Senior IDR Program Lead (No Surprises Act)

GuideWell; United States; On-site; USD 109,000 - 178,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Global travel health insurance

Disability (short & long term)

Leave programs

Retirement Savings Plan with employer

Paid time off

Volunteer time off

Holidays and well-being days

Wellness program

Job summary

GuideWell is seeking a Senior Manager, Federal Independent Dispute Resolution (IDR) to lead IDR specialists and drive No Surprises Act compliance while aligning with enterprise strategy for Florida Blue. You will oversee budgeting, vendor performance, and technology enablement, partnering with IT to automate and improve processes.

The role requires 6+ years in health insurance/managed care with people leadership, a business-focused degree, and strong analytical and stakeholder skills to

Qualifications

• Six years or more in health insurance/managed care with progressive leadership.
• Bachelor’s degree in business, healthcare administration, finance, or related field; advanced degree preferred.
• Working knowledge of the federal No Surprises Act and the IDR process.
• Experience managing large budgets, forecasting, and vendor performance/contract compliance.
• Experience acting as a business or product owner for technology solutions.
• Proven ability to translate regulatory and financial information into clear recommendations.

Responsibilities

• Lead, coach, and develop a high-performing team of IDR specialists.
• Plan, organize, and direct department activities to meet compliance metrics and KPIs.
• Own IDR technology solutions, define requirements, and prioritize the roadmap.
• Oversee vendor programs, ensure contract compliance and SLAs.
• Collaborate across Network, Legal, Compliance, Account Management, and Claims.

Skills

Team Leadership

Budget management

Vendor management

Regulatory compliance

IDR process knowledge

Product ownership

Cross-functional collaboration

Education

Bachelor's degree in business, healthcare administration, finance, or related field

Job description

GuideWell is seeking a Senior Manager, Federal Independent Dispute Resolution (IDR) to lead IDR specialists and drive No Surprises Act compliance while aligning with enterprise strategy for Florida Blue. You will oversee budgeting, vendor performance, and technology enablement, partnering with IT to automate and improve processes.

The role requires 6+ years in health insurance/managed care with people leadership, a business-focused degree, and strong analytical and stakeholder skills to