Senior Manager, Audit and Program Operations

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:

As the Audit Program Senior Manager, you will be responsible for the successful delivery of audit production across simultaneous audit projects. You will play a key role in enabling the Risk Adjustment department to perform rigorous oversight over risk adjustment data. You’ll lead a team of risk adjustment auditors, manage production, and ensure quality outcomes. This role works closely with other operators and technical leads to align on process and project objectives and foster a culture of continuous improvement. This role blends strong leadership, effective communication, project management, and a proactive problem-solving mindset.

Your Responsibilities and Impact will include: 

• Manage a robust portfolio of audit projects from generation to results presentation

• Develop and write insightful reporting used to support risk assessment, provider education, vendor management, and audit strategy

• Work collaboratively with engineering, product, data, and other operational partners in cross-functional work groups to advance other initiatives as described by the annual work plan

• Serve as an expert on audit tooling and reporting

• Drive continuous innovation and improvement to ensure operational excellence

• Responsible for timely department maintenance of policies, procedures, and oversight monitoring

Required skills and experience: 

• Bachelor's Degree - or related work experience

•  6+ years of experience in leading project-based work, detecting and ameliorating bottlenecks, and addressing root causes to drive process improvements

• Ability to distill and communicate complex problems

• Strong problem-solving skills and adaptability in a fast-paced environment

• Curiosity to learn new skills, technologies, and subject matter

• Experience with leveraging analytics and critical thinking to digest complex quantitative information and produce rigorous insights

• Capacity for high throughput and working both autonomously and with others

• Build strong cross-functional relationships

Desired skills and experience: 

• Operational & People Leadership – Track record of leading high-volume healthcare audit programs, managing teams, and driving process improvements to ensure accuracy, compliance, and efficiency.

• Analytical & Technical Skills – Strong data analysis capabilities with SQL or similar tools to monitor audit performance, identify trends, and inform strategic decisions.

• Healthcare, Medicare & Risk Adjustment Expertise – Proven experience in Medicare Advantage operations, HCC coding/Risk Adjustment, and compliance with CMS, OIG, and HIPAA regulations a plus.

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Salary range: ​$105,000 - $160,000 /year

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

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.

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. 

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.