Job Description MUST BE LOCATED IN GEORGIA A bit about the role…. This highly impactful role will analyze provider demographic information, financial data, quality reports, and special project data. A key responsibility is supporting the performance team in preparing for and executing monthly provider performance meetings, ensuring insights are actionable and aligned with performance goals. The ideal candidate brings a strong understanding of data analysis , claims payment processes, provider setup, and root cause analysis, with a clear focus on improving provider engagement. Success in this role requires the ability to work both independently and collaboratively, strong organizational discipline, and a results-driven mindset. Key Responsibilities and Impact Provider Performance Audits Conduct in-depth audits across provider performance systems, including Orinoco (demographics and fee schedules), online search tools, print directories, Looker reports, and claims payment processes. Evaluate data through a performance lens to identify gaps, inefficiencies, and root causes impacting provider performance. Deliver clear, actionable insights and partner with the performance team to implement improvements that enhance overall provider effectiveness. Field Performance Support and Issue Resolution Support Field Performance initiatives by engaging directly with providers to resolve provider-related issues. Ensure timely resolution and clear documentation. Provider Onboarding Manage the full contract lifecycle while maintaining a focus on onboarding high-performing providers and improving overall engagement. Performance Reporting and Operational Support (JOC) Partner with Performance Managers to prepare for monthly performance meetings by pulling data by leveraging AI-driven prompts with a strong emphasis on advanced AI tools and preparing slide decks and follow up items from previous meetings. Required Skills and Experience: A minimum of 3 years of healthcare experience, preferably in Medicare Advantage or similar environments 5 years of direct provider interaction experience Demonstrated ability to manage detailed, performance-driven work Proficiency in Google or MS Suite Workspace applications. Experience in claims research, provider setup, root cause analysis, and process improvement with a focus on provider engagement Strong written and oral communication skills Desired Skills and Experience Organized and detail oriented Ability to effectively manage competing priorities and ambiguity is essential Ability to gather, read, analyze, and interpret complex data and create accurate meaningful information for data reporting Ability to facilitate meetings, and make presentations before groups of management and staff. Additional Information Remote Role - must reside in (Georgia ) Travel - 10% - 15% travel to offices may be required. Salary range: $65,000 - $85,000 per 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. 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. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Elder Care
50 days ago
Utilization Management Medical Director Contractor
Devoted Health · Waltham Massachusetts Office, United States of America
Job Description Job Type: Part-time Contractor Required Skills and Experience: Broad state licensure coverage Medicare Utilization Management experience Comfort with learning and adapting to new technologies Willingness to obtain other state licenses Your Responsibilities will include: Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions. Participate in inter-rater reliability activities. Serves as a clinical resource and subject matter expert to both clinical and non-clinical staff throughout the Devoted Health Plan. Active participation in acute and post acute clinical rounds. Benefits include: Flexible schedule Fully remote work #LI-DS1 #LI-Remote 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. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Bio + Health
50 days ago
Advanced Practice Provider (NP or PA): Palliative Care
This position represents an amazing opportunity for an endocrinology or diabetes specialized nurse practitioner or physician assistant (APP) with a big heart and entrepreneurial spirit. Your primary focus will be delivering world class diabetes care to our members. In this role you will be working in a next generation virtual diabetes clinic that dramatically expands access to specialty care for America's most vulnerable seniors. You will also utilize and help improve our home-grown technology and electronic health information platform to carry out these visits. On a day-to-day basis you will work closely with our virtual speciality clinic team members at Devoted Medical including Certified Diabetes Care and Education Specialists (CDCES), physicians and other APPs, medical assistants, pharmacists and social workers. You will be a key member of our interprofessional team.
The diabetes clinic is one of several of Devoted's virtual specialty care programs that were designed as “micro centers of excellence” that deliver highly tailored, specialized care to patients with a specific chronic condition - e.g. diabetes, congestive heart failure, hypertension, etc.
Responsibilities will include:
Conduct focused and thorough assessments of patients with diabetes through virtual consultations including ordering advanced diagnostics, interpreting lab and imaging data, and developing a treatment plan in collaboration with the speciality care clinic team.
Formulate accurate diagnoses and develop individualized treatment plans for patients with diabetes, including medication management, lifestyle modifications, and monitoring recommendations.
