Lead, Provider Data & Directory Operations

Devoted; United States; Hybrid; USD 111,000 - 151,000; Full time

Benefits offered by this job

Health, dental, and vision plan

Generous paid time off

Stock options for all employees

Bonus eligibility for most roles

401K program

Job summary

Devoted Health is seeking a Sr. Manager to own provider data accuracy end to end, from validation to publication in the member directory, while ensuring CMS regulatory compliance.

You will lead a hybrid onshore and offshore team, build scalable processes, and partner with product, engineering, and network leaders to turn the directory into a care navigation tool for high-quality providers.

Qualifications

• 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

Responsibilities

• 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, online directory obligations
• Maintain audit-ready documentation and lead our response to regulatory inquiries and audits
• Lead, manage, and grow a hybrid onshore and offshore team — hiring, onboarding, 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

Skills

Provider data management

Data analysis

Regulatory compliance

Stakeholder communication

Team leadership

Healthcare operations

SQL

Education

Bachelor's degree

Job description

Devoted Health is seeking a Sr. Manager to own provider data accuracy end to end, from validation to publication in the member directory, while ensuring CMS regulatory compliance.

You will lead a hybrid onshore and offshore team, build scalable processes, and partner with product, engineering, and network leaders to turn the directory into a care navigation tool for high-quality providers.