Manage a caseload of post-payment Workers' Compensation bills and negotiate reductions with medical providers. Provide leadership by training team members and overseeing state dispute referrals to attorneys.
Reliant
4 Remote Job Openings at Reliant
The role involves reviewing state fee schedule rules and regulations to ensure compliance and mitigate risks in Workers' Compensation reimbursement. Responsibilities include handling high-level appeals, drafting reconsideration letters, and negotiating state disputes with attorneys.
Lead enterprise sales efforts to acquire net-new business from national and regional health plans. Build relationships with C-suite stakeholders to position cost-containment and payment optimization solutions.
Drive enterprise-level new logo acquisition within the national TPA market by selling complex claims repricing and NSA/IDR workflow solutions. Manage the full sales lifecycle from initial outreach to contract close while partnering cross-functionally to ensure scalable delivery.