Stakeholder Engagement Manager (IDRE)

About the role

PRI LLC is a federally certified Independent Dispute Resolution Entity (IDRE) and Independent Review Organization (IRO) operating under the No Surprises Act. We process payment disputes that directly protect patients from unexpected medical bills — and we do it at scale, with precision, in one of the most scrutinized regulatory environments in healthcare. We are a growth-stage company of approximately 200 people, backed by a search fund, and building the systems and team that will define PRI LLC for the next decade.

What You Will Do

• Serve as the primary contact for health plans and providers on all IDRE disputes, escalations, and process questions
• Interpret NSA rules and CMS guidance in real time — no committee needed for routine questions
• Conduct audilevel case file reviews in GlideOps to answer stakeholder questions with specificity and documentation
• Manage escalated disputes from initiation to resolution, coordinating with QA, compliance, and operations
• Build and own PRI LLC's external communication standards — templates, turnaround expectations, escalation protocols
• Capture and deliver structured stakeholder feedback to QA and compliance leadership on a regular cadence
• Track CMS guidance and interim final rules; communicate relevant changes to internal stakeholders proactively
• Represent PRI LLC at external meetings, webinars, and educational events

What We Are Looking For

• JD or LLM preferred; significant NSA/IDRE operational, regulatory, or arbitration experience considered in lieu
• Arbitration experience — IDR arbitration ideal; AAA, JAMS, AHLA, or commercial arbitration background considered
• Deep familiarity with the No Surprises Act IDR process from an operational or regulatory perspective
• Experience managing complex external relationships with accountability for resolution outcomes, not just response volume
• Auditor instinct: you move toward case files and complexity, not away from them
• Ability to make decisions independently and move fast without committee input
• Prior IDRE, IDRE, IRO, managed care, utilization review, or healthcare regulatory environment experience

Why PRI LLC

• Meaningful work — we process disputes that directly protect patients from unexpected medical bills under federal law
• Growth stage — we are building the systems, processes, and team that will define PRI LLC for the next decade
• Skills framework — every role at PRI LLC has a defined skills ontology with clear growth paths and Udemy Business development pathways
• Visible impact — this is not a support function; it is a role with direct accountability for how PRI LLC is perceived and trusted by health plans and providers
• Direct leadership access — small enough that your work reaches the executive team; structured enough that decisions get made
• PRI LLC is an equal opportunity employer. We evaluate candidates on demonstrated skills and capability.