Remote Retrieval Operations Lead

Reveleer

Northern (KY)

Hybrid

USD 70,000 - 100,000

Full time

10 days ago
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Benefits offered by this job

Competitive salary
Medical, Dental and Vision benefits
401k match
Generous PTO

Job summary

Reveleer seeks a Retrieval Operations Lead to drive the frontline execution of our retrieval program for health plans nationwide. Remote role with direct responsibility for high-volume AID relationships, workload distribution, and PSR training to ensure timely, accurate data capture and compliant records.

You will coach the team, monitor performance, and partner with the Retrieval Manager on demand planning and process improvements to optimize throughput and reduce escalations.

Qualifications

  • 2+ years of experience in healthcare operations, chart retrieval, risk adjustment, or HEDIS/quality program support.
  • 1+ years of experience training, coaching, or leading the daily work of other individual contributors.
  • Working knowledge of risk adjustment and HEDIS retrieval workflows, including chase, AID, and pend code concepts.
  • Experience managing provider-facing communication, including resolving access or outreach escalations directly.

Responsibilities

  • Own first-line resolution of provider escalations related to retrieval outreach, record requests, or access issues.
  • Document escalation patterns and root causes and recommend workflow or script changes that reduce recurring issues.
  • Escalate unresolved or systemic provider issues to the Retrieval Manager with a clear summary and next steps.
  • Track individual and team-level retrieval rate, pend rate, and productivity against program targets.
  • Provide day-to-day coaching to PSRs based on chase outcomes and call quality.
  • Flag underperformance or training gaps to the Retrieval Manager and support corrective action plans.

Skills

Healthcare operations
Training & coaching
Provider communications
Organizational skills
Excel proficiency

Tools

Excel

Job description

Reveleer seeks a Retrieval Operations Lead to drive the frontline execution of our retrieval program for health plans nationwide. Remote role with direct responsibility for high-volume AID relationships, workload distribution, and PSR training to ensure timely, accurate data capture and compliant records.

You will coach the team, monitor performance, and partner with the Retrieval Manager on demand planning and process improvements to optimize throughput and reduce escalations.

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