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About the Role
Serve as a senior-level subject matter expert within our workers' compensation provider network, focusing on strategic relationship management and deep knowledge of workers' compensation managed care.
Responsibilities
- Manage complex, high-profile provider relationships including large occupational health systems and multi-specialty groups.
- Lead contract negotiations, amendments, and renewals including fee schedule arrangements.
- Develop, lead, and implement strategies to improve injured worker and provider satisfaction, network participation and engagement, and outcomes.
- Identify network gaps and implement strategies to improve access, performance, and injured worker outcomes.
- Develop and deliver training programs for providers and internal staff on workers' compensation billing, treatment guidelines, and state regulations.
- Monitor provider performance data and collaborate with clinical teams to support evidence-based, return-to-work focused care.
- Prepare and present reports on network metrics, claim outcomes, and strategic recommendations to leadership.
Requirements
- Bachelor's degree in Healthcare Administration, Business, or related field required; Master's preferred.
- 8+ years of experience in provider relations, workers' compensation managed care, or occupational health.
- In-depth knowledge of workers' compensation regulations, fee schedules, and evidence-based treatment guidelines.
- Excellent analytical, communication, and presentation skills.
- Proficiency in Microsoft Office Suite and data analytics tools.
- Texas residency required.
Skills
- Relationship management
- Contract negotiation
- Strategy development and implementation
- Training program development and delivery
- Data analysis
- Microsoft Office Suite
- Data analytics tools
Location
- Texas (residency required)
Work Type
- Flex-Hybrid
Experience Level
- 8+ years
- Senior-level
Education Level
- Bachelor's degree in Healthcare Administration, Business, or related field
- Master's degree preferred
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 and pet Rx discounts
- Free on-site gym, fitness classes, and health and wellness resources
- Free identity theft protection
- Free student loan repayment and refinancing consultation
- Professional development and 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.
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.