Project Specialist - Healthcare

Job Summary

Supporting the Federal Independent Dispute Resolution Entity (IDRE) review process, the full-time remote Project Specialist - Healthcare will manage daily administrative tasks, facilitate review requests, and ensure timely processing of IDR reviews while collaborating with team members and external customers.

Key responsibilities:

• Facilitate review requests and implement processes to track case progress and timeliness
• Collaborate with the IDRE team to prescreen IDR cases for eligibility using defined criteria
• Coordinate and document data to meet team reporting needs and develop various materials for team support

Required qualifications:

• Associate's degree or five years of related experience required; Bachelor's degree preferred, particularly in healthcare
• Minimum two years of project support experience in a corporate or professional environment
• Experience in IDR or claims, appeal, and denial processes preferred
• Project management skills are required
• Strong multi-tasking skills with attention to detail and deadlines