Risk Adjustment Program Manager

Devoted Health•Waltham, MA

10d•$73,000 - $125,000•Remote

About The Position

This role is fully remote and must be located within the 50 U.S. states. Preference for residence in the Greater Boston Area. Standard working hours are in Eastern Timezone. Semi-annual travel may be required to a Devoted office for on-site work. We’re seeking a highly diligent, process-oriented professional to join our team as a Program Manager. This role is for someone who thrives in fast-moving environments, enjoys building and refining processes, and communicates with clarity. This individual will work across multiple program workstreams at the direction of the Associate Director of the External Audit program. You’ll play a key part in ensuring operational excellence, supporting cross-functional risk adjustment data audit responses, and applying new tools - including large language models - to drive efficiency and quality. This role reports to the Associate Director, Risk Adjustment External Audit Program.

Requirements

4+ years experience managing processes with tight turnaround times.
High attention to detail and a reputation for following through
Strong communication skills, both written and verbal. You convey information clearly, proactively, and without ambiguity
Ability to pull and analyze data using database query tools and appetite to use emerging AI technology to form independent insights and identify trends.
Spreadsheets (e.g. Google Sheets) are a favorite tool in your toolkit
Curiosity and comfort experimenting with AI (including LLMs) or other emerging tools

Nice To Haves

Experience in healthcare operations, operations, or quality assurance

Responsibilities

Support the Associate Director in managing the day-to-day operations of the External Audit Program, ensuring all workstreams are aligned with program goals and regulatory timelines.
Serve as a versatile operational resource, pivoting across workstreams (Retrieval, Evaluation, Submission) to address shifting priorities and volume during the audit cycle
Partner closely with workstream leads to identify opportunities for process improvement and implement changes that enhance scalability, transparency, and quality
Communicate updates, risks, and recommendations clearly to cross-functional stakeholders
Support the Associate Director in building out AI-native monitoring of program-wide KPIs that support regular operational updates and reporting to leadership
Support special projects that require structured thinking, thoroughness, and cross-team collaboration