Jobs at Devoted Health

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.

Lead and optimize Utilization Management by translating regulatory guidance into compliant workflows, driving process and technology improvements, managing cross-functional stakeholders and vendors, and using data and AI-enabled tools to improve decision accuracy and operational efficiency.

Investigate complex claims issues end-to-end, perform root cause analysis, identify systemic trends, partner cross-functionally to implement durable process improvements, document decision frameworks, use data to validate impact, and explore AI/LLM-driven automation to improve investigation quality and efficiency.

Support SIU fraud detection by analyzing large healthcare claims datasets, triaging referrals, preparing investigative reports, coordinating with internal teams, managing CMS fraud reports, conducting QA of case files, and developing education and mitigation strategies for fraud, waste, and abuse.

Lead and conduct complex healthcare fraud, waste, and abuse investigations across Medicare/Medicaid. Use data mining, AI tools, and investigative resources to detect anomalies, document findings, refer to agencies, educate providers, and collaborate with internal and external stakeholders to recover funds and improve FWA policies.

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 development of AI-driven quality monitoring and coaching systems for frontline voice and chat agents. Embed with teams to define performance, build evaluation and visualization tools, scale reusable frameworks, and manage a small team of operators and agent builders to drive measurable improvements in member experience and safety.

The Bilingual Clinical Guide in Cardiology provides virtual care and guidance to heart failure patients, collaborating with a multidisciplinary team to create personalized care plans.

The Clinical Guide in Cardiology provides virtual support and guidance to heart failure patients, focusing on health coaching, medication optimization, and patient care planning, while collaborating with healthcare teams.

Lead payment integrity strategy and serve as clinical/coding SME for audits, disputes, and provider escalations. Drive root-cause analysis, refine coding logic and policy, develop internal and provider-facing guidance, and align cross-functionally with Compliance and Network teams to ensure accurate, defensible claim payment practices.

As a Telesales Supervisor, you will lead and develop a team of licensed agents, focus on training, performance metrics, and compliance, while managing operations across multiple time zones.

The Corporate Finance Associate will evaluate and execute capital raising transactions, manage investor relations, build financial models, and develop reporting for management and the board.

The Provider Network Manager is responsible for developing and managing a provider network, negotiating contracts, and supporting quality initiatives to enhance healthcare performance and member outcomes.

The Principal Software Engineer will build product features, design solutions for members, and improve the technology platform collaboratively with the team.

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.

Supervise mid-level providers to meet Georgia's requirements, conduct quarterly meetings, ensure evidence-based clinical care, and maintain a valid medical license.

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

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.

The Senior Accountant will oversee cash activities, month-end close operations, conduct audits, and maintain financial reporting integrity while leveraging AI tools for efficiency.