Remote Provider Data & Directory Operations Lead

Devoted Health; United States; On-site; USD 91,000 - 151,000; Full time

Benefits offered by this job

Health, dental and vision plan

Paid time off

Mobile stipend

Stock options

401K

Job summary

Devoted Health is seeking a Sr. Manager to own provider data accuracy end to end and lead a hybrid onshore/offshore team.

You will ensure CMS Medicare Advantage directory compliance and drive data-driven improvements across the directory and care navigation tooling. The role requires 6+ years in healthcare operations with at least 2 years of leadership, strong regulatory understanding, and proven ability to scale processes while collaborating with product and engineering teams.

Qualifications

• Bachelor’s degree and a minimum of 6 years of relevant experience, including at least 2 years directly managing a team.
• Experience at a health plan or in healthcare operations with hands-on ownership of provider data, provider directory, credentialing, or network operations.
• Working knowledge of regulations governing provider directories — CMS Medicare Advantage directory and network adequacy requirements.
• Proficient in analyzing data sets to generate insights and turn those insights into action.
• Demonstrated success building repeatable operational processes with measurable quality outcomes, including QA frameworks and workflows.
• Strong communication skills to facilitate collaboration and influence stakeholders across compliance, network, product, and engineering.
• Exceptional organizational skills, adept at prioritizing tasks to meet deadlines.

Responsibilities

• Own provider data accuracy end to end — validation, verification, exception handling, and remediation across roster intake, credentialing, and downstream publication to the directory.
• Accountable owner for provider directory compliance, including CMS Medicare Advantage directory accuracy and verification requirements; maintain audit-ready documentation and respond to regulatory inquiries and audits.
• Lead and grow a hybrid onshore/offshore team — hiring, onboarding, training, QA, capacity planning, and performance management.
• Improve our signal-driven accuracy infrastructure, using scoring and prioritized verification queues to focus outreach where risk is highest.
• Define, instrument, and report metrics and SLAs for provider data accuracy; present to executives and translate results into a roadmap.
• Shape directory strategy with product, engineering, and network leaders to evolve the directory into a care navigation tool.
• Support care navigation by ensuring data drives steerage decisions is accurate and complete (specialty, panel status, accepting-new-patient indicators, location, PCP assignment).
• Partner with product and engineering to automate manual validation work and manage vendor relationships supporting provider data and directory accuracy.

Skills

Data analysis

Regulatory knowledge

Team leadership

Operations management

Stakeholder management

Communication

Process improvement

Education

Bachelor’s degree and 6+ years experience

Tools

SQL

Job description

Devoted Health is seeking a Sr. Manager to own provider data accuracy end to end and lead a hybrid onshore/offshore team.

You will ensure CMS Medicare Advantage directory compliance and drive data-driven improvements across the directory and care navigation tooling. The role requires 6+ years in healthcare operations with at least 2 years of leadership, strong regulatory understanding, and proven ability to scale processes while collaborating with product and engineering teams.