Devoted Health
Devoted Health
Devoted Health este o companie de servicii medicale și asigurări de sănătate axată pe planurile Medicare Advantage. Ofertele sale combină acoperirea medicală cu beneficii suplimentare, precum îngrijirea dentară, ochelarii, abonamentele la săli de sport și medicamentele eliberate pe bază de rețetă. Compania pune, de asemenea, accent pe sprijinirea membrilor, ajutându-i să își înțeleagă acoperirea, să își gestioneze nevoile de sănătate și să acceseze serviciile disponibile. Activitatea Devoted Health acoperă domeniile asigurărilor de sănătate și bunăstării, cu accent pe facilitarea utilizării beneficiilor și pe sprijinirea nevoilor de sănătate și financiare ale membrilor.

Clinical Data Acquisition Manager at Devoted Health (Remote US)

Lead clinical data acquisition for Devoted Health’s older-member care by improving healthcare data exchange and usability. Manage integrations, data-gap analysis, vendor partnerships, interoperability initiatives, and performance measurement.

Descriere

  • Build expertise in clinical data needs—including medical records, lab results, ADT data, and usability requirements—across Devoted Health Plans and Devoted Medical.
  • Coordinate outcomes with external partners and internal teams such as Network Management, Risk Adjustment, Stars, Devoted Medical, and Payment Integrity.
  • Assess clinical data availability by geography to identify gaps, root causes, and opportunities to acquire additional data.
  • Create execution plans that expand clinical data coverage across markets and improve usability for stakeholder teams.
  • Deliver technical integrations with Health Information Exchanges, laboratories, Electronic Health Record systems, data aggregators, and other clinical data sources.
  • Maintain the quality of incoming clinical data.
  • Evaluate new frameworks, optimize connections, and manage vendor relationships to scale data exchange, improve quality, and reduce gaps.
  • Introduce AI-enabled processes and methodologies that keep clinical data consistently available and usable.
  • Establish, implement, and manage KPIs that measure program success.

Cerințe

  • At least five years of experience in healthcare, healthcare technology, data operations, and/or program management, with a record of leading complex initiatives or teams.
  • Working knowledge of healthcare IT systems and data exchange methods, including SFTP, RESTful APIs, HL7 v2, and XML.
  • Understanding of healthcare interoperability, including CMS interoperability requirements, FHIR, USCDI, TEFCA, and varied EHR systems.
  • Strong analytical and problem-solving abilities, including evaluating complex data, extracting insights, and converting findings into actionable plans.
  • Proficiency with SQL and Google Sheets or Excel for analysis and reporting.
  • Familiarity with AI-powered productivity tools.
  • Excellent written and verbal communication skills, with the ability to work across Operations, Network Management, Product, and Technology and build relationships with external partners and executive stakeholders.
  • Highly organized and results-focused, able to balance competing priorities, manage critical work independently, and complete projects in a fast-paced environment.

Beneficii

  • Employer-sponsored medical, dental, and vision coverage with low or no employee premiums.
  • Generous paid time off.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for roles below Director level.
  • Parental leave program.
  • 401(k) program.

Locuri de muncă similare

Deutsche Windtechnik

Site Coordinator, Wind Energy Operations

Deutsche Windtechnik

Coordinate project documents and maintenance reporting for Deutsche Windtechnik’s wind energy operations in Taiwan. Work with engineers, clients, and other stakeholders to manage permits, safety records, and document control.

Deschide
Ambush

Senior Machine Learning and AI Engineer

Ambush

Build production-grade generative AI and agent workflows for Ambush’s financial services clients. Develop Python and FastAPI services, SQL data workflows, retrieval-augmented generation, and cloud-based AI systems.

Deschide
GFN

Senior Software Engineer, Machine Learning

GFN
201 – 500 Angajați
Comerț electronicFintechSaaS

Build backend infrastructure and AI-enabled learning products for GFN, a German education provider. Develop scalable educational platforms with a focus on robust software architecture and practical machine learning.

Deschide
TEKsystems

Remote Data Program Project Manager — Washington

TEKsystems

Coordinate enterprise data initiatives, report migrations, and adoption of new processes and reporting solutions for TEKsystems. Track project progress, risks, deliverables, and communications with business and technical stakeholders.

Deschide