Provider Data & Directory Compliance Lead

Devoted

Northern (KY)

Hybrid

USD 111,000 - 151,000

Full time

7 days ago
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Benefits offered by this job

Health, dental and vision benefits
Generous paid time off
$100 monthly mobile/internet stipend
Stock options
Bonus eligibility for most roles
Parental leave

Job summary

Devoted Health is seeking a Sr. Manager of Provider Data & Directory to own data accuracy end to end, from validation to publication.

You will lead a hybrid onshore/offshore team, drive regulatory compliance with CMS rules, and partner with product and engineering to automate validation processes. The role requires healthcare operations experience, data analysis skills, and the ability to translate metrics into a clear roadmap for executive stakeholders.

Qualifications

  • Bachelor’s degree and 6+ years in healthcare operations with 2+ years leading a team.
  • Experience with provider data, directory accuracy, credentialing, or network operations.
  • Knowledge of CMS Medicare Advantage directory rules and regulatory guidance.
  • Strong data analysis to generate actionable insights.
  • Proven ability to build scalable operational processes with QA.

Responsibilities

  • Own provider data accuracy end to end across roster intake, credentialing, and publication.
  • Ensure provider directory compliance and respond to regulatory inquiries and audits.
  • Lead hybrid onshore/offshore team, hiring, training, and performance management.
  • Improve signal-driven accuracy using scoring and verification queues.
  • Define metrics and SLAs for data accuracy and report to executives.
  • Partner with product and engineering to automate validation and manage vendors.
  • Support care navigation by ensuring data drives steerage decisions (specialty, status, location, PCP).

Skills

Provider data
Regulatory knowledge
Data analysis
Team management
Communication
Process improvement

Education

Bachelor’s degree

Tools

SQL

Job description

Devoted Health is seeking a Sr. Manager of Provider Data & Directory to own data accuracy end to end, from validation to publication.

You will lead a hybrid onshore/offshore team, drive regulatory compliance with CMS rules, and partner with product and engineering to automate validation processes. The role requires healthcare operations experience, data analysis skills, and the ability to translate metrics into a clear roadmap for executive stakeholders.

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