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The Compliance Manager will lead a team of analysts to address Medicare beneficiary complaints and issues related to fraud, waste, and abuse. Responsibilities include conducting investigations, managing complaints and corrective actions, monitoring compliance metrics, and presenting findings to management. The role involves ensuring adherence to regulatory standards and supporting internal audits and policy development.

The Network Specialist will analyze provider demographic information, financial data, and quality reports, assist in preparing for monthly meetings, evaluate participation requests, and conduct audits to identify process improvements. Strong organizational skills and the ability to work independently are essential.

The Provider Network Manager at Devoted Health will be responsible for the development and management of provider networks, negotiating and amending contracts, maintaining relationships with providers, and supporting the overall Network Team to improve quality care for members. Success in this role involves strong business acumen, negotiation skills, and the ability to analyze healthcare performance metrics.