Tennessee Licensed Provider Engagement Specialist

Job Summary

To support the management of provider relationships, the full-time remote Tennessee Licensed Provider Engagement Specialist will engage with contracted providers, oversee onboarding and education, and resolve complex inquiries within the Workers' Compensation sector.

Key Responsibilities:

• Build and maintain strong, collaborative relationships with contracted providers throughout the provider lifecycle
• Manage provider onboarding, engagement, education, and ongoing support to ensure understanding of program and operational requirements
• Independently research and resolve complex provider inquiries and escalations, coordinating with internal and external stakeholders

Required Qualifications:

• Bachelor's degree in Business Administration, Healthcare Administration, or a related field, or equivalent experience
• 5-7 years of experience in Workers' Compensation, provider relations, or healthcare operations
• Strong knowledge of provider network operations and the ability to interpret provider agreements and fee arrangements
• Demonstrated ability to independently resolve complex issues and develop effective solutions
• Proficiency with Microsoft Office and healthcare business systems; experience with CRM or provider network systems preferred