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
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.
Base Pay Range: $93,168.50 - $115,090.50 Per YearFlex-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
Skills Required
- Bachelor’s degree in Healthcare Administration, Business, or a related field
- 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
- Master’s degree
What We Do
Texas Mutual Insurance Company, the state's leading workers' compensation provider, has a strong foundation of success. We insure 42% of the Texas workers' compensation market, which means that more than 72,000 business owners rely on us to keep their 1.5 million workers safe on the job every day. Our exceptional employees answer the call by providing strategic safety services, top-notch medical care coordination if an accident occurs, claims handling designed to get workers well and back on the job, a zero-tolerance fraud policy and more. We provide our employees with the training, technology, tools and support needed to deliver top-tier service. 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. We empower career growth with our professional development opportunities, and support our employees' efforts to make a difference in the communities in which they live. Texas Mutual is always seeking talented, dedicated people to join its team. Read more about why so many choose to work with us at texasmutual.com/careers
