Provider Operations Lead - AI-Driven & Offshore

Devoted; United States; Remote; USD 73,000 - 115,000; Full time

Benefits offered by this job

Health plan

Paid time off

Stock options

Bonus eligibility

401K

Job summary

Devoted Health is seeking a Manager of Provider Operations to lead credentialing operations and optimize workflows. The role focuses on process improvement, offshore team leadership, and implementing AI-driven solutions to scale performance.

You will own operational metrics, partner with product and engineering, and ensure compliance with CMS and state requirements while building clear SOPs and scalable processes across the organization.

Qualifications

• 3-5+ years in operations, process improvement, or consulting.
• A true operator with a bias toward action and willingness to roll up sleeves.
• Detail-oriented with a high bar for quality and accuracy.
• Strong communicator who can work with cross-functional stakeholders and drive alignment.

Responsibilities

• Supporting day-to-day credentialing operations, including working queues yourself, unblocking complex cases, and driving best‑in‑class turnaround times and quality.
• Leading the effort to capture our operational knowledge in clear, usable SOPs and building a central documentation library that stays current as processes change.
• Helping manage and develop our offshore team, including training, documentation, and quality and productivity monitoring, with the goal of owning the offshore relationship over time.
• Partnering on offshore transitions by identifying work that can move offshore and supporting smooth handoffs without disrupting turnaround times or compliance.
• Assessing operational pain points and using data to size opportunities and build the business case for new solutions using data insights, including quantifying the impact of AI solutions, tech improvements, and offshore transitions before and after they launch.
• Creating and implementing AI solutions that make operations more efficient and enable scale, partnering with product and engineering where needed and testing, measuring, and refining what you build.
• Playing a key role in our 2027 CVO vendor transition, including workflow mapping, requirements, testing, and cutover, and helping monitor vendor performance once live.
• Becoming an expert in our internal systems and tools so you can troubleshoot issues and propose clear improvements to system logic.
• Owning key operational metrics, building reporting that surfaces trends and bottlenecks, and using data to guide decisions.
• Ensuring credentialing operations remain compliant with CMS, AAAHC, and state requirements as processes and tools evolve.
• Partnering cross‑functionally with internal leadership, network and contracting teams, providers, vendors, and offshore partners.

Skills

Operations

Process improvement

Data analysis

Cross-functional collaboration

AI tools

Job description

Devoted Health is seeking a Manager of Provider Operations to lead credentialing operations and optimize workflows. The role focuses on process improvement, offshore team leadership, and implementing AI-driven solutions to scale performance.

You will own operational metrics, partner with product and engineering, and ensure compliance with CMS and state requirements while building clear SOPs and scalable processes across the organization.