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!

Job Description

A bit about the Risk Adjustment Department:

At Devoted, we see risk adjustment as taking care of members like family by funding better care & better benefits through the complete and accurate documentation of members’ true conditions.

Our Risk Adjustment Department involves close partnership between five functional areas including:

• Coding Quality (QA and Coding Guidelines)

• Retrospective Coding Program (Internal and Vendors)

• Data Submissions

• Prospective Program

• Program Integrity (Audit)

The Risk Adjustment Coding Quality Senior Associate role is a new addition to Devoted’s Risk Adjustment Department and reflects an expanded investment in Quality Assurance and Coding oversight to ensure we operate as a paragon of hyper compliance as we rapidly grow and drive improved outcomes for our members.

This role reports to the Director of Coding Quality and will be responsible for driving operational rigor across the Coding Quality vertical, which monitors and continually improves the quality of Devoted coding practices. This role will support project-based work and long term operational processes with a primary focus on building and maintaining processes that are consistent, repeatable, well-documented, and hyper-compliant.

Your Responsibilities and Impact will include:

• Developing true subject matter expertise in risk adjustment while understanding and adhering to all applicable regulatory and statutory requirements

• Provide project coordination for the Quality vertical and Coding Steering Committee; ensure relevant stakeholders understand and meet desired schedule and deliverables

• Develop, implement and continually improve processes for monitoring QA workflows; support technology improvements in department processes by testing technology improvements, providing feedback, and making suggestions.

• Working cross functionally and facilitating collaboration with stakeholders within the Risk Adjustment Department and across the organization; facilitate conversations and decision-making to identify and execute on opportunities that improve current coding policies and procedures

• Drive operational monitoring and improvements for onshore and offshore QA teams

• Facilitate education, business planning, and project meetings;

• Prepare reporting or assist in the preparation of documents as required by the department while handling data in accordance with data privacy and protection requirements.

Required skills and experience:

• Bachelor’s degree

• 3 plus years of project coordination and operations experience

• Tech-savvy and comfortable working in various products/tools and with lots of data - proficient with Google Applications (Docs, Sheets, Gmail, Drive, etc.), Slack, and web-based meeting applications (e.g., Zoom).

• Strong organizational, writing, and communication skills

• Detail-oriented. You value quality and accuracy.

Desired skills and experience:

• Experience with Medicare Advantage, risk adjustment, healthcare regulations

• Ability to work in a fast-paced, start-up culture with a bias toward action

• Healthcare experience a plus, particularly if you have experience with provider data

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Salary Range: $57,000 - $120,000 / year

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. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.

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.

The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity).

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.