Provider Resources

About the Role:As the Finance Manager you will play a critical role in managing IDREs financial operations while leading automation initiatives to enhance efficiency. You will collaborate with technology leaders and the program team to refine processes ensuring compliance accuracy and More...

Credentialing CoordinatorAbout Provider ResourcesAt Provider Resources LLC. (PRI) we are dedicated to strengthening integrity in healthcare through a commitment to health equity compliance and quality improvement. Our expert teams collaborate to develop innovative person-centered solu More...

Position Description: Project Coordinator Under the supervision of the Project Coordinator Manager the Project Coordinator will be responsible for coordinating activities and resources in support of technical projects that impact the division systems or workflows with moderate to high More...

Position Title: Accounting Clerk With daily reporting responsibilities to the Controller the Accounting Clerk is responsible for data entry answering incoming phone inquiries documentation followthrough communications and document scanning and filing. This individual will also perform More...

Position Description: Health Insurance Stakeholder Engagement SpecialistUnder the direction of the Independent Dispute Resolution Entity (IDRE) Stakeholder Engagement Subject Matter Expert or his/her designee the Health Insurance Stakeholder Engagement Specialist applies critical thi More...

Position Description: Health Insurance Stakeholder Engagement SpecialistUnder the direction of the Independent Dispute Resolution Entity (IDRE) Stakeholder Engagement Subject Matter Expert or his/her designee the Health Insurance Stakeholder Engagement Specialist applies critical thi More...

Position Description: Health Insurance Specialist Under the direction of the Independent Dispute Resolution Entity (IDRE) Project Manager or his/her designee the Health Insurance Specialist applies critical thinking skills IDRE program policies and regulatory guidance to analyze and a More...

Position Description: Stakeholder Engagement JD/Subject Matter Expert (SME)Under the direction of the Independent Dispute Resolution Entity (IDRE) Executive Director or his/her designee the Stakeholder Engagement JD/Subject Matter Expert (SME) serves as the face of PRIs IDR program. T More...

Credentialing CoordinatorAbout Provider ResourcesAt Provider Resources LLC. (PRI) we are dedicated to strengthening integrity in healthcare through a commitment to health equity compliance and quality improvement. Our expert teams collaborate to develop innovative personcentered solut More...

Position Description: Health Insurance Specialist Under the direction of the Independent Dispute Resolution Entity (IDRE) Project Manager or his/her designee the Health Insurance Specialist applies critical thinking skills IDRE program policies and regulatory guidance to analyze and a More...

Position Description: Health Insurance Stakeholder Engagement SpecialistUnder the direction of the Independent Dispute Resolution Entity (IDRE) Stakeholder Engagement Subject Matter Expert or his/her designee the Health Insurance Stakeholder Engagement Specialist applies critical thi More...

Position Description: Health Insurance Specialist Under the direction of the Independent Dispute Resolution Entity (IDRE) Project Manager or his/her designee the Health Insurance Specialist applies critical thinking skills IDRE program policies and regulatory guidance to analyze and a More...

Position Description: Health Insurance Specialist Under the direction of the Independent Dispute Resolution Entity (IDRE) Project Manager or his/her designee the Health Insurance Specialist applies critical thinking skills IDRE program policies and regulatory guidance to analyze and a More...

Position Description: Quality Assurance Review Nurse Reporting to the Director the QA Review Nurse will provide professional assessment planning coordination implementation and reporting of complex clinical data and support the medical review operations of Provider Resources Inc. (P More...

Position Description: Quality Assurance Review Nurse Reporting to the Director the QA Review Nurse will provide professional assessment planning coordination implementation and reporting of complex clinical data and support the medical review operations of Provider Resources Inc. (P More...

Position Description: Quality Assurance Review Nurse Reporting to the Director the QA Review Nurse will provide professional assessment planning coordination implementation and reporting of complex clinical data and support the medical review operations of Provider Resources Inc. (P More...

Position Description: IDRE Customer Service Representative (CSR) Reporting to the Independent Dispute Resolution Entity (IDRE) Stakeholder Engagement Subject Matter Expert the Customer Service Representative (CSR) shall be in contact with Initiating Party and Noninitiating party stake More...

Position Description: Data Entry ClerkThe Data Entry Clerk will report to IDRE Data Entry Manager and is responsible for the daytoday operations to accurately enter and update data into the appropriate database systems. The Data Entry Clerk requires candidates with quick and accurate More...

Position Description: Quality Assurance Review Nurse Reporting to the Director the QA Review Nurse will provide professional assessment planning coordination implementation and reporting of complex clinical data and support the medical review operations of Provider Resources Inc. (P More...

Position Description: Quality Assurance Review Nurse Reporting to the Director the QA Review Nurse will provide professional assessment planning coordination implementation and reporting of complex clinical data and support the medical review operations of Provider Resources Inc. (P More...