Devoted Studios
Risk Adjustment Program Manager
Remote USA, USA · Director · Full-time
Sponsorship not specified$73k-$125kDetected 62 days ago
LLMsAuditingProcess ImprovementPatient CareLeadershipCommunicationCollaborationInternal Audit
About the role
- Serve as a versatile operational resource, pivoting across workstreams (Retrieval, Evaluation, Submission) to address shifting priorities and volume during the audit cycle
- Communicate updates, risks, and recommendations clearly to cross-functional stakeholders
Responsibilities
- Support the Associate Director in managing the day-to-day operations of the External Audit Program, ensuring all workstreams are aligned with program goals and regulatory timelines.
- Partner closely with workstream leads to identify opportunities for process improvement and implement changes that enhance scalability, transparency, and quality
- Support the Associate Director in building out AI-native monitoring of program-wide KPIs that support regular operational updates and reporting to leadership
- Support special projects that require structured thinking, thoroughness, and cross-team collaboration
Requirements
- 4+ years experience managing processes with tight turnaround times.
- You have a high attention to detail and a reputation for following through
- Ability to pull and analyze data using database query tools and appetite to use emerging AI technology to form independent insights and identify trends.
Skills
- Strong communication skills, both written and verbal. You convey information clearly, proactively, and without ambiguity
- Curiosity and comfort experimenting with AI (including LLMs) or other emerging tools
- Experience in healthcare operations, operations, or quality assurance
Compensation
- $73,000 - $125,000 / year
- 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.
- 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.
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; Commission eligibility for Sales roles
- Parental leave program
- Our Total Rewards package includes:
- Our total rewards package is for full time employees only.
- Healthcare equality is at the center of Devoted's mission to treat our members like family.
- At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family.
Equal opportunity
- Devoted is an equal opportunity employer.
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This listing is sourced directly from Devoted Studios's careers page and normalized into a canonical job model.