Jobs in the United States

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Added 1 min ago
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Game Systems Designer
The Pokémon Company International
Bellevue, WA
- $86,000 to $150,000 USD / year
…collaborate with cross-functional teams including UX/UI Designers, Engineering, and Game Producers to implement, maintain, and improve game systems and content. This role will focus on…
Added 2 mins ago
Maintenance Supervisor - Weekend AM
WTL Wheatland Tube, LLC
Rochelle, IL
Reporting to the Department Manager, this hands-on Maintenance Supervisor will oversee the maintenance team. This role is responsible for ensuring the reliability, efficiency, and safety of…
Added 2 mins ago
Manager, Strategic Account Management
DoorDash USA
Denver, CO · Phoenix, AZ
We're looking for a Manager, Outside Account Management to lead and develop a team of Strategic Partner Managers, while achieving our regional goals of growing the merchant side of the…
Added 2 mins ago
Software Engineer I, Payments
Twitch
San Francisco, CA
As a key member of the engineering team, you will report to the Senior Engineering Manager of Payments team and have the opportunity to build and scale solutions that affect millions of…
Added 3 mins ago
T&
Associate Director Project Manager - Retail Construction
Turner & Townsend
Los Angeles, CA
- $115,000 to $125,000 USD / year
Bachelor’s degree in construction management, architecture, engineering or field related to construction.
Added 5 mins ago
CI
Assistant Project Manager
Classic Industrial Services, Inc.
Baltimore, MD
- $29 to $41 USD / hour
…We are currently seeking candidates for an Assistant Project Manager (APM) to join the team in our Baltimore office. The APM works closely with the Project Manager to ensure projects are…
Added 5 mins ago
Customer Service Manager
Sinclair Broadcast Group
Cockeysville, MD · Hunt Valley, MD
The Customer Support Manager is a part of a team that manages inquiries through the Digital Helpdesk and responds to questions about programmatic delivery, campaign setup, access, products,…
Added 5 mins ago
Support Services Trainer
Michigan Broadband Services
Iron Mountain, MI
…across our service area. It reports to the Technical Support…
Added 6 mins ago
Manager, Scrum Master
CVS Health
Work at Home, CA
The Scrum Master Manager will lead complex, enterprise-wide technology initiatives in support of CVS Health’s digital transformation strategy. This role requires a highly self-driven,…
Added 6 mins ago
Risk Management Specialist
Adventist Health
Los Angeles, CA
…litigation holds). Collaborates with Risk Management Director or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains,…
Added 7 mins ago
Information Systems Security Officer (ISSO) - Mid
Peraton
Winchester, VA
Must meet applicable DoW 8140.03 qualification requirements for Information Systems Security Manager (Work Role 722), Intermediate proficiency level, through at least one of the following:
Added 7 mins ago
Process Development Engineering Senior Scientific Associate
Vertex Pharmaceuticals Inc (US)
Boston, MA
May participate in weekend work rotations, as required to support cell-culture and bioreactor operations
Added 7 mins ago
Process Development Engineering Senior Scientific Associate
Vertex Pharmaceuticals Inc (US)
Boston, MA
Vertex is seeking a lab-based Senior Scientific Associate to provide engineering and operational expertise within Upstream Process Development Engineering. This individual contributor will…
Added 8 mins ago
Graduate Project Engineer
Barminco Mining Services USA LLC
Elko, NV
…65 miles outside of Elko, Nevada. Reporting to the Project Manager or designate, the successful candidate will be responsible for their safety and the safety of their co-workers while…
Added 8 mins ago
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Land Surveyor 1/2 (PCN 251740)
State of Alaska
Fairbanks, AK
- $45.82 to $48.94 USD / hour
Valid Driver`s License required
Added 8 mins ago
Petroleum Engineering Lead- Vice President
JPMC page
Houston, TX · Dallas, TX
As an Engineering Tech in the Energy Team, you support our petroleum engineers in efficiently evaluating customers' oil and gas assets. You help keep the firm strong and resilient by…
Added 8 mins ago
Application Developer 1/2 Flex (PCN 051607)
State of Alaska
Juneau, AK
Software Engineering: Knowledge of software engineering design and development methodologies, paradigms, and tools; the software life cycle; software reusability; and software reliability…
Added 10 mins ago
Senior Technical Program Manager - Digital Enterprise Technology
Salesforce, Inc.
TX · IN
Job Description: Senior Technical Program Manager - Digital Enterprise Technology (DET)
Added 11 mins ago
Controls & Systems Engineering Manager / Technical Lead
Applied Materials
Benicia, CA · Benicia
Applied Materials XCT team is looking for a Control and Systems Engineering Manager/Lead. This is an excellent opportunity to work in a dynamic, high growth environment with a lot of…
Added 12 mins ago
Software Engineering Manager
CAPTRUST
Raleigh, NC
A Software Engineering Manager who combines people leadership, technical leadership, and hands-on development. The manager leads software engineers and, where assigned, other associates who…
Added 12 mins ago
Key Account Executive - Modular
Victaulic Company
Dallas, TX
…pipe joining solutions, delivering advanced technologies and engineering services to address complex piping challenges faced by engineers, site owners and contractors. Since 1919, our…
Added 13 mins ago
Construction Project Manager Electrical - New York
Fortive
Long Island City, NY · NY
As a Project Manager at Gordian, you will play a critical role in overseeing the administrative and operational aspects of construction and facility-related projects. You will ensure…
Added 16 mins ago
NT
Land Grant Manager
Navajo Technical University
Crownpoint, NM
- From $62,447.42 USD / year
The Land Grant Program (LGP) Manager is responsible for program management of community outreach, education, and research related to land-grant and USDA initiatives which includes planning,…
Added 17 mins ago
Assistant Critical Facility Manager
BGIS
Harwood, ND
BGIS is currently seeking an Assistant Critical Facility Manager to join the team Harwood, ND.
Added 18 mins ago
A
Mechanical Engineer, Data Centers - Remote (U.S.)
AECOM
Remote, United States
- $150,000 to $195,000 USD / year
registration is required

