Provider Resources

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: HR RecruiterUnder the direction of the Human Resource Manager the HR Recruiter contacts individuals and invites them to apply for open or contingent positions design and implement recruiting strategies for various positions. Tasks that the recruiter may perform i 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: 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: 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: 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 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 Title: AccountantWith daily reporting responsibilities to the Chief Financial Officer and Senior Accountant the Accountant is the staff member responsible for the internal daytoday financial operations of the organization. The Accountant is responsible for processing all acco 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: 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...