Senior Risk Adjustment Operations Associate, Devoted Health

• Proven experience as an operator who takes initiative with a strong problem-solving mindset and the ability to adapt to changing situations and requirements
• Strong attention to detail with the ability to perform meticulous QA under time‑sensitive conditions
• High degree of comfort pulling and analyzing data using spreadsheets, with experience or appetite to leverage database query tools
• Ability to identify anomalies and troubleshoot technical errors and partner effectively with IT and technical teams
• Strong organizational skills and experience managing high‑volume workflows with compressed timelines
• Experience collaborating with offshore resources or distributed teams, with the ability to clearly communicate priorities and task requirements without direct managerial authority
• Excellent communication and collaboration skills for working with cross-functional teams

Desirable

• We are seeking a meticulous and technically skilled Operations Senior Associate to lead the intake and administrative phase of our risk adjustment external audit operational pipeline
• This role is responsible for the front-end intake of retrieved medical documents, ensuring every document is accurately classified, appropriately split into unique encounters, and validated for eligibility before moving further into the evaluation process
• This role supports audit operations and special projects. Audits include CMS Risk Adjustment Data Validation (RADV) audits and Part C Improper Payment Measurement audits. Special projects include implementing AI tools for automated data abstraction and document management. While your primary focus is on the early-stage audit pipeline, you will also serve as a key member of the External Audit Program team, supporting the end-to-end management of the entire audit lifecycle
• Manage the end-to-end administrative review process, including document triage, classification, and the technical execution of document management processes
• Coordinate and direct day‑to‑day work activities of assigned team members for document‑related tasks, ensuring priorities, timelines, and quality standards are met; partner with Devoted’s internal management team to align assignments and resolve resource issues
• Conduct detailed quality assurance checks to ensure accuracy of work output
• Oversee and refine the use of AI-native tools for automated administrative information extraction to support the highest quality work of the team and process
• Serve as a bridge between teams, providing rapid feedback on success and document quality to inform strategic pivots in audit approach
• Partner closely with internal technology teams to resolve system issues and optimize processes
• Prepare and deliver metrics, error trends, and resolution summaries for audit operations reporting; leverage AI, SQL, Looker, or other BI tools to extract and analyze workstream data where appropriate
• Document and update standard operating procedures (SOPs) to ensure operational consistency