Senior Health Plan Ops Lead - AI-Driven Efficiency

Devoted Health Services, Inc; Waltham (MA); On-site; USD 111,000 - 150,000; Full time

Benefits offered by this job

Health, dental and vision plan

Generous paid time off

$100 monthly mobile stipend

Stock options for all employees

Bonus eligibility for most roles

Job summary

Devoted Health Services, Inc. is seeking a Business Operations Senior Manager to lead Payments Integrity programs, drive operational performance, and design scalable workflows.

You will oversee cross-functional initiatives and partner with Engineering, Claims, and external vendors to optimize processes and implement AI-assisted solutions. The role focuses on ensuring timely operations, maintaining high-quality governance, and delivering measurable improvements in a fast-paced healthcare tech

Qualifications

• 6+ years of experience in business operations or operational leadership.
• Proven ability to drive meaningful change and measurable operational results in fast-paced environments.
• Strong problem-solving and escalation management.
• Comfort with ambiguity, ownership from triage to resolution.
• Analytical mindset with ability to perform qualitative and quantitative analyses.
• Excellent communication and cross-functional collaboration skills.
• Strong organizational skills with ability to manage multiple initiatives.
• High degree of professionalism.

Responsibilities

• Operational Orchestration: Own the daily health of the operation—monitoring TAT, clearing backlogs, and ensuring queue health remains optimal.
• SLA & Quality Governance: Oversee operational performance and maintain the feedback loop between high productivity and rigorous audit accuracy.
• Program Design and Launch: own the end-to-end design, testing, and launch of scalable cross-functional workflows, including change management, training, and post-launch KPI tracking.
• Cross-Functional Partnership & Alignment: Partner closely with external vendors and cross-functional stakeholders across Engineering, Network/Provider Operations, Claims, and Integrations to align on ongoing operational priorities, streamline end-to-end workflows, and drive shared business outcomes.
• Efficiency & AI Integration: Identify opportunities to lean out manual processes by deploying and managing AI agents alongside human staff.
• Friction Removal: Act as the primary escalation point to resolve blockers for vendors and internal teams, ensuring they have the training and job aids needed to succeed.

Skills

Operations leadership

6+ years experience

Analytical mindset

Cross-functional collaboration

Communication skills

Problem solving

Job description

Devoted Health Services, Inc. is seeking a Business Operations Senior Manager to lead Payments Integrity programs, drive operational performance, and design scalable workflows.

You will oversee cross-functional initiatives and partner with Engineering, Claims, and external vendors to optimize processes and implement AI-assisted solutions. The role focuses on ensuring timely operations, maintaining high-quality governance, and delivering measurable improvements in a fast-paced healthcare tech