Devoted Health
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The Compliance Manager will lead a team of analysts to address Medicare beneficiary complaints and issues related to fraud, waste, and abuse. Responsibilities include conducting investigations, managing complaints and corrective actions, monitoring compliance metrics, and presenting findings to management. The role involves ensuring adherence to regulatory standards and supporting internal audits and policy development.
The Provider Payment Performance Senior Manager oversees provider payment rate management and denial accuracy within the health plan. Key responsibilities include monitoring performance, identifying denial causes, and developing actionable recommendations to enhance payment accuracy and provider performance.
The Community Outreach Specialist at Devoted Health is responsible for building relationships with community influencers, assisting with marketing strategies, delivering Medicare educational presentations, and collaborating to enhance community engagement. This role requires strong communication skills, a customer service orientation, and a passion for improving healthcare access for seniors.
The Network Specialist will analyze provider demographic information, financial data, and quality reports, assist in preparing for monthly meetings, evaluate participation requests, and conduct audits to identify process improvements. Strong organizational skills and the ability to work independently are essential.
The Provider Network Manager at Devoted Health will be responsible for the development and management of provider networks, negotiating and amending contracts, maintaining relationships with providers, and supporting the overall Network Team to improve quality care for members. Success in this role involves strong business acumen, negotiation skills, and the ability to analyze healthcare performance metrics.
As a Support Engineer, you'll provide technical assistance for hardware, software, and network issues. Responsibilities include user support, ticket management, account onboarding, and hardware installation. You'll enhance the tech experience for diverse users while improving support processes and customer satisfaction.
As a Senior Compliance Analyst at Devoted Health, you will oversee compliance audits, track issues, implement corrective actions, and collaborate with various operational teams to ensure adherence to regulatory guidelines. This role requires a strong ability to analyze data and communicate effectively with stakeholders.
The Renal Social Work Case Manager will support the Chronic Kidney Disease Program by addressing the psychosocial needs of patients, advising on treatment implications, helping navigate healthcare systems, educating patients about kidney disease, and connecting them to community resources. This role will be crucial in the development of a new program focused on virtual care and improving access to high-quality kidney care.
The Nephrologist will lead clinical efforts in a virtual Chronic Kidney Disease Clinic, providing direct patient care, supervising staff, and supporting nephrology care models focused on quality outcomes for CKD patients. Responsibilities include managing medication, electrolytes, and patient-centered planning, while collaborating with an interdisciplinary team.