What are the responsibilities and job description for the Team Lead (IDRE) position at Provider Resources, LLC?
Reference #: 68667a33de3d67d68b5031f8
Job Description
Join Provider Resources (PRI)andMake an Impact in Healthcare!
At PRI, we're passionate about driving integrityandadvancing quality across the healthcare system.As a trusted leader in the industry, we're tackling some of healthcare's biggest challenges-improving compliance, advancing health equity,andenhancing qualityandclinical outcomes while helping organizations improve care deliveryandcreate meaningful change.
We believe that people are at the heart of healthcare,andfocus on scalable, person-centered strategies that prioritize clinical excellenceandevidence-based practices. Our work supports a broad network of stakeholders, including providers, patients, caregivers, payers,andregulators. We strive to enhance experiences, improve outcomes,andfoster a healthier future for all.
If you're looking to be part of a forward-thinking team that makes a difference, PRI is the place for you!
Job Title: Team Lead for Independent Dispute Resolution (IDRE)
TheTeam Lead for IDRE is responsible forguiding teams, fostering collaboration, and driving results.They provideday-to-day supervision and leadershipof a cross-functional team performing eligibility analysis, payment determinations, and quality assurance, and communicate clear instructions and direction to help them achieve program goals. Responsibilities includesetting performance goals, providing feedback and coaching, and resolving issues within the team.
Key Responsibilities
People: Provide day-to-day leadership and management of the team, including feedback, quality audits, and inspiring the team. Perform basic supervisory HR tasks for employees (e.g., timesheets, performance reviews).
Operations: Complete work assignments for eligibility and payment determinations, and ensure teams are hitting success metrics.
Projects: Undertake projects to improve team performance and contribute to the success of the department as a whole.
Cross-team Engagement: Make connections and work across teams to drive initiatives and success.
What Good Looks Like
Guide the team through complex decisions and process change, ensure quality of work, reach production goals, manage team members and their schedules, and report key metrics to leadership.
Assist the Executive Director with special projects and facilitate cross-team learning.
Required Skills
Provider Resources, LLC is an Equal Opportunity Employer. We do not discriminate against qualified applicants based upon any protected group status, including but not limited to race, religion, color, creed, sex (including breastfeeding and related conditions), gender identity/gender expression, pregnancy (including childbirth and related conditions), national origin, ancestry, age, marital status, military or veteran status, sexual orientation, genetic information, physical or mental disability or medical condition as defined by applicable equal opportunity laws. Any request for accommodation can be directed toHuman Resources.
Benefits And Compensation
Provider Resources provides a competitive benefits package that includes access to Medical, Dental, and Vision Insurance, Life Insurance, Disability, Health Savings Account (HSA), Flexible Spending Accounts (FSA), Critical Illness, Acc dent, Legal and ID Theft, 401k plan, and PTO.
The anticipated salary range for fully qualified candidates applying for this role will be $67,751-$78,491 (not including discretionary bonus, equity, and benefits). The final salary offered will be dependent on several factors that include but are not limited to relevant previous experience including duration and type of experience within the industry, education, and internal equity.
HUBZone Preference: Preference will be given to individuals who reside in, or are willing to relocate to, a recognized HUBZone area. For more information, visitGo to www.sba.gov/hubzone for more information.
*Qualified candidates may apply by clicking, "Apply Now". Next, submit your resume. You may complete a cover letter on the following screen. **You must contact the employer via one of the methods listed on the screen after clicking "Apply for this job". ** Please be sure to identify PA CareerLink as your referral source.*
Job Description
Join Provider Resources (PRI)andMake an Impact in Healthcare!
At PRI, we're passionate about driving integrityandadvancing quality across the healthcare system.As a trusted leader in the industry, we're tackling some of healthcare's biggest challenges-improving compliance, advancing health equity,andenhancing qualityandclinical outcomes while helping organizations improve care deliveryandcreate meaningful change.
We believe that people are at the heart of healthcare,andfocus on scalable, person-centered strategies that prioritize clinical excellenceandevidence-based practices. Our work supports a broad network of stakeholders, including providers, patients, caregivers, payers,andregulators. We strive to enhance experiences, improve outcomes,andfoster a healthier future for all.
If you're looking to be part of a forward-thinking team that makes a difference, PRI is the place for you!
Job Title: Team Lead for Independent Dispute Resolution (IDRE)
TheTeam Lead for IDRE is responsible forguiding teams, fostering collaboration, and driving results.They provideday-to-day supervision and leadershipof a cross-functional team performing eligibility analysis, payment determinations, and quality assurance, and communicate clear instructions and direction to help them achieve program goals. Responsibilities includesetting performance goals, providing feedback and coaching, and resolving issues within the team.
Key Responsibilities
People: Provide day-to-day leadership and management of the team, including feedback, quality audits, and inspiring the team. Perform basic supervisory HR tasks for employees (e.g., timesheets, performance reviews).
Operations: Complete work assignments for eligibility and payment determinations, and ensure teams are hitting success metrics.
Projects: Undertake projects to improve team performance and contribute to the success of the department as a whole.
Cross-team Engagement: Make connections and work across teams to drive initiatives and success.
What Good Looks Like
Guide the team through complex decisions and process change, ensure quality of work, reach production goals, manage team members and their schedules, and report key metrics to leadership.
Assist the Executive Director with special projects and facilitate cross-team learning.
Required Skills
- Outcomes-driven and Problem-solver: Operational discipline, ability to jump between leadership and operational roles, scrappiness, and a solution-oriented mindset.
- Servant Leader and Team Player: High people skills, ability to lead through others, deliver feedback effectively, hold teams and people accountable, and create an inclusive environment.
- Technical Skills: Proficiency in MS Office, excellent written and verbal communication.
- Experience leading a team is desirable.
- 3-5 years of experience in health claims, insurance, or RCM, with IDRE-specific experience desired.
- Bachelor's Degree or equivalent experience preferred.
Provider Resources, LLC is an Equal Opportunity Employer. We do not discriminate against qualified applicants based upon any protected group status, including but not limited to race, religion, color, creed, sex (including breastfeeding and related conditions), gender identity/gender expression, pregnancy (including childbirth and related conditions), national origin, ancestry, age, marital status, military or veteran status, sexual orientation, genetic information, physical or mental disability or medical condition as defined by applicable equal opportunity laws. Any request for accommodation can be directed toHuman Resources.
Benefits And Compensation
Provider Resources provides a competitive benefits package that includes access to Medical, Dental, and Vision Insurance, Life Insurance, Disability, Health Savings Account (HSA), Flexible Spending Accounts (FSA), Critical Illness, Acc dent, Legal and ID Theft, 401k plan, and PTO.
The anticipated salary range for fully qualified candidates applying for this role will be $67,751-$78,491 (not including discretionary bonus, equity, and benefits). The final salary offered will be dependent on several factors that include but are not limited to relevant previous experience including duration and type of experience within the industry, education, and internal equity.
HUBZone Preference: Preference will be given to individuals who reside in, or are willing to relocate to, a recognized HUBZone area. For more information, visitGo to www.sba.gov/hubzone for more information.
*Qualified candidates may apply by clicking, "Apply Now". Next, submit your resume. You may complete a cover letter on the following screen. **You must contact the employer via one of the methods listed on the screen after clicking "Apply for this job". ** Please be sure to identify PA CareerLink as your referral source.*
Salary : $67,751 - $78,491