Devoted Health Services, Inc

Senior Payment Integrity Program Development Manager – Operational Excellence

Remote, United States

$110,500 to $150,000 USD / year

Apply on devoted.wd1.myworkdayjobs.com About employer

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Job details

Pay: $110,500 to $150,000 USD / year
Experience: Bachelor's degree and 6+ years of relevant professional experience, including substantial hands-on payment integrity experience within a health plan or payment integrity vendor.
Posting language: English
Posted: Nov 13, 2026

Original job description

Job Description

A bit about this role:

At Devoted, our mission is to build trust with our providers and members by ensuring claims are paid accurately and on time with transparent policies. Our Payment Integrity Concept Development team develops and sustains programs that improve payment accuracy, affordability, and provider experience. As our Senior Payment Integrity Program Development Manager – Operational Excellence, you will help ensure our internal and vendor-supported payment integrity edits and audits are implemented accurately, perform as intended, and continue delivering value over time. You will combine payment integrity expertise, analytical judgment, and operational leadership to manage complex portfolio activities, investigate performance issues, and develop more effective and scalable ways of working. Partnering across technical and operational teams, you will drive improvements that strengthen program accuracy, financial performance, efficiency, and provider experience. Success means not only resolving today's problems, but im proving the systems that prevent them from recurring.

Your responsibilities and impact will include:

Portfolio Performance & Optimization: Evaluate the effectiveness of payment integrity edits and audits, independently investigate complex performance or operational issues, identify root causes, and drive improvements in accuracy, financial outcomes, and provider experience.
Implementation & Validation Assurance: Ensure new and modified payment integrity programs are appropriately validated and implemented as intended. Partner with technical and operational teams to strengthen testing, quality controls, and implementation reliability.
Portfolio Maintenance & Operational Execution: Lead assigned internal and vendor-supported portfolio activities, ensuring effective prioritization, issue resolution, maintenance, and ongoing program performance.
Operational Transformation & Scalability: Identify and implement improvements to processes, workflows, and supporting capabilities across validation, monitoring, maintenance, and knowledge sharing. Leverage technology, automation, and operational best practices to improve efficiency, transparency, and scalability.
Cross-Functional Leadership & Influence: Independently advance complex initiatives, develop evidence-based recommendations, and build alignment across Payment Integrity, Engineering, Data Science, Claims, Compliance, and other stakeholders to achieve measurable results.

Required skills and experience:

Bachelor's degree and 6+ years of relevant professional experience, including substantial hands-on payment integrity experience within a health plan or payment integrity vendor.
Strong understanding of healthcare claims, payment integrity edits and audits, claims adjudication, Medicare/CMS reimbursement policies, NCCI/CCI edits, and supporting operational processes.
Demonstrated ability to investigate complex payment integrity issues, analyze root causes, and drive effective resolution.
Strong analytical and technical literacy, including the ability to read and interpret SQL queries, claims data, configuration specifications, validation results, and performance metrics.
Proven experience designing and implementing operational improvements, scalable workflows, or technology-enabled solutions that deliver measurable results.
Demonstrated ability to independently explore and apply analytical tools, technology, and automation to improve workflows, identify opportunities, and develop scalable operational solutions.
Experience collaborating with technical and operational partners to implement, troubleshoot, or improve payment integrity programs.
Demonstrated ability to independently lead complex, multiphase initiatives, exercise sound judgment, and influence cross-functional stakeholders.

Desired skills and experience:

Experience with Medicare Advantage and Commercial payment integrity programs.
Experience with vendor-supported claims editing platforms or proprietary payment integrity solutions.
Professional coding certification (e.g., CPC, CCS) or comparable reimbursement expertise.
Experience implementing AI-enabled analytics, automated testing, performance monitoring, or workflow automation to improve payment integrity operations.

Salary range: $110,500 - $150,000 / 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.

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Jobs in the United States