Remote Membership Ops Associate - Enrollment & Billing

devoted

United States

On-site

USD 32,000 - 47,000

Full time

8 days ago
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Benefits offered by this job

Health, dental and vision plan
Paid time off
$100 monthly stipend for mobile/intern
Stock options for all employees
Bonus eligibility for most roles
Parental leave program
401K program

Job summary

Devoted Health is seeking an Associate in Membership Operations to manage enrollment, billing, and Medicare/Medicaid reconciliation with a focus on accuracy and timeliness. You will work with CMS and state agencies, collaborating across teams to safeguard data integrity throughout the member lifecycle.

Your role emphasizes independent decision-making, thorough documentation, and process improvements, with opportunities to explore AI/LLM tools to enhance data review and pattern detection.

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.
  • Ability to work independently, prioritize, and meet deadlines with limited oversight.
  • Strong problem-solving and analytical skills for investigating data/payments discrepancies.
  • Clear written and verbal communication across teams; curious about AI/LLM applications.

Responsibilities

  • Perform day-to-day enrollment, billing, and reconciliation tasks for Medicare/Medicaid member data and payments.
  • Make independent decisions on standard operational activities per established procedures.
  • Identify data/payment discrepancies, resolve where possible, escalate as needed.
  • Maintain audit-ready documentation to support CMS and compliance requirements.
  • Suggest workflow improvements within operational guidelines and share learnings.

Skills

Attention to detail
Independent work
Analytical skills
Communication skills
AI/LLM curiosity

Education

Bachelor's degree in Business/Healthcare/Data Analytics

Tools

CMS systems
Data reconciliation tools

Job description

Devoted Health is seeking an Associate in Membership Operations to manage enrollment, billing, and Medicare/Medicaid reconciliation with a focus on accuracy and timeliness. You will work with CMS and state agencies, collaborating across teams to safeguard data integrity throughout the member lifecycle.

Your role emphasizes independent decision-making, thorough documentation, and process improvements, with opportunities to explore AI/LLM tools to enhance data review and pattern detection.

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