Remote Membership Operations Associate

Devoted Health Services, Inc; Waltham (MA); On-site; USD 32,000 - 47,000; Full time

Benefits offered by this job

Health plan

Paid time off

Stipend

Stock options

Bonus eligibility

Parental leave

401K plan

Job summary

Devoted Health is seeking an Associate for Membership Operations to manage day-to-day enrollment, billing, and Medicare/Medicaid reconciliation with an emphasis on data accuracy and timely processing.

You will exercise independent judgment within established procedures, review discrepancies, and collaborate across teams to improve workflows and compliance. A Bachelor’s degree and healthcare operations exposure are preferred.

Qualifications

• 1–3 years of experience in healthcare operations, Medicare Advantage, enrollment, billing, or data reconciliation.
• Strong attention to detail and accuracy in high-volume, data-driven work.
• Demonstrated ability to work independently, prioritize, and meet deadlines with limited oversight.
• 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 enrollment, billing, and reconciliation tasks for 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 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.

Skills

Attention to detail

Independent worker

Analytical skills

Communication skills

Curiosity about AI/LLM

Time management

Education

Bachelor's degree in Business/Healthcare/Data Analytics

Job description

Devoted Health is seeking an Associate for Membership Operations to manage day-to-day enrollment, billing, and Medicare/Medicaid reconciliation with an emphasis on data accuracy and timely processing.

You will exercise independent judgment within established procedures, review discrepancies, and collaborate across teams to improve workflows and compliance. A Bachelor’s degree and healthcare operations exposure are preferred.