Jobs at Devoted Health

The Senior Treasury Manager leads cash management, liquidity forecasting, international and multi-currency banking, debt and covenant compliance, capital flows, investments, treasury controls, audits, and policy administration. The role owns Kyriba, manages banking and payments relationships, supports regulated and commercial entities, and partners across Finance, Legal, Tax, Accounting, Compliance, and clinical organizations. Initially an individual contributor, this position may develop and manage a team as the treasury function expands.

Process bi-weekly, full-cycle payroll in Workday; manage multi-state tax compliance, garnishments, adjustments, off-cycle payments, and payroll reporting. Reconcile salary and benefit expenses, maintain payroll data integrity, validate timesheets and employee changes, support audits, establish tax jurisdictions, answer employee questions, and train offshore payroll team members.

Manage provider performance across cost, quality, access, and network metrics in the New Jersey market. Analyze performance data, identify root causes, develop improvement plans, lead provider reviews, build accountability, support contract negotiations, and align provider incentives with value-based and risk-based models. The role requires strong managed care knowledge, provider relationship management, analytical ability, and 30–40% travel within the assigned market. Candidates must be located in Georgia.

Owns end-to-end CMS healthcare data and medical record submissions, including file preparation, validation, quality assurance, portal uploads, issue triage, tracking, and compliance documentation. Coordinates submission work, partners with IT and technical teams to resolve system issues, manages secure file transfers, reports metrics and error trends, and maintains standard operating procedures. Supports CMS RADV and Part C improper payment audits while ensuring accurate, timely, and compliant submissions.

Own pharmacy benefits strategy for a commercial book of business, including PBM relationships, contracting, audits, trend analytics, savings initiatives, formulary and utilization management, specialty-drug strategy, and implementations. Lead cross-functional coordination with Finance, Legal, Clinical, Data, vendors, and clients. Oversee ERISA fiduciary processes, CAA/RxDC transparency compliance, member experience, forecasting, and reconciliation of projected versus realized savings.

Lead Devoted Health’s multi-year interoperability strategy, regulatory compliance, data exchange operations, telephony, vendor partnerships, and external relationships. Build and scale cross-functional teams spanning clinical, operations, engineering, data, legal, and compliance. Drive FHIR/API-based initiatives, health information exchange, and EHR, clinical, claims, and pharmacy integrations while translating complex standards and regulations into executive decisions and measurable improvements in care quality, operational efficiency, and data reliability.

Conduct utilization reviews for inpatient, behavioral health, and post-acute services, evaluating medical necessity, level of care, treatment plans, and length of stay under CMS and Medicare Advantage requirements. Review medical records, document determinations, escalate cases to Medical Directors, prepare clinical summaries, coordinate peer-to-peer discussions, and support authorization decisions and regulatory compliance.

Conduct outpatient utilization reviews and prior authorization determinations using medical necessity criteria, CMS and Medicare Advantage requirements, and health plan policies. Review procedures, imaging, therapy, DME, and home health requests; recommend appropriate care settings; escalate cases for physician review; communicate with providers; meet turnaround standards; maintain compliant documentation; and identify quality or risk issues.

Coordinates utilization management workflows, including intake, prior authorization setup, case creation, documentation, provider and member communication, medical record retrieval, and peer-to-peer scheduling. Supports inpatient census validation, discharge planning, transitional care follow-up, case tracking, reporting, and operational administration. The role requires accurate multitasking in a regulated, high-volume healthcare environment while supporting clinical teams and authorization decisions.

Lead end-to-end operational and financial audits, including risk assessment, planning, testing, documentation, issue development, and reporting. Review audit workpapers, coach internal and co-sourced auditors, support QAIP readiness, contribute to the annual audit plan, and build stakeholder relationships. Apply data analytics, AI, and agile techniques to improve audit quality and efficiency while ensuring compliance with IIA standards and internal methodology.

Leads end-to-end change readiness for Guide-facing operational transformations, including deployment, adoption, feedback, milestone readiness, training, communications, and post-launch monitoring. Builds repeatable tooling such as playbooks, readiness trackers, dashboards, and change calendars. Partners with Product and Technology to shape releases, pilots, and launch criteria while managing cross-team dependencies and downstream impacts on staffing, quality, scorecards, and training. Uses AI to synthesize feedback and develop communications, training, and lightweight tools.

Provides direct patient care through pharmacist consultations, chronic disease education, medication therapy management, drug therapy issue resolution, and pharmacy quality programs. Collaborates with providers and interdisciplinary teams, supports benefits navigation, participates in on-call rotations, mentors team members, contributes to pharmacy model development, and uses AI-enabled clinical tools. Requires fluent Spanish, multi-state pharmacist licensure, and at least three years of clinical experience.

Provides pharmacist-led clinical care through chronic disease management, medication therapy management, patient education, therapy-gap resolution, and pharmacy quality programs. Collaborates with patients, providers, and interdisciplinary teams; supports benefits navigation, practice operations, urgent on-call needs, team mentoring, and AI-enabled documentation and drug therapy identification. Requires multilingual Cantonese/Mandarin fluency, direct patient-care experience, and licensure across multiple states.

Provides pharmacist-led chronic disease management, medication therapy management, patient education, and drug therapy optimization. Conducts comprehensive medication reviews, resolves therapy issues, addresses quality-care gaps, and collaborates with patients, providers, and interdisciplinary teams. Supports pharmacy practice operations, urgent on-call needs, clinical model development, staff mentoring, AI-enabled documentation tools, and obtaining additional state licenses.

Manage provider performance across New Jersey by analyzing cost, quality, access, and network data; developing improvement plans; leading provider reviews; building provider relationships; supporting contract strategy; and partnering cross-functionally to improve network outcomes. The role requires managed care and provider network expertise, value-based payment knowledge, strong analytical and influencing skills, and approximately 30–40% travel within the assigned market.

Identify, engage, and contract healthcare providers to build and maintain a Medicare Advantage network within a geographic region. Manage outreach, negotiate and execute standard agreements, track documentation and workflows, collaborate with Legal, Credentialing, Finance and Market teams, use data to support negotiations, and drive process improvements to meet network adequacy and growth goals.

Supervise mid-level providers in Ohio to meet state supervision requirements. Ensure delivery of evidence-based clinical care and maintain an active medical license.

Lead and execute end-to-end provider network contracting across Commercial and Medicare Advantage lines. Close complex negotiations with physician groups and ancillary providers, optimize fee schedules and pricing, and operationalize agreements with Provider Ops, Claims, and Credentialing. Build and mentor a high-performing contracting team, standardize playbooks, and leverage AI-assisted tools and data visualization to accelerate deal execution and reporting. Collaborate cross-functionally with Actuarial, Underwriting, Product, and Sales to support market expansion and competitive pricing.

Lead cross-functional initiatives for agency onboarding, compliance analysis, and partnership enhancements. Scope, plan, and drive projects to implementation using JIRA and Looker, design scalable processes, manage risks and reporting, and support relationship management for top agency partners while ensuring compliance and operational efficiency.

Provide technical support for employees across ChromeOS and MacOS; administer and maintain core SaaS tools (Google Workspace, Jamf, Slack, Atlassian); maintain in-office AV, networking, and peripherals; triage and resolve helpdesk tickets, improve IT processes, document knowledge base articles, and collaborate with cross-functional teams to keep the digital workplace secure and user-friendly.