Provider Resources, LLC Jobs in United States

The Senior Accountant IDRE Lead is responsible for accurate reporting of fees associated with the IDRE program and guiding support staff in completing these tasks each day. · ...

Join Provider Resources and make an impact in healthcare. We're passionate about driving integrity and advancing quality across the healthcare system. · ...

Ophthalmology Physician · This position offers a remote opportunity for board-certified clinicians to join our panel as medical reviewers for quality healthcare assessment. · Perform thorough case reviews in accordance with state and federal regulations. · Maintain compliance wit ...

About this role · Provider Resources, LLC (PRI) seeks board-certified clinicians for a remote mission ensuring quality healthcare for US Veterans. · Pathology specialists needed: Cypothology, Dermatopathology, Hematopathology, Medical Microbiology, Molecular Genetic and Neuropath ...

The Business Analyst reports to the Project Coordinator Manager and plays a critical role in ensuring that project deliverables align with business needs. · Translate business needs into clear, actionable project requirements and documentation. · Analyze data and trends to identi ...

We believe that people are at the heart of healthcare, and focus on scalable, person-centered strategies that prioritize clinical excellence and evidence-based practices. · ...

Job summaryThe Operations Support Specialist plays a critical role in ensuring smooth day-to-day business operations by providing administrative technical and logistical support. · Assist in managing workflows schedules and documentation to ensure timely completion of tasks. · ...

Genetics Physician Job Description · We are seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. · This is a remote, flexible position that allows you to contribute your clinical expertise while ma ...

Otolaryngology Physician · Provider Resources, LLC (PRI) seeks board-certified clinicians to join their panel for quality healthcare missions. · Otolaryngology (ENT) - NeurotologyOtolaryngology (ENT) - Sleep Medicine ...

Job Description · We are seeking board-certified Otolaryngology Physicians to join our panel of VA medical reviewers. · Perform comprehensive medical record peer reviews to assess care provided to Veterans. · Maintain compliance with regulations as they impact review practices. · ...

Job Description · Key Responsibilities: · Perform comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations. · Making clinical judgments based on clinical experience and evidence-base ...

We believe that people are at the heart of healthcare,and focus on scalable,person-centered strategies that prioritize clinical excellenceand evidence-based practices.Review and adjudicate payment disputes in line with IDRE policiesPrepare determinations based on submitted docume ...

Obstetrics & Gynecology Physician Job Description · We are seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. · This is a remote, flexible position that allows you to contribute your clinical exp ...

We are seeking a detail-oriented Health Insurance Specialist to support the Independent Dispute Resolution Entity (IDRE) program. Analyze payment disputes between nonparticipating providers and group health plans, applying regulatory guidance and critical thinking to determine fa ...

Provider Resources, LLC seeks board-certified clinicians for VA medical reviewer roles, conducting objective case reviews assessing quality and appropriateness of care provided to Veterans. · Key Responsibilities: · Makes clinical judgments based on experience and evidence-based ...

Job Description · We are seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. · Obstetrics & Gynecology - Critical Care Medicine · Obstetrics & Gynecology - Gynecologic Oncology · ...

Job Title · Emergency Medicine Physician · The Provider Resources LLC team seeks board-certified Emergency Medicine Physicians with expertise in various areas including Anesthesiology Critical Care Medicine. · Description:This role involves conducting thorough medical record peer ...

Gastroenterology Physician Job Description · This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice. · Perform comprehensive medical record peer reviews for determination of appropriate clinical outcomes i ...

VA Medical Reviewer · Provider Resources LLC is seeking board-certified clinicians for remote medical reviews. · ...

Job Description: · As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. · This is a remote position that allows contributing clinical expertise while maintaining current practice. · ...