Membership Operations Associate
Job Description
A bit about this role:
The Membership Operations team makes sure that every Devoted member's enrollment, billing, and payment information is accurate from the day they join us. We work closely with CMS, state Medicaid agencies, and partners across the company to keep member data clean and reconciled across our national Medicare Advantage plan.
As an Associate on this team, you'll own day-to-day operational work across enrollment, billing, and Medicare/Medicaid reconciliation, exercising your own judgment within established procedures to hit clear accuracy and timeliness goals. You'll report to a Manager or Senior Manager of Membership Operations.
Your Responsibilities and Impact will include:
Performing day-to-day operational tasks related to enrollment, billing, and reconciliation of Medicare and Medicaid member data and payments
Making independent decisions on standard operational activities, drawing on established procedures and your own professional experience
Identifying discrepancies in member data and payments, resolving what you can, and escalating issues to management when needed
Applying analytical skills to safeguard data integrity and payment accuracy across the membership lifecycle
Maintaining accurate, audit-ready documentation of the work you perform to support CMS and organizational compliance requirements
Spotting opportunities to improve workflows and processes within operational guidelines, and bringing those ideas to your team
Exploring how AI and large language model (LLM) tools could support work like data review, exception identification, and pattern detection, and sharing what you learn with the team
Collaborating with teammates and cross-functional partners, soliciting feedback, and contributing practical insights in team meetings and process improvement initiatives
Staying current on operational knowledge, internal systems, and CMS and state regulatory requirements
.
Required skills and experience:
1-3 years of experience in healthcare operations, Medicare Advantage, enrollment, billing, or data reconciliation
Strong attention to detail and a track record of accuracy in high-volume, data-driven work
Demonstrated ability to work independently, prioritize, and meet deadlines with limited oversight
Strong problem-solving and analytical skills, including the ability to investigate discrepancies in data or payments
Clear written and verbal communication skills, with the ability to collaborate across teams and functions
Curiosity about AI/LLM tools and genuine interest in applying them to operational processes
Desired skills and experience:
Bachelor's degree in Business, Healthcare Administration, Data Analytics, or a related field
Working knowledge of Medicare/Medicaid operations and CMS systems
#LI-Remote
Salary Range: $23.00-$34.00 /hr
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. 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 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.
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.
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.