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Remote USA, United States of America
Remote only
Job Description
A bit about this role:
The analysis behind Devoted's Medicare Advantage portfolio — which markets to grow in, which products to invest in, which benefit designs and cost structures actually work, creating those benefits — is driven today by a very small number of people. This team sits between claims analytics, product strategy, engineering, and actuarial, and is rebuilding how the portfolio and bid cycle work using agentic workflows and AI-assisted pipelines.
This is not a reporting role. You'll own the strategic thinking and the pipework underneath it, often on the same day — there's no analyst between you and the data — and you'll see the whole picture — we'll expect you to have an opinion about it.
Your Responsibilities and Impact will include:
The analysis behind portfolio decisions. Product and service area mix — where we push growth and where we protect margin. You won't always be handed a question list; you'll help decide which questions matter.
Cost and utilization work that answers the actual question. Decompose PMPM trend into utilization versus unit cost, build comparison groups you can defend when someone attacks them, and honestly size what a benefit change or network change will really do to claims.
Independent financial judgment on benefit designs. Our own estimate of what a design does to revenue and cost, plus a clear sense of how much weight that estimate can bear. You'd own that work and be direct about its limits.
Recommendations leadership can act on. Present data-backed recommendations to senior leaders regularly, including the CEO, and defend them live.
Building the infrastructure, not just using it. We're rebuilding how the portfolio and bid cycle work with agentic workflows, AI-assisted code generation, and automated pipelines that turn what used to be weeks of manual work into something that runs overnight. This team is at the center of that build, and you'll push these tools into territory nobody here has tried yet.
Go-to-market support. Once plans are filed, build the analyses go-to-market runs on, supporting marketing, sales, and brokers with a clear read on where our plans compete well and who they're built for.
AEP monitoring. Track enrollment as it comes in against what the bid assumed: volume by plan and county, product mix, and the profile of who's choosing us. When something is moving the wrong way, you're the one who catches it early enough for us to do something about it.
Being the person people come to. When someone needs to know whether a metric is built the right way or whether the data is being read correctly, you're the answer, not a ticket to another department.
Required skills and experience:
Six or more years in Medicare Advantage with your hands in the data. You know how claims are structured, what place-of-service and revenue codes tell you, the difference between allowed and paid, how completion factors work, and how risk adjustment feeds into all of it. You've been burned by a bad pull before, and you know what you check now because of it.
Cost and utilization analytics. PMPM trend broken into utilization versus unit cost, clean comparison groups, sizing the impact of a benefit or network change. You know the difference between a number that moved and a number that means something.
Strong SQL and real comfort in a large claims warehouse (Snowflake, Databricks, or similar).
Analysis you've turned into strategy and defended. You've dug into claims data, formed your own point of view about what a company should do differently, and taken it to senior leadership — then handled the questions that came back, including the ones aimed at your method. You can hold your own with actuaries without being one.
End-to-end ownership without scaffolding. Finding the data, sanity-checking it, modeling it, presenting it.
The one-slide skill. You can put a complicated result on a single slide or Slack message without losing what's true about it.
A collaborator, not a lone operator. This team is small enough that how you work with people matters as much as how good your analysis is. You share work before it's finished, you're direct without being sharp about it, and you're generous with what you know. We're remote and in constant communication. Nobody here is above any task, including the tedious ones.
Desired skills and experience:
Bid math. Every June, MA plans file a bid with CMS that sets the following year's revenue, benefits, and premiums — it's the annual event the entire portfolio is built around. If you know benchmarks, rebates, and benefit valuation, and you understand how bid assumptions constrain where the portfolio can go, that matters a great deal here. Having lived through a real bid cycle in some capacity counts for a lot.
Optimization, Python, or actuarial training pointed at strategy. Benefit design, network configuration, or allocation problems framed and solved as constrained optimization. Python for analysis and modeling — pandas, statsmodels, scikit-learn, and comfort with clustering, regression, PCA, and trees. An ASA or FSA is not required, but if you have actuarial training and you've concluded you want strategy and product work over pure pricing, that's a profile we especially welcome.
Fluent, practical use of AI tools. You already use AI in your analytical work as part of how you get things done and you're interested in pushing it further. Everyone on this team is expected to work this way.
Salary range: $110,500 - $173,000 / 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.
