Medicare Operations Associate — Data Integrity & Billing

Devoted Health; United States; On-site; USD 32,000 - 47,000; Full time

Benefits offered by this job

Health, dental and vision plan

Paid time off

Mobile stipend

Stock options for employees

401K program

Job summary

Devoted Health is seeking an Associate for the Membership Operations team to own day-to-day enrollment, billing, and Medicare/Medicaid reconciliation tasks. You will report to a Manager or Senior Manager and work with CMS and state agencies to keep member data accurate.

The role emphasizes independent decision-making, data integrity, and opportunities to improve workflows, with focus on accuracy and timeliness, and curiosity about AI/LLM tools.

Qualifications

• 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.
• 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.

Responsibilities

• Perform day-to-day operational tasks related to enrollment, billing, and reconciliation of Medicare and Medicaid member data and payments.
• Make independent decisions on standard operational activities, drawing on established procedures and your own professional experience.
• Identify discrepancies in member data and payments, resolving what you can, and escalating issues to management when needed.
• Apply analytical skills to safeguard data integrity and payment accuracy across the membership lifecycle.
• Maintain accurate, audit-ready documentation of the work you perform to support CMS and organizational compliance requirements.
• Spot opportunities to improve workflows and processes within operational guidelines, and bring those ideas to your team.
• Explore how AI and large language model (LLM) tools could support work like data review, exception identification, and pattern detection, and share learnings with the team.
• Collaborate 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.

Skills

Attention to detail

Independent work

Analytical thinking

Communication skills

AI/LLM curiosity

Education

Bachelor's degree in Business or related field

Tools

CMS systems

Job description

Devoted Health is seeking an Associate for the Membership Operations team to own day-to-day enrollment, billing, and Medicare/Medicaid reconciliation tasks. You will report to a Manager or Senior Manager and work with CMS and state agencies to keep member data accurate.

The role emphasizes independent decision-making, data integrity, and opportunities to improve workflows, with focus on accuracy and timeliness, and curiosity about AI/LLM tools.