Membership Ops, Senior Director

Job Description

A bit about this role:

Devoted Health is seeking a strategic and influential leader and proven operator to serve

as the Senior Director of Membership Operations. This role is designed for an operator

who can navigate complex regulatory guidance and transform it into durable, efficient,

and scalable business processes.

Reporting directly to the department head, you will partner closely with the Membership

Operations team leaders to help identify and execute opportunities for optimization

across the department. You will lead efforts to ensure our workflows are not only highly

compliant, but also optimized for decision accuracy and operational efficiency.

Your Responsibilities and Impact will include:

• Process Optimization: Work closely with the team leaders and stakeholders across the business to identify and drive the execution of new services and process improvements including workflow optimization and technology improvements
• Regulatory Translation: Digest regulatory guidance/requirements and translate them into compliant, measurable, and scalable operational workflows
• Influential Leadership: Drive alignment and change across a broad set of cross-functional stakeholders, including Operations, Product, Engineering, and Network teams, to achieve goals
• Stakeholder & Vendor Management: Build credibility and trust with internal teams and external vendors and provider partners
• Continuous Improvement: Foster a culture of accountability and transparency, utilizing data-driven insights and AI-enabled tools to continuously refine the medical care journey for our members

Required skills and experience:

• Integrity & Trust: A strong moral compass and unwavering commitment to caring for members like family
• Proven Operator: A track record of transforming complex operational challenges into scalable business processes in a fast-paced environment
• Influential Communicator: Excellent written and verbal communication skills with the ability to distill complex problems into actionable updates for leadership and stakeholders
• Strategic Leadership: Demonstrated experience leading teams and driving organizational change through relationship building and influence
• Audit Proficiency: Deeply analytical with proven experience following documented standards subject to outside review - by a regulator, auditor, client, or accrediting body
• Education: Bachelor’s degree required; 10+ years of professional experience in healthcare operations or a related field

Desired skills and experience:

• Medicare Advantage Expertise: Prior experience in Medicare Advantage UM operations or Risk Adjustment is highly preferred
• Advanced Degree: MBA or advanced degree in health administration or finance is a plus

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.