Job Description

A bit about this role:

Reports to the Senior Manager, Practice Operations. The Senior Associate, Operations will oversee day to day activities and support healthcare operations by overseeing policy adherence, process improvement, and claims management. Responsibilities include monitoring key metrics, analyzing trends, leading cross-functional projects, and developing training and documentation. The role also provides billing and denial management support while collaborating with clinical staff and leadership to ensure compliance and efficiency.

Your Responsibilities and Impact will include:

Policy Operations Oversight & Management

• Partner with Sr Mgr, Practice Operations to monitor, report and own key metrics in the Policy Adherence space

• Analyze operational and compliance trends, prepare routine reports and make recommendations for improvements

• Oversee the verification and maintenance of policies, procedures and knowledge base resources
  

Process Improvement & Special Projects

• Identify workflow inefficiencies and recommend process solutions to improve effectiveness across teams

• Lead small-to-medium cross-functional projects, such as reducing denial rates or improving documentation workflows

• Support other organizational priorities by coordinating and executing other special projects

Training & Documentation

• Develop and maintain training guides, SOPs, or quick reference materials for operational workflows.

• Collaborate on the design and delivery of annual compliance training for clinical staff

Claims & Billing Support

• Review claim submissions, including cases involving addendums or other documentation updates.

• Conduct regular reviews of all claim denials; track trends and share actionable insights with leadership on a monthly basis

• Ensure timely review and resolution of denied or adjusted claims within 30 days

• Provide training on billing processes, telehealth service requirements, and denial management.

• Support billing needs for new clinical programs
  

Required skills and experience:

• 2+ years of professional experience, at least 1 year in a healthcare administrative, healthcare compliance or billing support role.

• Familiarity with EHR systems and reviewing documentation for accuracy.

• Excellent communication skills, especially across departments and with clinical professionals.

• Familiarity with Medicare Advantage requirements

• Strong working knowledge of claims processes and billing requirements for various provider types (NP, MD, RN).

• Attention to detail, and ability to work on multiple projects at a time.

Desired skills and experience:

• Interest in and/or experience with basic data analysis (e.g., Excel/Sheets formulas, pivot tables, or SQL).

• Ability to generate and interpret reports in tools like Looker or similar BI platforms.

• Curiosity about technology in healthcare, including tools like large language models (LLMs), LLM Copilots, and other workflow automation.

• Strong experience using Google Workspace (Docs, Sheets, Drive, Gmail, Calendar, Meets); comfort learning new tools and systems.

Salary range: $70,000 - $100,000

Our ranges are purposefully broad to allow for growth within the role over time. 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 may 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.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

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. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

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.