Remote Risk Adjustment Coding Jobs in Massachusetts

Job Description

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.

A bit about this role:

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.

Your Responsibilities and Impact will include: 

• 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

Required skills and experience: 

• 4+ years experience managing processes with tight turnaround times. You have a 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

Desired skills and experience:

• Experience in healthcare operations, operations, or quality assurance

Salary range: ​$73,000 - $125,000 / year

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.