PROGRAM MANAGER (IDRE) - Remote

This is a Fully Remote Job About Our Client: The organization operates as Michigan’s Medicare-designated Quality Improvement Organization, focusing on improving healthcare quality, safety, and efficiency. It addresses challenges in healthcare by providing evidence-based, data-driven consulting and review services to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other payers. With over 40 years of experience, the organization offers impartial utilization review, dispute resolution, and peer review, positioning itself as a trusted resource for improving healthcare outcomes nationwide. About the Opportunity: The PROGRAM MANAGER – FEDERAL IDRE SERVICES is responsible for overseeing the daily operations of the Federal Independent Dispute Resolution Entity program supporting the No Surprises Act. This role ensures regulatory and contractual compliance, manages case workflows, and supports the delivery of program requirements. It involves leadership of a remote team, balancing operational oversight with employee development to maintain high standards of quality, productivity, and compliance. Responsibilities: Supervise, coach, and develop team members including Project Specialists and Administrative Aides. Establish and maintain communication practices for a remote team. Lead virtual team meetings and conduct one-on-one performance reviews. Set clear expectations for responsibilities and quality standards. Provide leadership guidance and support to ensure workflow continuity. Foster a collaborative and accountable remote work environment. Identify training needs and support employee development. Monitor team workload and adjust assignments as necessary. Oversee day-to-day Federal IDRE program operations, schedules, and deliverables. Ensure compliance with contractual, regulatory, and organizational requirements. Monitor program metrics, productivity, budgets, and risks, recommending improvements. Develop and implement standard operating procedures and workflow documentation. Identify and address workflow inefficiencies and compliance risks. Coordinate with Arbitration Coordinators, arbitrators, SMEs, and stakeholders for case reviews. Apply healthcare claims and clinical expertise to improve review processes. Requirements: Experience managing and engaging remote or geographically dispersed teams. Proven leadership skills with ability to promote accountability and quality. Strong communication and project management abilities. Knowledge of healthcare operations and regulatory compliance. Pay Range and Compensation Package: The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note: TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.