Provider Relations Consultant

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.

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
• 4-6 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

The 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.

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.

• 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