Jobs at Devoted Health

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.

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

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

The Business Applications Manager will oversee the financial tech stack, focusing on NetSuite administration, internal controls, and process improvements while managing projects and cross-functional communication.

The Senior Manager of Content Strategy and Operations will oversee strategic content creation, operational excellence, and omnichannel engagement using advanced MarTech solutions and AI-driven tools, ensuring effective implementation and continuous optimization of member journeys.

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

The Senior Internal Controls Analyst will optimize internal controls over financial reporting, assist in risk assessments, and collaborate with business partners on control practices and AI implementation.

As a Principal Data Scientist, you'll drive data-driven strategies across Growth and Membership Operations, integrating AI tools and managing complex data systems to enhance operational performance.

The Sr. Manager, Claims Operations is responsible for optimizing claims processes, improving payment accuracy, and leading cross-functional teams to implement AI-driven solutions and operational strategies.