We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being. 

Make a difference... a big difference. You will have the opportunity, in a unique and dynamic culture, to be a part of something incredibly meaningful. We’re a disruptive startup with an inspiring mission. Learn and grow alongside our world-class team of healthcare, technology, and data leaders, dedicated to building a health plan and clinical services that care for everyone like they were our own mothers or fathers. Our team and board members have decades of experience in health care entrepreneurship, data, technology, services, and policy. With their support, we look forward to building a health plan and clinical services that will give seniors easy access to the high-quality care they deserve.

A bit more about this role: 

At Devoted, we know that one of the most important ways we will build trust is by ensuring we can pay claims accurately and on time, while providing the strategic flexibility to change payment models. Our Payment Integrity Operations team is responsible for managing Claim audit and adjustment functions and driving projects to prevent repetitive errors.  Devoted is committed to building a team of people, effective processes and proprietary technology that delivers industry leading claims payment, accuracy and provider satisfaction. Devoted Health is building the core technology platform from the ground up.The business analyst will support the payment integrity team by evaluating trends and performing deep dives into root cause analysis of payment integrity programs. The ideal candidate retrieves, organizes and performs research/analysis on Medical Health Claim and audit data primarily to identify root cause and recommend and build technical and analytic solutions.  

Responsibilities include:

• Analyze claim payment errors and provider dispute data to identify root cause, drivers and indicators of emerging issues. 
• Communicate insights and partner with operational leaders to identify actions to improve payment accuracy
• Build queries and concepts in multiple audit work streams.to target audit activity and improve audit effectiveness
• Create and maintain documentation for processes, methodology and query logic.
• Contribute to system and process improvement projects.
• Perform other duties as assigned to support payment integrity functions

Attributes to success:

• Big heart: you love data, but you also see that caring for members like family means loving and serving each individual
• You will roll up your sleeves and do whatever it takes to get the job done
• Ability to work in a fast-paced start-up environment
• Strong attention to detail, organized and thorough with a desire for continuous process improvements
• Ability to balance multiple initiatives and prioritize workload
• Strong organizational, interpersonal, communication and presentation skills
• High level of self-motivation; ability to accomplish goals independently
• Passion to build an organization

Desired skills and experience:

• 2 years of related Healthcare claim payer experience 
• 2 years in roles that required analytical problem-solving and interpretation of data
• Strong analytical skills and fluency in SQL and/or Python
• Experience working directly with coworkers and clientele to identify business objectives and establish requirements
• Fast learner, can pick up new content quickly in an extremely fast-paced environment
• Comfortable using spreadsheets and other tools to build models to inform business decisions
• Proven organizational, communication, and informal leadership skills
• Self-starter and team player who can build relationships with a wide range of partners and approaches challenges with a can-do attitude

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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!  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.

COVID-19 Vaccination Requirement: Where permitted by applicable law, candidates must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered. The Company will provide reasonable accommodations to qualified employees with disabilities or for a sincerely held religious belief, practice, or observance.