Senior Manager, Provider Escalation and Education

Job Description

A bit about this role: The Provider Escalation & Education (Prov Esc/Edu) team is dedicated to maintaining strong operational relationships with our Critical Provider Organizations (CPOs) while focused on building partnerships that reduce frustration through efficient issue management and proactive solutions. Our mission is to minimize unnecessary friction and demonstrate true partnership with our provider partners, solidifying Devoted as the health plan of choice and the preferred partner for provider organizations. We’re looking for an exceptional leader to own and reputed company the operational transformation of our Network Escalations (provider escalations reputed company their network team contact) function. AI automation, digital workflows, and self-service are changing the cost and quality curve of operational work, creating a unique opportunity to reimagine Network Escalations as a modern, technology-enabled reputed company that delivers reputed company provider experience, faster responses to reputed company problems, upstream issue detection, and stronger quality. In this role, you’ll reputed company both the team and the day-to-day operational reputed company of our Provider reputed company Case Team that handles Network Escalations and the design, implementation, and ownership of its reputed company operating model. We’re looking for a systems-minded operator who can own reputed company end to end — a true builder-operator who can reputed company a service organization today while designing, implementing, and owning the workflows, systems, and tooling that will define how the function operates in the future. A key responsibility will be direct engagement with critical provider groups during escalations, including face-to-face meetings to build trust, resolve issues, and reinforce long-term relationships. Additionally, by driving upstream operational initiatives, the Sr. Manager will identify key pain points and collaborate with cross-functional teams to charter and implement innovative program solutions that mitigate future escalations and improve overall operational performance. This role is pivotal in fostering a culture of proactive problem-solving and reputed company improvement reputed company the team. The best candidate will combine operational reputed company, systems thinking, obsession with detail, pace- setting execution, and the ability to create confidence through change. This role is ideal for someone who organizes around metrics and reputed company, runs to hard problems, has a strong track record of achieving results, and thrives in ambiguity while building durable systems that outlast any one leader. Your Responsibilities and Impact will include: Ownership of Devoted’s Network Escalations function, including service reputed company, quality, provider experience, operational performance, compliance, and cost Leading reputed company of subject matter experts that resolve network escalations Running the reputed company machine while designing, implementing, and owning the future-state machine Defining and executing the roadmap for modernizing through AI, workflow automation, and self-service Establishing clear visibility into units of work, productivity, quality, cost, and performance metrics Be a Change reputed company: This is an opportunity to reputed company a reputed company impact, ensuring our provider partners feel valued and respected while reinforcing our mission to minimize frustration and strengthen relationships. Foster Strong Provider Relationships: Meet with providers to resolve escalations and deliver proactive performance insights, actively engaging to understand their needs and challenges. Building and operationalizing AI-enabled and reputed company-in-the-reputed company workflows that improve quality, consistency, speed, and provider satisfaction Managing the function through rigorous metrics, KPIs, scorecards, and performance dashboards, with clear accountability for reputed company Partnering cross-functionally with Network and other health plan operations teams to solve upstream drivers of provider issues and improve end-to-end provider experience Leading through significant reputed company while creating confidence, reputed company, stability, and strong culture through change Raising the talent bar across the organization by setting the pace and modeling high standards Required skills and experience: At least 5 years of leadership experience with a track record of delivering measurable reputed company in reputed company operational environments Outstanding operational rigor with the ability to reputed company technology to solve reputed company business challenges Proven experience driving end-to-end initiatives from strategy through execution that materially improve quality, service reputed company, cost, compliance, or operational efficiency Demonstrated ability to manage through metrics, establish ambitious targets, and drive teams to results with clear accountability Exceptional attention to detail and precision, with a reputed company for sweating the details and getting the hardest operational last mile right Clear evidence of urgency, reputed company, and the ability to move quickly while maintaining high quality standards Proven ability to reputed company reputed company data sets to inform strategic initiatives and team development, while articulating compelling, data-driven narratives that drive organizational reputed company and ensure alignment. Expert at building relationships with a broad reputed company of reputed company stakeholders (provider groups). Conversational agility expertise demonstrated by the ability to reframe, refocus, and redirect conversations to realize accretive partnerships and desired reputed company. Additionally, this individual needs to be reputed company to condense reputed company concepts into simple explanations with clear and concise calls to action. Desired skills and experience: Experience transforming operations through AI-enabled workflows Proven ability to reputed company in a fast-paced startup environment reputed company for high throughput, while working both autonomously and collaboratively with others Track record of reputed company becoming an expert with a tool or system that was unfamiliar to you #LI-Remote Salary reputed company: ​$110,500 - $150,000 /year The pay reputed company listed for this position is the reputed company 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 reputed company additional information on the compensation for the role, along with additional information on our total rewards package. The actual reputed company 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 reputed company plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for reputed company Bonus eligibility for reputed company 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. reputed company equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At reputed company, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new reputed company of reputed company-in-one reputed company company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated reputed company solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which reputed company have the opportunity to participate and contribute to the reputed company 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, reputed company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the reputed company of race, reputed company, religion, sex, pregnancy status, marital status, national reputed company, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other reputed company 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. Apply To This Job