Program Manager - IDRE

Job Summary

To oversee day-to-day operations of the Federal Independent Dispute Resolution Entity (IDRE) program supporting the No Surprises Act, the full-time remote Program Manager - IDRE will manage program operations, ensure quality and timeliness of deliverables, and lead a team while driving operational efficiency.

Key Responsibilities

• Provide operational oversight and direction for Federal IDRE contract deliverables and team activities
• Manage daily operations, workflows, timelines, and project deliverables to ensure compliance with Federal IDRE requirements
• Monitor program performance metrics, budgets, risks, and quality outcomes

Required Qualifications

• Bachelor's degree in Nursing or related healthcare field OR equivalent relevant experience
• Minimum 5 years of clinical or related healthcare experience
• Minimum 3 years of management or supervisory experience
• Healthcare claims review experience
• Strong understanding of healthcare operations, medical claims, and reimbursement processes