Senior Manager (IDR)

Job description

Job Description

Insight Global is seeking a Senior Manager of Independent Dispute Resolution (IDR) Operations to join one of our largest healthcare clients and sit near Wilkes-Barre, PA - sitting onsite 3 times/week. This person will oversee the day-to-day execution of the client's rapidly growing IDR business. This individual will be responsible for leading a mid-large sized team, while ensuring operational excellence, regulatory compliance, and successful delivery of services under the IDR law (e.g. the No Surprises Act). The Senior Manager will own operational performance across the organization, monitoring key metrics, identifying process improvement opportunities, and ensuring cases move efficiently through the dispute resolution lifecycle. This person will serve as a senior operational leader and primary escalation point for complex case issues, customer concerns, and process-related challenges. They will work closely with leadership to develop, refine, and scale operational procedures while ensuring compliance with CMS regulations and federal IDR requirements. The ideal candidate is highly operationally focused, comfortable managing large teams in a production environment, and capable of navigating nuanced regulatory requirements. This role is expected to quickly evolve and will play a significant role in shaping the future direction of the IDR organization.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

• 7+ years of experience in operations leadership, business operations, program management, or service delivery environments

• Direct experience with Independent Dispute Resolution (IDR) processes

 Familiarity with federal contract requirements and compliance standards related to healthcare administration or dispute resolution services

• 3+ years of experience managing managers, team leads, or large-scale operational teams

• Experience overseeing operational metrics, workforce productivity, quality measures, and process performance

• Strong background driving process improvement initiatives and implementing operational efficiencies

• Experience serving as an escalation point for complex customer, client, or operational issues

• Ability to manage large teams while maintaining accountability, performance, and employee engagement

• Strong understanding of compliance-driven or highly regulated business environments

• Experience interpreting policies, procedures, regulations, and operational guidelines to ensure process adherence

• Excellent communication and stakeholder management skills with the ability to influence across multiple levels of an organization

• Strong analytical and problem-solving skills with the ability to make decisions using operational data and reporting • Knowledge of CMS regulations, federal healthcare programs, or healthcare reimbursement operations

• Experience supporting medical claims, appeals, payment determinations, arbitration, or dispute resolution functions

• Healthcare operations leadership experience within payer, provider, healthcare services, or government contracting organizations

• Experience leading large-scale operations through periods of growth, transformation, or organizational change

• Previous responsibility for developing SOPs, operational governance frameworks, and quality assurance programs

• Experience preparing for a Director-level leadership role or managing enterprise-scale operational teams

Who can apply

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