Integrations Manager

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.

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: 

• Collaborate with Business, Product Management, Engineering, and Data Science teams to scope, build, and scale new system workflows and data exchanges using a variety of technologies, including X12, batch file exchanges over SFTP, and APIs.

• Own system and workflow design, data specifications, scoping, development, unit testing, and end-to-end implementation to ensure seamless system integrations.

• Test and validate internal workflows, collaborating with business and technical teams on claims processing in the healthcare insurance arena, specifically Medicare Advantage. Apply knowledge of payment integrity, benefit configurations, clearinghouses, payment platforms, pharmacy claims, and interactions with state agencies to ensure accurate and efficient system integrations.

• Troubleshoot the performance, quality, and speed of data exchange transactions, while supporting stateside and offshore teams to ensure accurate, reliable, and timely information flows with external partners.

• Analyze data to identify workflow, data exchange, and internal process gaps; develop insights and influence stakeholders across Devoted on technical solution and internal processes and tools improvements to improve efficiency, scalability, and product effectiveness.

• Partner with vendors and internal business stakeholders to ensure service level agreements (SLAs) and CMS compliance requirements are met; serve as the primary liaison between Devoted teams and external vendors.

• Define, implement, and drive key performance indicators (KPIs) to measure integration success and operational health.

• Create technical and support documentation, standard operating procedures and best practices

Required skills and experience:

• 6+ years of professional experience in program or project management, preferably within a technical environment.

• Strong understanding of healthcare IT systems, including standards and methods for healthcare data exchanges (e.g., X12/ANSI, HL7, FHIR, XML, SFTP, APIs), familiarity with regulations and industry best practices, and experience with tools and practices for project tracking, issue management, and reporting (e.g., JIRA, Confluence, or similar).

• Strong knowledge of claims processing in healthcare insurance, including Medicare Advantage. Familiarity with benefit configurations, clearinghouses, payment platforms, pharmacy claims, and interactions with state agencies. 

• Experience with integration project lifecycles, including system design, testing, deployment, and post-implementation monitoring, with knowledge of best practices for workflow automation, batch and real-time data exchanges, and partner/vendor integrations.

• Proven ability to analyze complex data sets, derive actionable insights, and develop execution plans, with proficiency in SQL, spreadsheets (e.g., Google Sheets), and data visualization tools for reporting and decision-making.

• Ability to manage multiple priorities and critical tasks in a fast-paced, dynamic environment, with strong technical acumen and a results-oriented mindset—able to interpret complex requirements, identify solutions, manage technical risks, review processes, uncover improvement opportunities, and drive projects to completion independently.

• Excellent communication skills with the ability to influence and collaborate across all levels, from peers to senior leadership, while incorporating the company’s vision, mission, and values into decision-making.

#LI-Remote
Salary Range: $80,000-$135,000 / 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.

Healthcare 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 Devoted Health, 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 kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare 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 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.