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About the Role
Serve as the primary point of contact for medical vendor relationships within the workers compensation program. This role oversees vendor performance, ensures accurate pricing, maintains compliance, and drives quality outcomes through cross-functional collaboration.
Responsibilities
- Oversee vendor relationships to ensure compliance, accurate pricing, appropriate protocols, and performance metrics are met through regular audits and performance reviews.
- Serve as the primary point of contact for vendor inquiries and issue resolution, facilitating meetings and business reviews to build and maintain strong vendor relationships.
- Perform analysis to identify trends and monitor vendor performance, presenting findings and insights to leadership and key stakeholders.
- Participate in the RFP process and contract negotiations to ensure favorable terms and compliance with company standards and regulatory requirements.
- Collaborate with internal stakeholders to ensure best practices and identify process improvement opportunities, leading the implementation of solutions.
Requirements
- Bachelor's Degree
- Strong analytical and data interpretation skills with proficiency in Excel or similar tools
- Excellent verbal and written communication skills
- Strong negotiation and problem-solving skills
- Detail-oriented with strong organizational skills
- Ability to work independently while also collaborating effectively across teams
- Minimum 3-5 years of experience in workers compensation, managed care, or healthcare vendor management
- Experience with medical cost containment, bills review, or utilization review
- Familiarity with workers’ compensation fee schedules and state regulatory requirements
Skills
- Excel
- Data Analysis
- Reporting
- Negotiation
- Problem-solving
- Organizational skills
- Collaboration
Location
- Texas residency required
Work Type
- Flex-Hybrid
Experience Level
- 3-5 years
Education Level
- Bachelor's Degree
- Bachelor’s degree in Healthcare Administration, Business, Finance or related field
Salary/Compensations
- $93,168.50 - $115,090.50 Per Year
Benefits
- Annual performance bonus
- Merit-based pay increase
- Lifestyle Savings Account ($1,000 per year)
- Automatic 4% employer contribution to retirement plan
- 401k plan with 100% employer match up to 6%
- Student loan repayment matching in 401k plan
- Three weeks’ time off for vacation
- Nine paid holidays
- Two personal days
- Day one health, Rx, vision and dental insurance
- Life and disability insurance
- Flexible spending account
- Pet insurance
- Pet Rx discounts
- Free on-site gym
- Fitness classes
- Health and wellness resources
- Free identity theft protection
- Free student loan repayment and refinancing consultation
- Professional development
- Tuition reimbursement
- Employee referral bonus
- Free onsite snacks
About the Company
- Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect.
- We're working to create a stronger, safer Texas.
- This means helping injured workers return to a productive life, empowering businesses to excel, and giving back to our communities.
Equal Opportunity
- All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.