Provider Relations Specialist

Carisk Partners

13h•Hybrid

About The Position

The Provider Relations Specialist serves as a key liaison between Carisk Partners and the provider community, helping to expand and strengthen our provider network to support injured workers. Carisk Partners operates within the Workers’ Compensation industry and encompasses multiple divisions, including HeadsUp Healthcare and Carisk Outcomes. This role primarily supports the HeadsUp Healthcare division by identifying, sourcing, and contracting with behavioral health providers - both individual clinicians and group practices – to ensure injured workers have timely access to high-quality care. As the main point of contact for providers, the Provider Relations Specialist will foster lasting relationships through clear communication, education, and ongoing support. When needed, the Provider Relations Specialist will also support Carisk Outcomes by coordinating with a broader range of healthcare providers involved in the injured worker’s care, including both physical health and behavioral health providers. This role is key to the day-to-day management and growth of our provider network, with responsibilities spanning recruitment, contracting, retention, education, issue resolution, and the cultivation of strong provider relationships.

Requirements

Bachelor’s degree in Healthcare, Business or related field (equivalent industry experience may be considered in place of a degree).
Minimum of 2 years of experience in provider recruitment, contracting, and negotiation.
Solid understanding of managed care principles and reimbursement methodologies.
Ability to work independently, manage time effectively, and set clear priorities.
Proven experience building and maintaining strong relationships within the provider community.
Collaborative team player with the ability to thrive in a fast-paced environment and develop positive working relationships across departments.
Highly organized and customer-focused, with excellent interpersonal skills and the ability to effectively engage and influence providers.
Strong written and verbal communication skills; experience delivering formal presentations is a plus.
Proficient in Microsoft Office, especially Excel.

Nice To Haves

Experience in Workers’ Compensation and/or behavioral health is preferred.
Access to a personal vehicle and a valid driver’s license is preferred.
Willingness to travel within assigned geographic territory, as needed.

Responsibilities

Manage assigned provider sourcing requests, ensuring providers align with the client expectations, and meet injured worker’s clinical, geographic, and logistical needs.
Conduct thorough research using available tools to identify, evaluate, and engage appropriate behavioral health providers.
Lead contracting and negotiation efforts with providers, including the preparation and execution of agreements and amendments, in alignment with company standards.
Consistently meet or exceed recruitment goals within established timelines to support the timely delivery of care for injured workers.
Provide timely updates to internal stakeholders, including sourcing status reports and escalation of any issues that may delay access to care.
Identify gaps in the provider network based on geography or specialty and proactively recruit new providers to address those needs.
Serve as the primary point of contact for providers, clearly communicating operational procedures, referral processes and expectations, while reinforcing the value of partnering with HeadsUp Healthcare and, when applicable, Carisk Outcomes.
Address provider concerns and complaints by coordinating with internal teams to ensure timely and satisfactory resolution.
Act as a liaison between providers and internal departments, including Billing, Scheduling, Care Management, and Sales/Marketing, to support seamless operations.
Build and maintain strong, collaborative relationships with providers to support engagement, retention, and compliance.

Benefits

10 Paid Company Holidays
Paid Time Off
Competitive Medical, Dental, and Vision Insurance
Company Sponsored Life Insurance
Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits
401(k) Retirement Plan with Company Match
ClassPass Wellness Program
Employee Discount Program
Flexible and Hybrid Schedule Options
Internal Education Programs and Tuition Reimbursement Options
Internal Advancement Opportunities
Company-Wide Diversity and Holiday Celebrations
Best Places to Work Award Recipient 5 years in a row!