Senior Manager, Federal IDR

GuideWell Source

. Lead, coach, and develop a team of IDR specialists .

Posted 11/9/2026full-timeUnited StatesSenior💰 $109,300 - $177,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing IDR technology solutions and compliance with the No Surprises Act, alongside strong leadership in team development and budget management. Capable of translating complex regulatory information into actionable insights for stakeholders.

Highest-signal resume keywords

IDR Technology Solutions ManagementNo Surprises Act ComplianceBudget Management Over $30MPeople Leadership ExperienceStakeholder Management Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Requirements DefinitionForecastingContract ComplianceVendor Performance ManagementArbitration KnowledgeQualifying Payment Amount (QPA) UnderstandingRegulatory Timelines KnowledgeContinuous Improvement MethodologiesData AnalysisFinancial Reporting

Soft Skills

Analytical SkillsInfluencing SkillsStrategic VisionOperational Detail OrientationCommunication Skills

Industry Keywords

Health InsuranceManaged CareClaims ManagementProvider ContractingHealthcare Administration

About the role

Key responsibilities & impact

Lead, coach, and develop a team of IDR specialists
Plan, organize, direct, and control department activities
Manage people, processes, and technology to achieve No Surprises Act compliance metrics, timelines, and KPIs
Act as product owner for IDR technology solutions, defining requirements, design, and roadmap priorities
Partner with IT on automation and continuous improvement
Implement and oversee vendor programs and ensure contract compliance and vendor SLA attainment
Provide feedback to policy and Network teams to influence IDR outcomes and overall network strategy
Manage budgets of $30M+ with disciplined stewardship and accountability
Provide input into forecasts for IDR fees and medical expense
Collaborate with Network, Legal, Compliance, Account Management, Claims, IT, and other stakeholders
Define potential financial, business, and industry impacts
Prepare executive reports on IDR performance, trends, and financial exposure
Deliver executive presentations and influence stakeholder decisions
Meet with self-funded groups and providers

Requirements

What you’ll need

6+ years of progressive experience in health insurance, managed care, claims, provider contracting, or a related field
At least three years in a people leadership role
Bachelor’s degree in business, healthcare administration, finance, or a related field required
Working knowledge of the federal No Surprises Act and the IDR process, including arbitration, qualifying payment amount (QPA), and applicable regulatory timelines and requirements
Experience managing large budgets, forecasting, and vendor performance and contract compliance
Experience acting as a business or product owner for technology solutions, including requirements definition and continuous improvement
Ability to translate complex regulatory and financial information into clear recommendations for senior leaders
Strong analytical, influencing, and stakeholder management skills
Ability to balance operational detail and strategic vision
Ability to travel to multiple locations for work

Benefits

Comp & perks

Medical, dental, vision, life and global travel health insurance
Short- and long-term disability programs
Leave programs to support personal circumstances
Retirement Savings Plan including employer match
Paid time off
Volunteer time off
10 holidays
2 well-being days
Additional voluntary benefits
Comprehensive wellness program
Opportunities for incentive or commission compensation
Annual reviews with pay-for-performance considerations for base pay increases