Provider Resources, Inc. (PRI) offers the federal healthcare space expert services in medical review and program integrity measures, education and training,  healthcare quality initiatives, and policy & regulatory expertise - all aimed at instilling integrity into the healthcare system.  We are always seeking board certified physicians to join our PRI Physicians Consortium for Clinical Integrity.

Mission Statement

Provider Resources, Inc., recognizing the complexity of healthcare, is dedicated to supporting the healthcare community with compliance and integrity issues through education and efficient, innovative processes.


Value Statement

In pursuit of our mission, we must always be mindful of the values each and every one of us must impart as individuals and together are the spirit of Provider Resources, Inc. Our values must be soundly based upon the principles of honesty, sincerity, kindness, goodness, loyalty, patience, understanding… integrity.

Health Care

Medical Devices

Provider Resources, Inc.

Provider Resources, Inc.'s headquarters in Erie, PA, United States

Shawn Keough-Hartz

Christopher Sunday

Stephen Cantoria

Jackie Hartz

The Healthcare Operations team at Provider Resources, Inc. is focused on enhancing healthcare service delivery and compliance through effective management of programs like Medicaid and CHIP, Medicare, and Workers' Compensation. This team, comprised of subject matter experts and healthcare analysts, leverages their expertise to conduct eligibility reviews, oversee program appeals, and ensure adherence to regulatory standards, all while promoting education and integrity within the healthcare system.

Healthcare Operations

The Quality Assurance and Compliance team at Provider Resources, Inc. ensures that all processes and services meet the highest standards of quality and regulatory compliance in the healthcare industry. With a focus on continuous improvement, team members conduct thorough reviews, audits, and training to foster a culture of integrity and excellence among healthcare providers, while actively supporting PRI’s mission to enhance program integrity and compliance.

Quality Assurance and Compliance

The Information Technology and Support team at Provider Resources, Inc. plays a crucial role in ensuring the efficiency and security of the company’s technological infrastructure. They provide technical assistance and support for IT-related issues, oversee systems security to protect sensitive healthcare data, and collaborate on innovative solutions that enhance operational processes. This team is dedicated to enabling effective communication and workflow within the organization, empowering PRI to fulfill its mission of maintaining integrity in the healthcare system.

Provider Resources, Inc.

Org chart

Teams

Healthcare Operations

Quality Assurance and Compliance

Information Technology and Support

Offices

Provider Resources, Inc.

Org chart

Teams

Healthcare Operations

Quality Assurance and Compliance

Information Technology and Support

Offices

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