Sales Ops Integrity Associate - Complaints & Investigations
Devoted Health
This job is no longer accepting applications
See open jobs at Devoted Health.See open jobs similar to "Sales Ops Integrity Associate - Complaints & Investigations" General Catalyst.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 this role
How do you scale a company while maintaining a tight operation and delighting members with best-in-class service and clinical outcomes? Come find out. At Devoted, we are thinking about Sales differently. We think about our Sales team as an extension of our core member experience and are looking for opportunities to differentiate from the very first interaction a potential member has with our company.
As a key member of our sales strategy and operations team, the associate will play a crucial role in supporting the compliance operations of a full multi-channel sales force, helping facilitate the build and maintenance of an effective compliance program. The success of our sales operations team will be a fundamental differentiator in our ability to meet key company growth goals over the next decade.
The ideal associate will demonstrate excellent attention to detail and will have a roll-up their sleeves mentality. You should be compliant oriented, ready to leverage Medicare guidelines and quick problem solving to make effective decisions. Additionally, you should be comfortable taking ownership of your piece of the business and have a desire to learn and take on more responsibility as you and your role evolves with Devoted.
Your Responsibilities and Impact will include:
Determine appropriate corrective action for agent investigations by following a progressive disciplinary standard model
Track completion of corrective action assigned and follow up with sales leaders as needed
Work with others in sales operations to conduct various agent monitoring and oversight activities
Escalate compliance trends and issues identified through regular course of work
Review marketing materials to ensure compliance with CMS and state compliance
Follow process related to internal/external compliance protocols
Support multiple projects and a variety of work streams simultaneously while facilitating input from a variety of key stakeholders
Perform ad-hoc analytics and modeling to better understand key parts of the business
Build and manage key business intelligence dashboards to evaluate ongoing KPIs and metrics
Aligning needs and deliverables across all levels of the organization and managing timely delivery of projects and assets related to goals and budget
Assists in responding to audits conducted by the compliance team.
Cross train within the department to be able to jump in where needed.
Exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques in a dynamic fast-paced environment
Required skills and experience:
Medicare Advantage sales, appeals/grievance, and/or compliance experience
3+ years in analytical, operational, or project management-type roles, SQL experience a plus
Fast learner, can pick up new content/industries quickly in an extremely fast-paced environment
Comfortable using Google Sheets and other tools to build reports and conduct analyses to provide ongoing recommendations for adjustments to plan
Self-starter and team player who can partner effectively with sales and engineering teams to define goals, launch, and optimize initiatives that drive a smooth, prospecting experience for potential members
Track record of success achieving measurable results
Previous Healthcare experience a plus
Desired skills and experience:
Comfort with confidential information and situations
Strong attention to detail, organized and thorough with a desire for continuous process improvements
Ability to balance multiple initiatives and prioritize workload
Ability to adapt to change quickly and strong ability to problem solve
Strong organizational, interpersonal, communication and presentation skills
High level of self-motivation; ability to accomplish goals independently
Perform any other job related duties as requested
Have a passion to build an organization
Salary range: $53,000 - $85,000
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.
This job is no longer accepting applications
See open jobs at Devoted Health.See open jobs similar to "Sales Ops Integrity Associate - Complaints & Investigations" General Catalyst.