Manager of Retrieval Operations

Remote

Reveleer 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.

The Retrieval Manager leads day-to-day execution of Reveleer's retrieval program for one of Reveleer's largest and highest-visibility customer launches, covering approximately 500,000 chases beginning with the October 2026 go-live.

This role involves retrieval workflow, following standard processes/procedures/best practices, throughput, retrieval rate and pend performance, and AID-level escalation management for the book of business. It directs a blended retrieval model that pairs Reveleer's AI-enabled voice agents on the platform with human Patient Support Representatives, and it owns the staffing and capacity plans that keep both in balance against weekly chase volume.

This role also helps manage the customer and communicates performance, action plans and customer requirements.

• Own daily and weekly execution of the chase queue, monitoring retrieval rate, pend rate, and AID ownership across roughly one million annual chases.
• Manage the chase-to-AID assignment structure and adjust workflows as volume and provider mix shift throughout the program.
• Drive resolution of aged and at-risk chases, escalating systemic barriers to retrieval before they affect SLA performance.

• Oversee day-to-day performance of the platform voice agents supporting retrieval outreach.
• Monitor agent-to-human conversion and outcome metrics, and flag tuning opportunities that improve retrieval yield or reduce provider abrasion.

• Maintain the PSR staffing model and capacity forecast, adjusting for chase volume, seasonality, and agent-enabled throughput gains.
• Partner with the India retrieval team to align onshore and offshore capacity against weekly chase intake.
• Recommend staffing changes ahead of volume shifts so the program stays within SLA without over- or under-staffing.

• Serve as the day-to-day operational point of contact for the retrieval relationship.
• Partner with Onboarding & Data Management on data quality issues that affect chase assignment or provider matching.
• Coordinate with Customer Support on provider- and member-facing escalations tied to retrieval outreach.

• Produce and maintain the Chase Status Underlying Report analysis, tracking retrieval percentage, pend rates, and escalation lists.
• Build weekly and monthly scorecards summarizing program health for Reveleer and customer leadership.
• Contribute customer-specific performance narratives and data to quarterly business review materials.

• Lead root-cause analysis on retrieval shortfalls, provider access issues, or agent performance gaps.
• Establish escalation paths between Retrieval Services, Clinical Operations, and Engineering for production issues affecting chase completion.
• Drive corrective action plans to closure and confirm sustained improvement.

• Identi…