Job Overview
Location
Remote USA
Job Type
Full-time
Category
HR & Recruiting
Date Posted
April 10, 2026
Full Job Description
đź“‹ Description
- • The FDR Manager at Devoted Health is responsible for auditing and monitoring First Tier, Downstream, and Related Entities (FDRs) to ensure compliance with State and Federal regulations, particularly CMS requirements for Medicare Part C & D.
- • Day-to-day responsibilities include conducting desktop and onsite audits of FDRs, creating audit reports and scorecards, issuing Corrective Action Plans (CAPs), and ensuring deficiencies are fully remediated through follow-up and collaboration.
- • The role operates within Devoted Health’s Compliance Effectiveness Program, supporting a mission-driven organization dedicated to improving healthcare for older Americans through integrated clinical, insurance, and service solutions.
- • The FDR Manager will develop expertise in healthcare compliance, audit lifecycle management, and regulatory reporting while building cross-functional communication skills by presenting findings to internal leadership and external partners.
🎯 Requirements
- • 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 identifying non-compliance and driving resolution.
- • Demonstrated ability to execute the full audit process—from desktop/onsite audits to reporting and scorecards—with meticulous attention to detail.
- • Skilled in issuing and managing Corrective Action Plans (CAPs) to ensure deficiencies are fully remediated.
- • Ability to translate complex audit findings into clear presentations and written reports for internal and external stakeholders.
- • Strong project management skills with a track record of meeting CMS deadlines in a remote-first, fast-paced environment.
🏖️ Benefits
- • Employer-sponsored health, dental, and vision plans with low or no premium.
- • Generous paid time off.
- • $100 monthly mobile or internet stipend.
- • Stock options for all employees.
- • 401K program.
- • Parental leave program.
Skills & Technologies
Remote
$75k-115k
About Devoted Health, Inc.
Devoted Health, Inc. operates as a Medicare Advantage health plan provider, offering comprehensive coverage, personalized care navigation, and integrated technology to seniors across the United States. The company combines clinical expertise, data analytics, and member support services to coordinate physician visits, prescription management, and preventive care, aiming to improve health outcomes and reduce unnecessary costs for its members.
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