Director, Workers' Compensation Provider Relations and Medical Networks

Provide leadership through coaching, mentoring and directing the workers' compensation medical networks, provider relations and medical bill review teams providing them with development opportunities as appropriate.

Develop and implement property and casualty carrier-based medical cost containment strategies aligned with organizational goals.

Monitor industry trends and regulatory changes to ensure compliance and optimize performance.

Manage workers' compensation provider networks, utilization review, bill review, and pharmacy benefit programs.

Oversee negotiations with medical providers and vendors to ensure competitive pricing and quality outcomes.

Analyze medical cost drivers and identify opportunities for savings.

Prepare reports and present findings to senior leadership with actionable recommendations.

Work closely with claims tea...