[Hiring] Provider Relations Specialist @Carisk Partners

Role Description

The Provider Relations Specialist serves as a key liaison between Carisk Partners and the provider community, helping to expand and strengthen our provider network to support injured workers. This role primarily supports the HeadsUp Healthcare division by identifying, sourcing, and contracting with behavioral health providers to ensure injured workers have timely access to high-quality care.

As the main point of contact for providers, the Provider Relations Specialist will foster lasting relationships through clear communication, education, and ongoing support. When needed, the Provider Relations Specialist will also support Carisk Outcomes by coordinating with a broader range of healthcare providers involved in the injured worker’s care.

This role is key to the day-to-day management and growth of our provider network, with responsibilities spanning:

• Recruitment
• Contracting
• Retention
• Education
• Issue resolution
• Cultivation of strong provider relationships

Responsibilities

• Manage assigned provider sourcing requests, ensuring providers align with client expectations and meet injured worker’s clinical, geographic, and logistical needs.
• Conduct thorough research using available tools to identify, evaluate, and engage appropriate behavioral health providers.
• Lead contracting and negotiation efforts with providers, including the preparation and execution of agreements and amendments.
• Consistently meet or exceed recruitment goals within established timelines.
• Provide timely updates to internal stakeholders, including sourcing status reports and escalation of any issues.
• Identify gaps in the provider network based on geography or specialty and proactively recruit new providers.
• Serve as the primary point of contact for providers, clearly communicating operational procedures and referral processes.
• Address provider concerns and complaints by coordinating with internal teams for resolution.
• Act as a liaison between providers and internal departments, including Billing, Scheduling, Care Management, and Sales/Marketing.
• Build and maintain strong, collaborative relationships with providers to support engagement, retention, and compliance.

Qualifications

• Bachelor’s degree in Healthcare, Business or related field (equivalent industry experience may be considered in place of a degree).
• Minimum of 2 years of experience in provider recruitment, contracting, and negotiation.
• Solid understanding of managed care principles and reimbursement methodologies.
• Ability to work independently, manage time effectively, and set clear priorities.
• Proven experience building and maintaining strong relationships within the provider community.
• Collaborative team player with the ability to thrive in a fast-paced environment.
• Highly organized and customer-focused, with excellent interpersonal skills.
• Strong written and verbal communication skills; experience delivering formal presentations is a plus.
• Proficient in Microsoft Office, especially Excel.
• Experience in Workers’ Compensation and/or behavioral health is preferred.
• Access to a personal vehicle and a valid driver’s license is preferred.
• Willingness to travel within assigned geographic territory, as needed.

Benefits

• 10 Paid Company Holidays
• Paid Time Off
• Competitive Medical, Dental, and Vision Insurance
• Company Sponsored Life Insurance
• Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits
• 401(k) Retirement Plan with Company Match
• ClassPass Wellness Program
• Employee Discount Program
• Flexible and Hybrid Schedule Options*
• Internal Education Programs and Tuition Reimbursement Options
• Internal Advancement Opportunities
• Company-Wide Diversity and Holiday Celebrations
• Best Places to Work Award Recipient 5 years in a row!

*Schedule options and work location vary between departments and management approval.