Risk Adjustment Program Manager, Devoted Health

• 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

Desirable

• 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
• 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