paperboard packaging business through data-driven commercial strategy.
E-Commerce Systems & Operations Manager – Part-time
E-Commerce Systems & Operations Manager running Shopify, Unleashed, and connected platforms. Supporting an Australian sports nutrition brand’s consumer, wholesale, and ambassador-led growth.
Senior Director, Practice Operations – Mental Health
Senior Director leading Teladoc Health’s US virtual Mental Health practice operations. Managing teams, care delivery, patient experience, strategic growth, and financial performance.
Client Solutions Operations Specialist
Client Solutions Operations Specialist supporting TubeScience’s paid social growth engine. Preparing executive-ready materials and coordinating cross-functional execution for DTC and Fortune 500 clients.
Offboard Operations Expert
Offboard Operations Expert guiding Oyster’s global employment platform customers through sensitive individual and bulk offboardings. Coordinating HR, legal, finance, and product partners across the Americas.
VP of Operations
VP of Operations scaling Kinect Solar’s renewable-energy logistics and distribution business. Leading warehouses, freight, project delivery, KPIs, and operating systems for growth.
Equipment Finance Operations Manager
Equipment Finance Operations Manager overseeing complex commercial loan documentation, title processing, and transaction closings. Leading associates and improving funding operations at Prosperity Bank.
Equipment Finance Operations Manager
Managing complex Equipment Finance loan documentation, closings, titling, and funding risk for Prosperity Bank. Leading associates while improving operational efficiency and compliance.
Director, Global GTM Strategy – Operations
GTM strategy director leading global planning, territories, quotas, and revenue operations. Guiding executive alignment across Sales, Customer Success, and Marketing at collaborative work management company Wrike.
Working Student – Logistics Support, Port Operations Manager
Working student supporting reports, KPIs, ERP data, and shipment monitoring for Nordex’s onshore wind turbine business. Coordinating logistics stakeholders and process documentation.
Operations Manager – Law Firm
Operations Manager building scalable SOPs, workflows, and training systems for a remote law firm. Improving process consistency, staff implementation, and operational efficiency.
Business Insights and Operations Analyst
Business Insights & Operations Analyst supporting WPT Global’s online poker platform. Turning data requests, campaign results, and player behaviour into actionable insights.
Operations Associate
Operations Associate managing vendor, logistics, and returns operations for Rare Carat, the U.S. diamond marketplace. Coordinating shipments and customer support from Sri Lanka.
Grant Operations Administrator
Grant operations administrator advancing nonprofit funding applications at Goodstack. Managing calendars, portal submissions, supporting documents, and final application quality assurance.
Residential Solar Operations Intern – Summer 2027
Residential solar operations intern supporting IGS Energy’s renewable energy business. Improving operational processes through data analysis, documentation, auditing, and cross-functional collaboration.
IAM Operations Analyst I
IAM Operations Analyst supporting identity and access systems for Finance of America, a reverse mortgage provider. Managing user provisioning, onboarding, offboarding, access reviews, and troubleshooting.