{"id":1307694,"url":"https://alion.io/job/reveleer-retrieval-operations-lead","title":"Retrieval Operations Lead","company":{"id":7698,"name":"Reveleer","domain":"reveleer.com","url":"https://alion.io/company/reveleer","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Breezy","truth_index":null},"role":"Operations","role_family":"Operations","seniority":"lead","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":110000,"max_usd":220000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":141},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Human-in-the-Loop","optional":false}],"status":"live","first_seen_at":"2026-09-21T13:42:07Z","employer_posted_date":"2026-09-21","last_verified_at":"2026-10-14T13:25:46Z","board_verified":true,"closed_at":null,"days_open":23,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":23},"description":"Retrieval Operations Lead\nRemote\nAbout Reveleer\nReveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating the complexity of value-based care. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions. With regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence.\nPOSITION OVERVIEW:\nThe Retrieval Lead drives frontline execution of Reveleer's retrieval program, covering approximately 500,000 chases beginning with the October 2026 go-live.\nThis role owns the day-to-day relationship with the program's largest AIDs, distributes and rebalances chase work assignments across the PSR team, and trains new and existing PSRs on retrieval workflows, standard processes, and provider outreach best practices.\nThis role is the first line of response for provider escalations, resolving access and outreach issues directly and escalating only what requires the Retrieval Manager's involvement.\nWHAT YOU'LL DO:\nLarge AID Relationship & Provider Contact\nServe as the primary point of contact for a program's highest-volume AIDs, maintaining direct relationships with provider office staff.\nMonitor retrieval performance for large AIDs and proactively address barriers before they affect chase completion.\nCoordinate directly with provider offices on record request logistics, portal access, and recurring retrieval issues.\nWork Assignment & Queue Management\nDistribute and rebalance daily chase assignments across the PSR team based on AID priority, chase age, and retrieval deadlines.\nMonitor individual PSR workloads and adjust assignments to keep the queue moving and prevent aged chases from stalling.\nPartner with the Retrieval Manager on weekly volume planning and flag capacity gaps before they affect throughput.\nPSR Training & Development\nOnboard and train new PSRs on chase workflows, AID ownership, pend code handling, and platform agent hand-offs.\nDeliver ongoing coaching and refreshers on retrieval best practices, call quality, and documentation standards.\nMaintain training materials and job aids, updating them as workflows or systems change.\nProvider Escalation Management\nOwn first-line resolution of provider escalations related to retrieval outreach, record requests, or access issues.\nDocument escalation patterns and root causes and recommend workflow or script changes that reduce recurring issues.\nEscalate unresolved or systemic provider issues to the Retrieval Manager with a clear summary and recommend next step.\nPerformance Monitoring & Coaching\nTrack individual and team-level retrieval rate, pend rate, and productivity against program targets.\nProvide day-to-day feedback and coaching to PSRs based on chase outcomes and call quality.\nFlag underperformance or training gaps to the Retrieval Manager and support corrective action plans.\nProcess Adherence & Documentation\nEnsure PSR adherence to standard retrieval processes, procedures, and documentation requirements.\nMaintain accurate, current records on AID assignments, escalation status, and chase ownership.\nSupport the Retrieval Manager with input on process updates and standard operating procedure revisions.\nABOUT YOU:\n2+ years of experience in healthcare operations, chart retrieval, risk adjustment, or HEDIS/quality program support.\n1+ years of experience training, coaching, or leading the daily work of other individual contributors.\nWorking knowledge of risk adjustment and HEDIS retrieval workflows, including chase, AID, and pend code concepts.\nExperience managing provider-facing communication, including resolving access or outreach escalations directly.\nStrong organizational skills, with the ability to manage and rebalance work assignments across a team in a fast-paced environment.\nProficiency in Excel and comfort working within chase or case management systems.\nExcellent written and verbal communication skills, including experience delivering training or coaching.\nPreferred\nDirect experience supporting Medicare Advantage or ACA health plan retrieval programs.\nPrior experience formally training or onboarding new hires in a call center or retrieval operations setting.\nWHAT YOU’LL RECEIVE:\nCompetitive salary\nMedical, Dental and Vision benefits\n401k match\nGenerous PTO plan\nOur compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.\nReveleer E-Verifies all new hires.\nReveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.","description_format":"text","description_chars":5241,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Revenue Cycle & Medical Billing","Health Data & Interoperability"],"lifecycle":[{"event":"open","at":"2026-09-26T14:42:47Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 3","filings_12m":3,"filings_prev_12m":0,"green_card_filings_12m":0,"median_offered_wage_usd":182500,"route":null,"cap_exempt":false,"checked_at":"2026-10-03T21:08:04+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":77,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.854,"p_room":0.9,"age_days":22,"expected_fill_days":36,"reasons":["conf:1","velocity","win:mid"],"computed_at":"2026-10-14T06:34:16Z"},"pay":null,"html_url":"https://alion.io/job/reveleer-retrieval-operations-lead","json_url":"https://alion.io/job/reveleer-retrieval-operations-lead.json","meta":{"generated_at":"2026-10-14T14:20:09Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":17578,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-15T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":7698},"rest":"https://alion.io/mcp/rest/get_company?id=7698"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Freveleer-retrieval-operations-lead"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Freveleer-retrieval-operations-lead"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Freveleer-retrieval-operations-lead"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/reveleer-retrieval-operations-lead\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Freveleer-retrieval-operations-lead"}]}