Remote Claims Compliance & Quality Program Lead

Devoted Health Services; United States; Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Health, dental and vision plan

Generous paid time off

Mobile/internet stipend

Stock options for all employees

Bonus eligibility

Parental leave

401K program

Job summary

Devoted Health Services is seeking a Claims Compliance Program Manager in the United States to oversee claims compliance activities, audits, and regulatory readiness. You will monitor KPIs, collaborate across teams, and drive remediation while supporting AI and automation initiatives in claims operations.

The role reports to the Claims Compliance Senior Program Manager and involves policy development, risk assessments, and cross-functional collaboration to strengthen internal controls in

Qualifications

• Experience coordinating audits and regulatory compliance activities.
• Ability to monitor KPIs and identify trends in claims compliance.
• Strong written and verbal communication for audit documentation.

Responsibilities

• Monitor claims compliance activities, KPIs, and reports to identify trends and gaps.
• Coordinate and document internal, financial, and regulatory audits.
• Analyze claims data to identify discrepancies and recurring issues.
• Track compliance issues, deliverables, Jira tasks, and audit findings.
• Develop and update policies, procedures, and related compliance materials.

Skills

Organization skills

Communication skills

Writing skills

Process documentation

Education

Bachelor's degree or equivalent

Tools

Jira

Job description

Devoted Health Services is seeking a Claims Compliance Program Manager in the United States to oversee claims compliance activities, audits, and regulatory readiness. You will monitor KPIs, collaborate across teams, and drive remediation while supporting AI and automation initiatives in claims operations.

The role reports to the Claims Compliance Senior Program Manager and involves policy development, risk assessments, and cross-functional collaboration to strengthen internal controls in