Provider Relations Consultant

Texas Mutual Insurance Company; Austin, Northern (TX, KY); Hybrid; USD 93,000 - 115,000; Full time

Benefits offered by this job

Annual bonus program

Hybrid work environment

401(k) with employer match

Health, dental, vision insurance

Life and disability insurance

Job summary

Texas Mutual Insurance Company in Austin, TX, is seeking a Provider Relations Consultant to serve as a senior-level expert within our workers' compensation provider network. The role focuses on managing complex relationships, leading contract negotiations, and driving provider engagement to improve outcomes.

We value extensive knowledge of workers' compensation, strong analytical and presentation skills, and a track record of strategic network development.

Qualifications

• 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.

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.

Skills

Analytical skills

Communication skills

Presentation skills

Education

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

Master's degree preferred

Tools

Microsoft Office

Data analytics tools

Job description

## Provider Relations ConsultantApply: Austin, Texas: Full time: Posted 2 Days Ago: R0002492## We’re excited you’re considering joining a great place to work!Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. 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.## About this PositionWe'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.# ## Responsibilities & Qualifications**What You'll Do*** 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**What You Bring*** 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 Mutual Pay TransparencyThe base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.Base Pay Range: $93,168.50 - $115,090.50 Per Year## Flex-Hybrid Work Environment:Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.## Our 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### About UsTexas Mutual Insurance Company is the state's leading choice for workers' compensation insurance, with over 40 percent of the market. Thousands of Texas businesses rely on us to help them control their workers' comp costs, protect their employees, and ensure their injured workers receive quality care. Preventing workplace accidents is a foundation of our mission.We have frequently been named one of the Best Companies to Work for in Texas. Our competitive salaries, award-winning benefits package, and employee recognition programs are just a few of the reasons our average employee tenure is 10 years.If you need an accommodation with any part of the application process, please contact 800-859-5995 and ask to speak with Human Resources.