Provider Network Specialist

Position Summary

The Provider Network Specialist plays a critical role in managing and executing Single Referral Agreements (SRAs) to ensure timely access to care for injured workers while supporting network growth and cost containment.

SRA Management & Placement Execution (Primary Focus)

• Own and manage assigned single referral (SRA) cases from SRA intake through SRA scheduling, ensuring adherence to SLAs and client expectations.
• Conduct rapid, multi-channel provider outreach (phone, fax, email) to secure agreement participation and confirm timely scheduling (target: within 48 hours).
• Act as a strong problem solver, proactively identifying and overcoming barriers to placement such as provider unresponsiveness, rate objections, and scheduling constraints.
• Develop creative, solution-oriented approaches to ensure successful placement while maintaining compliance with company standards.
• Provide timely, accurate updates to internal stakeholders (adjusters, nurse case managers, clients) on case status and risks (every 48 hours).

Provider Negotiation & Relationship Management

• Negotiate Single Rate Agreements (SRAs) in alignment with company reimbursement guidelines and operational standards.
• Effectively communicate the value of partnering with a third-party workers’ compensation network to encourage participation.
• Identify high-utilization SRA providers and support conversion efforts to full network participation.
• Maintain professional and persistent follow-up to drive provider responsiveness and agreement execution.

Network Development & Support

• Conduct targeted research and outreach to identify providers for network inclusion, with emphasis on coverage gaps and high-demand markets.
• Support contracting efforts by gathering required documentation and ensuring compliance with onboarding requirements.
• Aid in SRA-to-contract conversion initiatives in collaboration with the contracting team.

Operational Excellence & Documentation

• Accurately document all activities, communications, and outcomes within Salesforce and internal systems.
• Maintain strong attention to detail across multiple systems to ensure data integrity and reporting accuracy.
• Manage a high-volume workload while prioritizing urgent cases and meeting established KPIs.

Cross-Functional Collaboration

• Partner with internal teams including Customer Solutions, Visit Management, and Provider Enrollment to ensure seamless case handling and provider onboarding.
• Deliver a high level of service to all stakeholders, including injured workers, providers, adjusters, and internal partners.

Minimum Qualifications (Knowledge, Skills, And Abilities)

• Bachelor’s degree or equivalent combination of education and experience.
• Experience in workers’ compensation, healthcare network operations, provider relations, or inside sales strongly preferred.
• Demonstrated ability to negotiate, influence, and drive outcomes in time-sensitive situations.
• Strong communication skills (verbal and written) with the ability to engage effectively with external partners.
• Experience with Salesforce or similar CRM systems preferred.
• Ability to manage multiple priorities in a fast-paced, high-volume environment.

Physical Demands and Work Environment

Prolonged periods sitting at a desk and working on a computer.

Bardavon Offers

• Medical, dental, and vision insurance.
• 401(k).
• Generous paid time off.

EEO M/F/D/V