Membership Operations Associate

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

A bit about this role:

Job Description

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

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.