Scan your resume against ATS criteria for this Sr. Manager Provider Operations role at Devoted.
The Provider Operations team is responsible for delivering tight operations, meaningful data and analytics, user-friendly tools and content, and shared best practices across markets. Foundational to this strategy is our ability to be an engine of accurate provider data, which is inherently complex, messy, and ever-changing. Accurate and accessible provider data allows us to better serve our members and providers, reduces our administrative cost and burden, and keeps us compliant with a growing set of federal and state directory requirements.
This role owns provider data and directory accuracy end to end — from the validation and verification work that keeps our records current, to the compliance posture that makes our directory defensible in front of CMS, to the strategic question of how we turn the directory into a tool that actively navigates members to high quality, accessible care. The Sr. Manager will lead a hybrid and offshore team and is expected to grow that team as we scale. We’re looking for a leader who is equally comfortable in a regulation, a data set, and a room full of cross-functional stakeholders.
Own provider data accuracy end to end — validation, verification, exception handling, and remediation across roster intake, credentialing, and downstream publication to our member-facing directory
Serve as the accountable owner for provider directory compliance, including CMS Medicare Advantage directory accuracy and verification requirements, directory obligations. Maintain audit-ready documentation and lead our response to regulatory inquiries and audits
Lead, manage, and grow a hybrid and offshore team — hiring,, training, quality assurance, capacity planning, and performance management — building the structure and documentation that let the team scale without a linear increase in headcount
Operate and improve our signal-driven accuracy infrastructure, using scoring and prioritized verification queues to focus outreach where the risk to members and to compliance is highest
Define, instrument, and report the metrics and SLAs for provider data accuracy; deliver clear, credible reporting to executive stakeholders and translate results into a prioritized roadmap
Shape directory strategy — partner with product, engineering, and network leaders to evolve the directory from a compliance artifact into a care navigation tool that helps members find high quality, accessible providers
Support care navigation initiatives by ensuring the underlying data that drives steerage decisions is accurate and complete, including specialty, panel status, accepting-new-patient indicators, location, and PCP assignment
Partner with product and engineering to automate manual validation work, and evaluate and manage vendor relationships supporting provider data and directory accuracy
Bachelor’s degree and a minimum of 6 years of relevant experience, including at least 2 years directly managing a team
Experience at a health plan or in healthcare operations, with hands-on ownership of provider data, provider directory, credentialing, or network operations
Working knowledge of the regulatory environment governing provider directories — CMS Medicare Advantage directory and network adequacy requirements, and comfort reading and operationalizing regulatory guidance
Proficient in analyzing data sets to generate insights and turn those insights into action
Demonstrated success building repeatable operational processes with measurable quality outcomes, including QA frameworks and documented workflows
Strong communication skills to facilitate collaboration and influence stakeholders across compliance, network, product, and engineering
Exceptional organizational skills, adept at prioritizing tasks effectively to consistently meet deadlines
Experience managing or scaling offshore and/or vendor delivery teams
Experience applying AI and automation to reduce manual operational work
Experience leading or supporting a regulatory audit or corrective action plan
SQL or equivalent ability to query and validate provider data directly
Thrives in a fast paced, metrics driven environment and is comfortable with ambiguity
#LI-Remote
Salary Range:
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. 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 will 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
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. Intern and Contract positions are not eligible.
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
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.
dental and vision plan with low or no premium
How to apply for Sr. Manager Provider Operations at Devoted?
Click the "Apply on Company Website" button on this page to submit your application directly on the employer's official portal.
What is the salary for this role?
The salary for this role is $110,500-$151 per annum.
What experience is required?
6+ years of experience is required.
Is this position still open?
Yes, currently active and accepting applications.
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