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Devoted Health

Medicare Advantage plans with personalized guidance

Integrations Manager

Business OperationsPosted on Nov 12
Full-timeRemote in USA$73k - $130k /yr

About the Job

Requirements

  • At least 6 years in technical program management, electronic data interchange or integration operations, implementation, or technical product roles, including hands-on ownership of system integrations.
  • Working knowledge of healthcare data exchange standards and methods such as X12/ANSI, HL7, FHIR, XML, SFTP, and APIs, including batch and real-time exchanges.
  • Experience owning the full integration lifecycle, from system design and data specifications through testing, deployment, and post-launch monitoring, often in partnership with external vendors.
  • Ability to analyze complex data and workflows, identify root causes of gaps, and turn findings into a clear plan that improves scale, accuracy, and efficiency.
  • Ability to troubleshoot files, data, and code to identify root causes and solve ambiguous problems.
  • Ability to manage multiple priorities, meet deadlines, move forward with sufficiently good solutions, and maintain focus on business goals.
  • Ability to translate between technical and business teams and build effective relationships with external vendors, partners, and senior leadership.

Responsibilities

  • Own integrations end to end, from system and workflow design and data specifications through development, testing, launch, and ongoing monitoring, across X12, batch file exchanges over SFTP, and APIs.
  • Partner with Business, Product Management, Engineering, and Data Science teams to scope, build, and scale workflows and data exchanges supporting claims processing and operations for Medicare Advantage members.
  • Investigate complex integration issues involving files, data, and code; identify root causes and drive fixes when data exchanges affect claims, payments, or members.
  • Analyze data to identify gaps in workflows, data exchanges, and internal processes, and develop plans that improve efficiency, accuracy, and scale.
  • Redesign and scale integrations using AI and automation, including building AI agents to reduce manual work and improve end-to-end performance.
  • Serve as the primary liaison with external vendors and clearinghouses, ensuring service-level agreements and Centers for Medicare & Medicaid Services compliance requirements are met.
  • Evaluate industry trends and new and existing vendor relationships to scale data exchanges, improve quality, and reduce operational risk.
  • Define and drive key performance indicators measuring integration success and operational health, and establish documentation, standard operating procedures, and best practices to help the team scale.

Desired Qualifications

  • Experience with healthcare claims processing, especially Medicare Advantage, including benefit configurations, clearinghouses, payment platforms, or pharmacy claims.
  • Understanding of healthcare data exchange industry dynamics and experience evaluating vendors and partners to improve integration performance and reduce cost or risk.
  • SQL and data analysis skills to investigate issues, measure integration performance, and report on key performance indicators. Experience with Looker, Snowflake, or GitHub is a plus.
  • Experience using or building with AI tools, automation platforms, or large language model-based agents to scale operational work.

About the Company

Devoted Health

Medicare Advantage plans with personalized guidance

Devoted Health provides Medicare Advantage plans for seniors, combining medical services, prescription drug coverage, and extra benefits into one plan. Members enroll to access care through a network of providers and pharmacies; Devoted Health handles benefits and coverage. It differentiates itself with high-touch, personalized support through Devoted Health Guides and a Devoted Dollars rewards program to encourage preventive care. Its goal is to make Medicare healthcare easier to access, more affordable, and more compassionate for eligible seniors.

Company size
1,001-5,000
Company stage
Series G
Total funding
$3.8B
Headquarters
Waltham, MA
Founded
2017

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