Internal Operations Compliance Manager

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 more about this role: As the Internal Operations Compliance Manager for Devoted Health, you will be reporting directly to our Senior Compliance Manager responsible for oversight of internal areas such as Call Center, Enrollment, Appeals and Grievances, Utilization Management, and Claims.
This means having the chance to work across multiple operational areas, and gain valuable experience.
However, this Managerial position will have a primary focus on managing Utilization Management and Claims compliance and CMS program audit readiness activities.
In this role, you will work closely with various internal operational teams addressing compliance issues.
You will assist with audits, tracking potential compliance issues, and review operational compliance program effectiveness monitoring activities.
This role will have direct interaction with multiple operational areas, as a point of contact for regulatory questions and compliance feedback.
Responsibilities will include: Support business areas with remediation plans and audit readiness activities Develop and draft standard operating procedures, audit tools, policies, etc.
Participate in monthly meetings with internal Operational Teams regarding compliance and operational updates.
Review and manage monthly compliance monitoring activities.
Perform and assist the Sr.
Compliance Manager with internal audits, corrective actions, and root cause analysis projects.
Prepare audit reports by collecting, analyzing, and summarizing information.
Review HPMS memos and regulatory guidance for adherence to regulatory processes.
Review corrective action plans and track to closure.
Attributes to success: Maintains quality service by establishing and enforcing organization standards.
The ability to work independently and get the job done! Organizational skills with the ability to handle multiple tasks and/or projects Ability to meet strict deadlines Ability to build collaborative relationships throughout the organization Excellent communication and facilitation skills Transparent in your work, what’s going well, what’s not Adaptable to change as we always look to make things better Passionate about Medicare and the members we serve A great team member with a can-do attitude; you’re self-reflective Ability to Travel 10% (onsite meetings, audits, and conferences) Desired skills and experience: Minimum of 5 years of experience in Healthcare Healthcare Compliance or Operations background (preferably in Utilization Management or Claims) Audit experience Experience reviewing regulatory healthcare guidance Strong written and communication skills Medicare Advantage experience Experience working remotely 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.
If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.
If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you! #LI-Remote #LI-DS1 Salary Range: $80,000 - $110,000 annually 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.
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*Our total rewards package is for full time employees only.
Intern and Contract positions are not eligible.
The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.
g.
, location, specialty, years of relevant experience, education, credentials, budget and internal equity).
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.