Provider Network Specialist

Preventure | Powered by Bardavon; United States; On-site; USD 45,000 - 55,000; Full time

Benefits offered by this job

Benefits package

401(k)

Bonus program

Incentive pay

Job summary

Preventure | Powered by Bardavon seeks a Provider Network Specialist to manage Single Referral Agreements (SRAs) and drive rapid provider outreach for timely scheduling. You will collaborate with adjusters, nurse case managers, and clients to ensure SLA compliance and successful placements.

Key duties include negotiating SRAs, engaging providers, and documenting all activities in Salesforce. The role emphasizes high-volume throughput, data accuracy, and cross-functional cooperation across our

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• Experience in workers' compensation, healthcare network operations, provider relations, or inside sales.
• Demonstrated ability to negotiate, influence, and drive outcomes in time-sensitive situations.
• Strong communication skills with external partners; CRM experience preferred.

Responsibilities

• Own and manage assigned SRA cases from intake to scheduling, ensuring adherence to SLAs and client expectations.
• Conduct rapid, multi-channel provider outreach (phone, fax, email) to secure agreement participation and timely scheduling (target: within 48 hours).
• Identify barriers to placement and proactively overcome scheduling constraints.
• Develop creative, solution-oriented approaches to ensure placement while complying with company standards.
• Provide timely updates to internal stakeholders (adjusters, nurse case managers, clients) on case status and risks (every 48 hours).
• Negotiate Single Rate Agreements (SRAs) in line with reimbursement guidelines and standards.
• Communicate the value of partnering with a third-party workers' compensation network.
• Identify high-utilization SRA providers and support conversion to full participation.
• Maintain professional follow-up to drive provider responsiveness and execution.
• Conduct targeted research to identify providers for network inclusion and coverage gaps.
• Assist contracting by gathering documentation and ensuring onboarding compliance.
• Support SRA-to-contract conversion initiatives with the contracting team.
• Document all activities in Salesforce and other systems; ensure data integrity.
• Manage high-volume workload while prioritizing urgent cases and meeting KPIs.
• Partner with internal teams to ensure seamless case handling and provider onboarding.

Skills

Negotiation

Communication

CRM experience

Time management

Education

Bachelor's degree or equivalent

Tools

Salesforce CRM

Job description

Position Summary

The Provider Network Specialist plays a critical role in managing and executing Single Referral Agreements (SRAs) to ensure timely access to care for injured workers while supporting network growth and cost containment. This role is responsible for rapid provider outreach, negotiation, and placement execution on a case-by-case basis, with a strong emphasis on converting SRA providers into long-term, in-network partners.

This position requires strong negotiation skills, persistence in outreach efforts, and the ability to drive results under tight timelines. The Provider Network Specialist operates in a fast-paced environment, balancing high-volume referral management with strategic provider engagement. Close collaboration with internal teams and external stakeholders is essential to ensure service level expectations are met and exceeded.

Essential Job Duties And Responsibilities

SRA Management & Placement Execution (Primary Focus)

• Own and manage assigned single referral (SRA) cases from SRA intake through SRA scheduling, ensuring adherence to SLAs and client expectations.
• Conduct rapid, multi-channel provider outreach (phone, fax, email) to secure agreement participation and confirm timely scheduling (target: within 48 hours).
• Act as a strong problem solver, proactively identifying and overcoming barriers to placement such as provider unresponsiveness, rate objections, and scheduling constraints.
• Develop creative, solution-oriented approaches to ensure successful placement while maintaining compliance with company standards.
• Provide timely, accurate updates to internal stakeholders (adjusters, nurse case managers, clients) on case status and risks (every 48 hours).

Provider Negotiation & Relationship Management

• Negotiate Single Rate Agreements (SRAs) in alignment with company reimbursement guidelines and operational standards.
• Effectively communicate the value of partnering with a third-party workers' compensation network to encourage participation.
• Identify high-utilization SRA providers and support conversion efforts to full network participation.
• Maintain professional and persistent follow-up to drive provider responsiveness and agreement execution.

Network Development & Support

• Conduct targeted research and outreach to identify providers for network inclusion, with emphasis on coverage gaps and high-demand markets.
• Support contracting efforts by gathering required documentation and ensuring compliance with onboarding requirements.
• Assist with SRA-to-contract conversion initiatives in collaboration with the contracting team.

Operational Excellence & Documentation

• Accurately document all activities, communications, and outcomes within Salesforce and internal systems.
• Maintain strong attention to detail across multiple systems to ensure data integrity and reporting accuracy.
• Manage a high-volume workload while prioritizing urgent cases and meeting established KPIs.

Cross-Functional Collaboration

• Partner with internal teams including Customer Solutions, Visit Management, and Provider Enrollment to ensure seamless case handling and provider onboarding.
• Deliver a high level of service to all stakeholders, including injured workers, providers, adjusters, and internal partners.

Minimum Qualifications (Knowledge, Skills, And Abilities)

• Bachelor's degree or equivalent combination of education and experience.
• Experience in workers' compensation, healthcare network operations, provider relations, or inside sales strongly preferred.
• Demonstrated ability to negotiate, influence, and drive outcomes in time-sensitive situations.
• Strong communication skills (verbal and written) with the ability to engage effectively with external partners.
• Experience with Salesforce or similar CRM systems preferred.
• Ability to manage multiple priorities in a fast-paced, high-volume environment.

Compensation

• The range of base salary for this role is between $45,000-$55,000 plus benefits. Please note that base salary is a guideline and will vary based on factors such as work location, qualifications, skill level, and competencies. Additionally, salary is just one component of Bardavon’s total rewards package. Depending on the role, employees may also be eligible for a bonus program and/or incentive pay.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodation may be provided to enable individuals with disabilities to perform the functions.

• Prolonged periods sitting at a desk and working on a computer

Bardavon offers a complete benefits package, including medical, dental, and vision insurance; 401(k); and generous paid time off.

EOE M/F/D/V