Provider Relations Consultant
Texas Mutual Insurance Company•Austin, TX
•$93,169 - $115,091•Hybrid
About The Position
We're looking for a Provider Relations Consultant to serve as a senior-level subject matter expert within our workers' compensation provider network. If you're a strategic, relationship-driven professional with deep knowledge of workers' compensation managed care, we want to hear from you.
Requirements
- Bachelor's degree in Healthcare Administration, Business, or related field required
- 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
Nice To Haves
- Master's preferred
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
Benefits
- Annual performance bonus and 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 and two personal days each year
- 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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Senior