Collaborate closely with other members of the care team including PCPs, endocrinologists, and other Devoted team members including pharmacy, clinical nursing, social work, certified diabetes educators, as well as interfacing with family members and caregivers to coordinate holistic care for the member, ensure continuity of care and deliver a collaborative care plan.
Serve as the clinical advisor and provide clinical escalation support for the speciality clinic staff and other teams during business hours.
Participate in regular panel review discussions to offer advice and provide guidance around medical management.
Perform comprehensive assessment including comprehensive diagnosis/disease review, medication review, and assessment for quality of care (STARS/HEDIS) interventions as well as social and home health/DME needs.
Utilize our home grown electronic health information system for visits while also providing feedback on how to improve the interface.
Maintain accurate and up-to-date patient records, ensuring compliance with relevant legal and ethical guidelines.
Participate in quality improvement initiatives and ongoing professional development to stay current on best practices and advancements in diabetes care.
Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations.
Attributes to success:
Skilled nurse practitioner or physician assistant with thorough understanding of Diabetes management including diseases process, treatment modalities, medication management and lifestyle modification.
You are experienced working on an interprofessional team and enjoy team-based care.
You have great clinical and non-clinical judgment.
You are thorough and take the time to address the needs of your patients.
You are deeply empathetic and humanistic, and want to go the last mile for your patients.
You enjoy a fast-paced, high-energy, organization. Agility and collaboration are key as we will change and improve quickly.
You welcome learning and using new technologies that are being developed in parallel. You thrive on knowing your work can help make these technologies better for you and your patients.
You learn from every experience and are not afraid to fail - that's how you're wired.
Finally and most importantly, you have a passion for making healthcare better, solving complex problems, and supporting the delivery of healthcare that we would want for our own family members.
Desired skills and experience:
APP with 5 or more years working in outpatient clinical practice ideally in an endocrinology or diabetes focused clinic.
Minimum of 2 years of experience concentrated in diabetes management and education required.
Proficiency in using telehealth technology and electronic health records (EHR).
Virtual care experience is preferred along with a strong desire to continue practicing clinical nursing and performing virtual visits - you believe in the mission of bringing care to where the patient lives.
An understanding of managed care is a plus, including how to appropriately assess STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps.
Proficiency in English (and ideally Spanish) required for this position.
Multi-state licensure is required in addition to a willingness to obtain, and maintain, additional licensure as requested.
Licensure and Certification:
Master's or Doctoral degree
An active and clear RN and APRN license, or PA licensure is required at time of hire and must be maintained while employed at Devoted Medical.
Active BLS is required at time of hire and must be maintained while employed at Devoted Medical.
Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K
Employer-sponsored health insurance and dental and vision plan with low or no premium
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.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Reporting to the Director of Internal Audit, the Technology Audit Senior Manager will help build and execute a modern, technology-focused internal audit function. This hands-on, player-coach role will be responsible for leading and performing end-to-end audits across cloud, cybersecurity, and AI-enabled environments, including planning, fieldwork, testing, workpapers, and reporting. You will help shape the information technology and information systems audit methodology, tools, and approach, defining how Internal Audit evaluates risk in a cloud-native and AI-driven organization. This role requires a builder mindset—someone who thrives in a fast-paced environment, uses data and AI to enhance audit quality, and continuously improves how audits are executed. If you are a high-performing U.S.-based technology audit professional who wants to build, execute, and influence modern assurance in a technology-centric healthcare organization, this role is for you.
Your Responsibilities and Impact will include:
Lead and/or execute end-to-end technology audits and special projects—from risk assessment and planning through fieldwork, testing, workpaper preparation, issue development, and reporting.
Serve as a hands-on contributor in audit execution and internal control testing while reviewing and guiding junior auditors where applicable.
Apply data analytics, AI, and agile techniques to improve audit efficiency, coverage, and insight quality.
Participate in the annual risk assessment to help define the audit plan, focusing on key technology, cybersecurity, cloud, and AI risks.
Build strong relationships with business, technology, and risk leaders to serve as a trusted advisor.
Ensure audit work complies with IIA Standards and departmental quality expectations.
Stay current on emerging technology risks, cybersecurity threats, AI developments, and audit best practices.
