Director of Workers’ Compensation Network Development & Operations

NEO Surgical Group; Orlando (FL); On-site; USD 120,000 - 190,000; Full time

Job summary

NEO Surgical Group is seeking an experienced leader to build and scale its Workers' Compensation division across Florida. You will develop strategic referral relationships, expand network participation, and create operational infrastructure to support a growing healthcare platform.

You will collaborate with physicians, clinic leadership, imaging and rehabilitation teams, and payroll/billing to ensure timely, high-quality care for injured workers and sustained division profitability.

Qualifications

• Minimum of 5 years of direct experience in Florida Workers' Compensation
• Provider Relations, Network Development, Occupational Medicine
• Orthopedic or Spine Healthcare, Pain Management, Rehabilitation Services
• Surgery Center Operations, Managed Care
• Demonstrated success generating Workers' Compensation referrals or obtaining network participation
• Experience with Carriers, TPAs, Adjusters, Nurse Case Managers, Employers, MCOs, Provider Networks
• Understanding WC patient lifecycle: Referrals, Authorizations, Utilization Review, Work Status Documentation, Medical Records, Billing, Denials, Collections
• Strong communication, presentation, negotiation and relationship-building skills
• Willingness to travel regularly across Florida

Responsibilities

• Develop and lead NEO Surgical Group's Workers' Compensation division throughout Florida.
• Identify, pursue, negotiate, and manage participation with Workers' Compensation networks, carriers, TPAs, managed care organizations, self-insured employers, and employer groups.
• Lead provider network applications, credentialing requirements, contracting, reimbursement discussions, onboarding, and ongoing account management.
• Build and maintain relationships with Claims Adjusters, Nurse Case Managers, Case Management Companies, Risk Managers, Employers, Occupational Health Providers, Attorneys, Workers' Compensation Stakeholders.
• Create and implement market-specific growth strategies for all NEO locations.
• Design and implement operational workflows for Workers' Compensation patients.
• Develop processes involving Scheduling, Authorizations, Medical Records, Work Status Reporting, Communication Standards, Referral Management, Billing Coordination, Patient Follow-Up.
• Collaborate closely with physicians, clinic leadership, surgery centers, imaging departments, rehabilitation providers, and billing teams.
• Ensure injured workers receive timely, coordinated, high-quality care.
• Monitor and analyze Referral Volume, Authorization Turnaround Times, Conversion Rates, Reimbursement Performance, Denials, Accounts Receivable, Department Profitability.
• Develop performance metrics and reporting processes.
• Recruit, train, mentor, and supervise future Workers' Compensation coordinators and support staff.
• Represent NEO Surgical Group at industry events, networking functions, and business development meetings throughout Florida.

Skills

Network development

Relationship-building

Negotiation

Strategic growth

Communication

Leadership

Independent work

Travel willingness

Education

Bachelor's degree in Healthcare Administration, Business, Marketing, or related field

Job description

Build Something Meaningful. Lead Something Significant.

NEO Surgical Group is a rapidly growing Florida-based multidisciplinary medical organization providing orthopedic care, spine surgery, pain management, rehabilitation, diagnostic imaging, and surgical services through a network of locations across Florida.

With clinics in Orlando, Kissimmee, Jacksonville, Tampa, Winter Haven, Port Charlotte, and Fort Myers, we are investing heavily in the growth of our Workers' Compensation division and are seeking an experienced leader to build, develop, and scale this service line throughout the state.

This is not a traditional administrative role.

This is an opportunity for a high-performing professional to develop a Workers' Compensation business platform from the ground up, establish strategic referral relationships, expand network participation, create operational infrastructure, and help shape the future of a growing healthcare organization.

Key Responsibilities

Network Development & Business Growth

• Develop and lead NEO Surgical Group's Workers' Compensation division throughout Florida.
• Identify, pursue, negotiate, and manage participation with Workers' Compensation networks, carriers, TPAs, managed care organizations, self-insured employers, and employer groups.
• Lead provider network applications, credentialing requirements, contracting, reimbursement discussions, onboarding, and ongoing account management.
• Build and maintain relationships with:
• Claims Adjusters
• Nurse Case Managers
• Case Management Companies
• Risk Managers
• Employers
• Occupational Health Providers
• Attorneys
• Workers' Compensation Stakeholders
• Create and implement market-specific growth strategies for all NEO locations.

Operations & Program Development

• Design and implement operational workflows for Workers' Compensation patients.
• Develop processes involving:
• Scheduling
• Authorizations
• Medical Records
• Work Status Reporting
• Communication Standards
• Referral Management
• Billing Coordination
• Patient Follow-Up
• Collaborate closely with physicians, clinic leadership, surgery centers, imaging departments, rehabilitation providers, and billing teams.
• Ensure injured workers receive timely, coordinated, high-quality care.

Leadership & Performance Management

• Monitor and analyze:
• Referral Volume
• Authorization Turnaround Times
• Conversion Rates
• Reimbursement Performance
• Denials
• Accounts Receivable
• Department Profitability
• Develop performance metrics and reporting processes.
• Recruit, train, mentor, and supervise future Workers' Compensation coordinators and support staff.
• Represent NEO Surgical Group at industry events, networking functions, and business development meetings throughout Florida.

Required Qualifications

• Minimum of 5 years of direct experience in:
• Florida Workers' Compensation
• Provider Relations
• Network Development
• Occupational Medicine
• Orthopedic or Spine Healthcare
• Pain Management
• Rehabilitation Services
• Surgery Center Operations
• Managed Care
• Demonstrated success generating Workers' Compensation referrals or obtaining network participation.
• Existing experience working with:
• Carriers
• TPAs
• Adjusters
• Nurse Case Managers
• Employers
• Managed Care Organizations
• Provider Networks
• Strong understanding of the complete Workers' Compensation patient lifecycle, including:
• Referrals
• Authorizations
• Utilization Review
• Work Status Documentation
• Medical Records
• Billing
• Denials
• Collections
• Strong communication, presentation, negotiation, and relationship-building skills.
• Ability to work independently and develop strategic growth initiatives.
• Willingness to travel regularly to locations throughout Florida.

Preferred Qualifications

• Existing Florida Workers' Compensation referral relationships.
• Experience with occupational medicine or employer-directed care programs.
• Experience leading provider relations, business development, or Workers' Compensation departments.
• Bachelor's degree in Healthcare Administration, Business, Marketing, or related field.
• Experience working within orthopedic, spine, pain management, physical therapy, imaging, or surgical environments.

Who Will Thrive in This Role?

We Are Seeking Someone Who

• Enjoys building rather than maintaining.
• Has an entrepreneurial mindset.
• Understands how to create strategic referral relationships.
• Is highly accountable and results-driven.
• Can develop systems, processes, and teams.
• Thinks in terms of growth, performance, and long-term scalability.
• Wants the opportunity to make a significant impact on an organization's future.