Job Description
A bit about this role:
CMS requires appropriate oversight of all First Tier, Downstream and Related Entities (FDR). As the FDR Manager for Devoted you will be responsible for auditing and monitoring those vendors we have deemed an FDR. Your job will be to ensure that our FDRs are maintaining compliance with all applicable State and Federal regulations.
Your Responsibilities and Impact will include:
Monitoring of FDRs on a regular candace as part of our Compliance Effectiveness Program
Conducting desktop audits of FDRs
Conducting onsite audits of FDRs
Creating audit reports
Creating scorecards and tools to evaluate the FDRs
Issuing Corrective Action Plans as needed and ensuring that deficiencies have been addressed and corrected
Required skills and experience:
2–5 years of healthcare auditing or insurance operations experience, with a deep understanding of Medicare Part C & D standards.
Proven experience managing First Tier, Downstream, and Related Entities (FDRs), including the ability to identify non-compliance and drive meaningful resolution.
Demonstrated ability to execute the full audit process—from conducting desktop/onsite audits to creating reports and scorecards—with meticulous attention to detail.
Skilled in issuing and managing Corrective Action Plans (CAPs), ensuring that deficiencies are not just identified but fully remediated.
Ability to translate complex audit findings into clear presentations and written reports for both internal leadership and external FDR partners.
Strong project management skills with a track record of meeting strict CMS deadlines while collaborating effectively in a remote-first, fast-paced environment.
Desired skills and experience:
Proficiency in Google Workspace (Docs, Sheets, Slides) and Slack.
Active interest or experience in applying Generative AI or LLMs to automate routine audit tasks, such as summarizing compliance reports or identifying patterns in vendor data.
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Salary Range: $75,000-$115,000
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.
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