Required skills and experience:
Experience auditing cloud-native environments, including AWS/GCP, Infrastructure as Code (IaC), CI/CD pipelines, DevSecOps practices, and cybersecurity domains such as vulnerability management, identity and access management (IAM), incident response, and network security.
Experience evaluating AI governance, risks, and controls across generative AI, AI-enabled processes, and agentic systems as well as general IT controls.
Proven ability to independently execute end-to-end audits, including planning, testing, workpaper documentation, issue development, and reporting.
Strong communication and stakeholder management skills with ability to present findings to senior leadership.
Demonstrated ability to operate in a hands-on capacity in a lean environment while coaching and reviewing the work of others.
Desired skills and experience:
Hands-on experience using or building AI tools or agents.
Advanced degree in a related field; certifications such as CIA, CISA, CISSP, CPA, ISACA AAIA, or IAPP AIGP.
Experience in public accounting, consulting, or internal audit within healthcare organizations, including claims, electronic health records (EHR), care delivery, revenue cycle, or provider networks.
#LI-DS1 #LI-Remote
Salary Range: $110,000 - $160,000 / 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. 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.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Elder Care
59 days ago
Social Work Case Manager
Devoted Health · Waltham Massachusetts Office, United States of America
Job Description A bit about this role: Devoted Medical Group was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America’s most vulnerable patient populations. The Complex Care Department is at the heart of this goal: we are a highly collaborative, multidisciplinary team of physicians, nurse practitioners, case managers, social work case managers, community health workers, and outreach coordinators united by our mission to build a better care delivery system for Devoted’s most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions. As a Social Work Case Manager, you will support the care team in serving our patients and assist with care plans that promote patient well-being by coordinating services to address socioeconomic and psychosocial needs. This will involve supporting the development of care plans that align with community, clinical, and financial resources while providing coaching and support to patients and their caregivers. Additionally you will support the improvement of coping skills, self-management, and caregiver assistance; and facilitate advanced care planning discussions, including palliative or hospice care transitions when appropriate. You will examine, challenge, and seek to expand how the community environment supports the patient’ needs, and work closely with other members of the multidisciplinary team. Responsibilities will include: Establish trust and build strong relationships with our patients telephonically and virtually Interdisciplinary collaboration with the interdisciplinary team (including clinicians, case managers, community health workers, and coordinators) to ensure cohesive, patient-centered care for high-needs patients Engage with patients to identify social barriers to assist in resource alignment, & coordination services to maximize the effectiveness of the Complex Care Department: Conduct screenings and create personalized action plans tailored to patient’s needs Recognize caregivers who exhibit signs of burnout or are actively coordinating the patient's care, providing emotional support and additional resources when needed Assist in navigating complex family/support issues Facilitate conversations about end-of-life planning Collaborate with patients to identify their long-term care planning needs and goals. Provide information on available options and support in arranging referrals and coordinating necessary care Coordinate care between the Devoted Medical Behavioral Health Team and monitor outcomes Know how to balance multiple competing priorities for complex patients Build relationships and coordinate with key local market and internal stakeholders Attributes to success: You’re a caring problem solver who can break down barriers You connect with people quickly You can prioritize needs against multiple competing demands You follow up relentlessly You have comfort in the weeds of logistics A deep caring to make a change in the healthcare experience: you love to serve and make a difference The ability to adjust your tone and approach to different people You can articulate and break down complex information for an interdisciplinary team to be able to coalesce around a plan of care Are present, reliable and timely for our patients and the team The ability to work in a changing environment: which means moving quickly and being transparent in your work, what’s going well, what’s not Desired skills and experience: Ability to work in a fast-paced environment Embrace, crave and be comfortable with new and ever-changing technologies Have a minimum of 3 years working in medical social work, case management, or care coordination Master’s degree in social work and active state license Bilingual in Spanish preferred Health insurance experience preferred (Medicare Advantage a plus) Experience working with the senior population a plus You’ve had proven success in building relationships with patients and an interdisciplinary team The ability to comfortably multi task: you’ll be listening, talking, evaluating and writing notes all at the same time You’re a great team member with a can-do attitude; you’re self reflective Comfortable with working remotely 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. Salary range: $70,000 - $85,000 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. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Listed by Devoted Health for a position based in the United States. Employers on this board attest they are hiring domestically.
Select a role
The full posting opens here — pay, setting and the full description, without leaving the list.