SNP Operations Lead: Compliance & Care Programs

Devoted Health

United States

Remote

USD 73,000 - 130,000

Full time

5 days ago
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Benefits offered by this job

Health, dental and vision plan
Generous 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 a Regulatory & Compliance Manager for the SNP Operations team. You will translate CMS and Medicaid requirements into scalable workflows, supervise policies, and drive cross-functional improvements to keep SNP programs compliant and audit-ready.

You will collaborate with SNP Directors, monitor Medicaid reporting, and develop tools that empower frontline staff while aligning operations with evolving CMS mandates.

Qualifications

  • 3+ years of experience in Medicare Advantage, Managed Care, Health Plan, or health care operations.
  • Ability to interpret CMS and/or State Medicaid regulatory guidelines and translate them into standard operational workflows and compliance processes.
  • Highly detail-oriented, reliable, independent, and curious, with a track record of managing detailed compliance tasks in a fast-paced environment.
  • Strong communication skills to collaborate with and influence cross-functional teams.
  • Direct experience with SNPs, SNP Model of Care development and implementation, or SNP care management operations.
  • Experience in the Medicaid space (e.g., Medicaid compliance, benefits administration, claims processing, or D-SNP coordination).

Responsibilities

  • Develop and maintain Devoted's SNP regulatory models of care (MOC) annually with SNP Operations leadership.
  • Oversee policies, procedures, and compliance universes to ensure CMS and MOC audit-readiness.
  • Review and translate new CMS/State Medicaid requirements into operational workflows.
  • Develop processes and early warning systems to detect and prevent compliance gaps.
  • Build Medicaid benefit knowledge tools supporting frontline staff and members.
  • Oversee Medicaid reporting with SNP leadership and ensure timely submissions.

Skills

Medicare Advantage
CMS/Medicaid interpretation
Regulatory compliance
Cross-functional collaboration

Job description

Devoted Health is seeking a Regulatory & Compliance Manager for the SNP Operations team. You will translate CMS and Medicaid requirements into scalable workflows, supervise policies, and drive cross-functional improvements to keep SNP programs compliant and audit-ready.

You will collaborate with SNP Directors, monitor Medicaid reporting, and develop tools that empower frontline staff while aligning operations with evolving CMS mandates.

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