Jobs at Devoted Health

The role involves supervising APRNs in Mississippi, ensuring compliance with state requirements, and participating in board meetings. Must maintain an active medical license and practice in Mississippi.

The Collaborating Physician Contractor supervises mid-level providers in Alabama, ensuring they meet supervision requirements and maintain clinical care quality. Responsibilities include in-person quarterly meetings and compliance with evidence-based guidelines.

Design and manage the full lifecycle of payment integrity edits and audits, converting CMS, AMA/CPT, and coding regulations into rule logic. Validate hypotheses using data queries, author technical specifications, optimize post-release performance, adopt LLM/AI workflows, map regulatory policy, and coordinate cross-functionally to ensure defensible, efficient claims processing.

Support daily cash management and liquidity across corporate and regulatory entities by processing ACH files, wire transfers, and bank reporting. Reconcile daily bank reports, assist monthly close and audit preparation, maintain treasury documentation, and recommend banking services and controls. Participate in strategic projects and automate treasury processes using AI tools.

Lead clinical pharmacy strategy and execution for Medicare Advantage and Part D Stars measures. Own performance forecasting, measure readiness, regulatory interpretation, cross-functional vendor collaboration (including PBM), and implementation of interventions to drive 5-Star outcomes. Build trackers, set OKRs, audit outreach effectiveness, and represent pharmacy quality in executive forums.

Part-time collaborating physician responsible for supervising APRNs to meet Georgia supervision requirements, ensuring evidence-based clinical care, attending quarterly meetings (virtual or in-person), reviewing charts provided monthly, and maintaining an active Georgia medical license. Flexible schedule and professional liability insurance provided.

Provide part-time collaborating physician supervision for APRNs in South Carolina, ensuring evidence-based clinical care, monthly chart review, and biannual meetings. Maintain an active South Carolina medical license and professional liability coverage; support Devoted’s clinical standards and documentation.

The Senior Manager, AI Performance & Operations is responsible for the performance and improvement of AI workflows, incident response, designing evaluation systems, and stakeholder communication.

Provide telephonic and virtual social work case management for high‑needs patients: assess social determinants, develop personalized care plans, coordinate community and clinical resources, support caregivers, facilitate advanced care and palliative/hospice planning, and collaborate with an interdisciplinary team to improve outcomes.

The Director of Provider Performance will oversee performance strategies for providers, improve cost, quality, and access, and lead a team to achieve enterprise initiatives while managing executive relationships.

The Clinical Pharmacist will provide patient-centered care, manage chronic conditions, and conduct medication therapy management while collaborating with healthcare teams.

Provide part-time collaborating physician supervision for Colorado-based physician assistants, ensure evidence-based clinical care, attend annual in-person meetings, review monthly charts, and maintain an active Colorado medical license.

Lead regulatory compliance activities for Medicare Advantage operations: track and implement regulatory communications, support audits and reporting, perform exclusion screening and entity management, analyze metrics and APCD data, prepare board materials, and support AI initiatives and cross-functional compliance requests to ensure adherence to federal and state requirements.

Manage day-to-day operations of Utilization Management Coordinators to ensure timely prior authorization processing, triage, documentation, and clinical review coordination. Lead and coach staff, monitor performance and compliance with Medicare Advantage and CMS requirements, own AI/LLM-enabled UM workflows and quality metrics, and collaborate cross-functionally to meet SLAs and improve operational efficiency.

Analyze provider demographics, claims payment and performance data to identify gaps and root causes. Support provider onboarding, conduct audits across provider systems, prepare monthly performance meeting materials, engage with providers to resolve issues, and partner with performance managers to implement process improvements and reporting.

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.

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.

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