Top 33 Idr, inc Jobs | SimplyHired

Compliance Support Specialist
TRES HEALTH INC —Remote
- Remote
- Research
- Mid-level
- Office
Director of Operations (IDRE)
PROVIDER RESOURCES INC —Remote
- $165,000 - $215,000 a year
- Full-time
- Remote
- Management
- Senior level
Quick Apply
Claims Team Lead
Medical Air Services Association, Inc —Sunrise, FL
- $31.28 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Health savings account
- Disability insurance
Quick Apply
Manager of Compliance Audit
PROVIDER RESOURCES INC —Remote
- $105,000 - $155,000 a year
- Full-time
- Remote
- 5 years
- Senior level
- Analytics
Quick Apply
Simulation Technician, School of Nursing
Rasmussen University —Eagan, MN
- $45,900 - $59,700 a year
- Weekends as needed
- Laboratory
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Health insurance
Quick Apply
5d
Clinical Reviewer (RN)
ISLAND PEER REVIEW ORGANIZATION INC —Jericho, NY
- $38.46 - $43.27 an hour
- Full-time
- Nursing
- RN License
- Writing skills
Quick Apply
Project Manager
Shivam Infotech —Wayne, PA
- Email
- Mid-level
- Office
Cyber Security Manager: Incident Detection and Response
Ashland —Remote
- Full-time
- Remote
- Azure
- Computer Science
- 3 years
- Opportunities for advancement
Director of Compliance
PROVIDER RESOURCES INC —Remote
- $165,000 - $190,000 a year
- Full-time
- Remote
- Senior level
- Leadership
- 10 years
Quick Apply
Sr. Research Associate, Virology
Moderna, Inc. —Cambridge, MA
- $74,000 - $118,400 a year
- Full-time
- Mid-level
- US work authorization
- In-person
- Health insurance
- Paid time off
Independent Dispute Resolution (IDR) Claims/OON Specialist
Exceptional Healthcare Inc. —Dallas, TX
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
NSA Billing & Collections Specialist
Globus Medical —Columbia, MD
- Full-time
- HIPAA
- Mid-level
- Microsoft Office
Scientist, Platform and TA Bioinformatics
Moderna, Inc. —Cambridge, MA
- $121,600 - $194,500 a year
- Full-time
- Bachelor of Science
- Office
- Bachelor's degree
- Health insurance
- Paid time off
Director of Stakeholder Engagement
PROVIDER RESOURCES INC —Remote
- $165,000 - $215,000 a year
- Full-time
- Remote
- Analysis skills
- Senior level
- Communication skills
- Health savings account
- Health insurance
Quick Apply
Regulatory Process Manager (IDRE)
PROVIDER RESOURCES INC —Remote
- $125,000 - $175,000 a year
- Full-time
- Remote
- Continuous improvement
- Training & development
- Senior level
Quick Apply
9d
Stakeholder Engagement Manager (IDRE)
PROVIDER RESOURCES INC —Remote
- $125,000 - $175,000 a year
- Full-time
- Remote
- Senior level
- Commercial
Quick Apply
9d
Construction Inspector, Airfield
AVCON, Inc. —Naples, FL
- Full-time
- Microsoft Outlook
- Construction site
- Computer literacy
Quick Apply
Senior Construction Manager
Precision Systems, Inc. —Washington, DC
- Hybrid work
- Construction site
- Bachelor of Science
- Research
- Commuter assistance
- Health insurance
Quick Apply
Oracle Cloud Accounts Payable (AP) Functional Lead
Next Generation Inc. (NGI) —Alexandria, VA
- Full-time
- Hybrid work
- Oracle
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
Senior Mortgage Loan Processor & Team Lead
My Education Solutions —San Antonio, TX
- Office
- Mentoring
- Organizational skills
- Paid holidays
- Loan repayment program
Quick Apply

I want to receive the latest job alert for idr, inc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Compliance Support Specialist

TRES HEALTH INC -
Remote

Apply Now

Job Details

Qualifications

Research

Full Job Description

Compliance Support Specialist

Position Summary

The Compliance Support Specialist provides administrative and operational support to the Compliance & Reporting Department at Tres Health. This position assists with No Surprises Act (NSA) activities, appeals administration, compliance tracking, reporting, and departmental projects.

The Compliance Support Specialist works closely with the Compliance Team to support regulatory processes, maintain documentation, track deadlines, coordinate communications, and assist with compliance-related tasks. This position is an excellent opportunity for an individual interested in developing knowledge of healthcare compliance, appeals, and regulatory requirements within the self-funded health plan industry.

Key Responsibilities

NSA Support

Assist with tracking Open Negotiation Notices (ONNs), Independent Dispute Resolution (IDR) cases, and related deadlines.
Maintain NSA logs, spreadsheets, and tracking reports.
Assist with gathering claim documentation and supporting records.
Prepare and distribute routine NSA-related correspondence.
Coordinate communications with providers, vendors, and internal departments.
Support the Compliance Team with NSA projects and administrative tasks.

Appeals Support

Assist with intake, tracking, and documentation of member and provider appeals.
Maintain appeal logs and tracking systems.
Coordinate collection of claim information and supporting documentation.
Assist with preparation and distribution of appeal-related correspondence.
Monitor appeal deadlines and escalate potential issues to the Compliance Team.

Compliance Department Support

Assist with maintaining departmental procedures, forms, and documentation.
Support compliance reporting and special projects.
Perform data entry, auditing, and quality review activities.
Assist with preparing reports, spreadsheets, and presentations.
Conduct basic research on regulatory and compliance topics as assigned.
Provide administrative support to the Compliance & Reporting Department.
Perform other duties as assigned.

Education and Experience

A Bachelor's degree in Health Administration, Business, Compliance, or a closely related discipline or the equivalent years of experience or education. (TPA or health plan experience strongly preferred). Familiarity with the No Surprises Act, ERISA, and other healthcare regulations is required.

Knowledge, Skills & Abilities

Strong understanding of health plan operations, medical claims processing, and provider billing.
Excellent analytical, problem-solving, and research skills.
High attention to detail with the ability to interpret and apply complex regulations.
Strong communication skills (written and verbal) for both internal and client-facing interactions.
Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint) and claims/benefits administration systems.
Ability to manage multiple priorities in a deadline-driven environment.

Apply Now

Refine Your Search

idr, inc jobs

Compliance Support Specialist

Director of Operations (IDRE)

Claims Team Lead

Manager of Compliance Audit

Simulation Technician, School of Nursing

Clinical Reviewer (RN)

Project Manager

Cyber Security Manager: Incident Detection and Response

Director of Compliance

Sr. Research Associate, Virology

Independent Dispute Resolution (IDR) Claims/OON Specialist

NSA Billing & Collections Specialist

Scientist, Platform and TA Bioinformatics

Director of Stakeholder Engagement

Regulatory Process Manager (IDRE)

Stakeholder Engagement Manager (IDRE)

Construction Inspector, Airfield

Senior Construction Manager

Oracle Cloud Accounts Payable (AP) Functional Lead

Senior Mortgage Loan Processor & Team Lead

I want to receive the latest job alert for idr, inc

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected