Senior Provider Relations Consultant - Workers' Comp

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

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.