Senior Manager, Provider Operations
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Job Description
Sr. Manager leading provider data accuracy and directory compliance for Devoted Health’s healthcare platform. Scaling teams, automation, and care-navigation data operations for older Americans.
Responsibilities:
- Own provider data accuracy end to end across roster intake, credentialing, downstream publication, validation, verification, exception handling, and remediation
- Serve as accountable owner for provider directory compliance, including CMS Medicare Advantage requirements and online directory obligations
- Maintain audit-ready documentation and lead responses to regulatory inquiries and audits
- Lead, manage, and grow a hybrid onshore and offshore team, including hiring, onboarding, training, quality assurance, capacity planning, and performance management
- Improve signal-driven accuracy infrastructure using scoring and prioritized verification queues
- Define, instrument, and report provider data accuracy metrics and SLAs to executive stakeholders
- Shape directory strategy with product, engineering, and network leaders to support care navigation
- Ensure accurate and complete data for specialty, panel status, accepting-new-patient indicators, location, and PCP assignment
- Partner with product and engineering to automate manual validation work
- Evaluate and manage vendors supporting provider data and directory accuracy
Requirements:
- Bachelor’s degree
- Minimum of 6 years of relevant experience
- At least 2 years directly managing a team
- Experience at a health plan or in healthcare operations
- Hands-on ownership of provider data, provider directory, credentialing, or network operations
- Working knowledge of provider-directory regulations, including CMS Medicare Advantage directory and network adequacy requirements
- Proficiency analyzing data sets and translating insights into action
- Success building repeatable operational processes with measurable quality outcomes, including QA frameworks and documented workflows
- Strong communication skills for cross-functional collaboration and stakeholder influence
- Exceptional organizational skills and ability to prioritize tasks and consistently meet deadlines
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
- 401K program
- Parental leave program
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