About the role
Job Description
A bit about this role:
We can’t transform health care for America’s seniors alone. It requires coordination and information exchange within the healthcare supply chain. If we do it well, we believe we can improve how healthcare is paid for, delivered, and experienced. We are a remote first, AI-driven company!
The Integrations Manager will be a member of Integration Operations, a hub for electronic transactions, and part of the Product Management Organization. The team manages electronic transactions, the review and creation of data specifications, and operational oversight of Devoted’s system integrations. This role involves technical system design, building domain expertise to ensure business goals are achieved, and vendor and project management to ensure seamless end-to-end integrations.
Your Responsibilities and Impact will include:
Own Devoted’s integrations end to end, from system and workflow design and data specifications through development, testing, launch, and ongoing monitoring, across X12, batch file exchanges over SFTP, and APIs.
Partner with Business, Product Management, Engineering, and Data Science teams to scope, build, and scale new workflows and data exchanges that support claims processing and operations for our Medicare Advantage members.
Dig into complex integration issues, investigating files, data, and code to find root causes, and drive fixes quickly when data exchanges affect claims, payments, or members.
Analyze data to uncover gaps in workflows, data exchanges, and internal processes, and turn those insights into plans that improve efficiency, accuracy, and scale across Devoted.
Redesign and scale integrations with AI and automation, including building AI agents that reduce manual work and improve end-to-end performance.
Serve as the primary liaison with external vendors and clearinghouses, ensuring SLAs and CMS compliance requirements are met.
Understand industry trends and evaluate new and existing vendor relationships to scale Devoted’s data exchanges, improve quality, and reduce operational risk.
Define and drive KPIs that measure integration success and operational health, and establish the documentation, standard operating procedures, and best practices that help the team scale.
Required skills and experience:
6+ years in technical program management, EDI/integration operations, implementation, or technical product roles, with hands-on ownership of system integrations.
Working knowledge of healthcare data exchange standards and methods, such as X12/ANSI, HL7, FHIR, XML, SFTP, and APIs, including batch and real-time exchanges.
Experience owning the full integration lifecycle, from system design and data specifications through testing, deployment, and post-launch monitoring, often in partnership with external vendors.
Strategic problem solver who can analyze complex data and workflows, identify the root causes of gaps, and turn findings into a clear plan that improves scale, accuracy, and efficiency.
A hands-on troubleshooter: you’re comfortable digging into files, data, and code to find the root cause, and you enjoy solving messy, ambiguous problems.
A strong bias for execution: you manage multiple priorities, meet deadlines, know when a solution is good enough to move forward, and keep the bigger business goal in view.
Clear communicator who can translate between technical and business teams and build effective relationships with external vendors, partners, and senior leadership.
Desired skills and experience:
Experience with healthcare claims processing, especially Medicare Advantage, including benefit configurations, clearinghouses, payment platforms, or pharmacy claims.
Understanding of industry dynamics in healthcare data exchange, with experience evaluating vendors and partners to improve integration performance and reduce cost or risk.
SQL and data analysis skills to investigate issues, measure integration performance, and report on KPIs. Experience with Looker, Snowflake, or GitHub is a plus.
Experience using or building with AI tools, automation platforms, or LLM-based agents to scale operational work.
Salary Range: $73,000-$130,000 / 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.
Originally posted on Himalayas
