Provider Relations Specialist

### **General information** Location Remote Function Provider Business Unit Shared Services Full\-time/Part\-time Full Time Salary Range Min \- Max (USD) 46700\-70100 Country United States Date 22\-Apr\-2026 Job ID 5631 ### **Description \& Requirements** **Join Our Team and Make a Difference!** Are you looking for an impactful role where you finish the workday knowing you helped someone? Whether you are part of our care coordination team or playing a supporting role, the work our colleagues do every day enables us to collectively reach our mission of **getting people the care they need when they need it.** By staying committed to our core values of **Think Big, Go Fast, Deliver Awe, and Win Together** we can positively impact the lives of the injured workers we serve and get them back to the things that matter most in life. **Salary Range:** This compensation range considers a wide range of factors, including, but not limited to, skill set, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate is not adjusted for geographic differential associated with the location where the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role, and compensation decisions are dependent on the facts and circumstances of each case. **What We Provide in Return for Your Commitment to Our Mission** We offer a vast array of benefits to help support the whole you, including: * **Remote Work:** We are a remote\-first company and almost all positions receive the flexibility of working from home. * **Generous Time Off:** Besides 8 company holidays and 2 personal days every year, all colleagues receive a minimum of 18 days of paid time off. * **Comprehensive Benefits Package:** Including medical, dental, vision, and pet insurance; 401(k) matching program; and company\-paid life insurance and short and long\-term disability coverage. * **Supportive Services:** Just like our colleagues get injured workers the care they need when they need it, we want to do the same for our colleagues in their time of need. We offer a Colleague Assistance Program that provides free counseling and financial services, and our One Call Foundation, a non\-profit arm of our company, provides colleagues financial assistance during times of unexpected hardships. **JOB SUMMARY:** The Provider Relations Specialist is the dedicated Point of Contact for identified providers, either by region or at the organizational level or a combination and is the liaison between the provider and One Call. The PRS will provide ongoing education to our network providers, while regularly monitoring for network compliance, problem\-solving provider issues, streamlining internal processes, and relationships, and managing communication between internal departments. The Specialist will be responsible for accurate and timely resolution of Providers’ issues. Such issues include, but not limited to; quality improvement, provider remediation, improve cost control while preserving and enhancing a positive Provider/One Call relationship. This position supports business changes to improve the overall Provider business experience with One Call. **ESSENTIAL DUTIES \& RESPONSIBILITIES:** * To initiate proactive outreach and provide ongoing training and education to providers specific to One Call policies and procedures. * Manage network complaints including the initial investigation and appropriate follow\-up via written and verbal communication, as the situation dictates, while maintaining timely resolutions to the submitting party. * Identify patterns of non\-compliance, and institute appropriate remediation plans with the goal of improved provider performance. * Ability to identify root causes of each reported complaint in order to accurately track and trend non\-compliant matters. * Act as a liaison for any provider questions and concerns. * Prepare and submit monthly reports as part of the proactive provider oversight. * Complete Provider Quality and Credentialing (PQC) committee forms, as needed, for monthly presentation to PQC as well as all necessary actions associated with committee decisions. * To align with Provider Relations Managers to ensure all provider issues, concerns, and success are well monitored and addressed. * Orchestrate conference calls with Providers as well as necessary internal departments in order to rectify issues, enhance Provider education as well as promote positive Provider relationships. * Elevate provider relationships to partnerships. * Identify mutually beneficial growth opportunities between One Call and providers and coordinate with the appropriate Provider Relations Managers to implement. * Special projects as business requirements dictate. **EDUCATIONAL AND EXPERIENCE REQUIREMENTS:** * Bachelor’s degree preferred or the equivalent combination of education, training, and work experience **ESSENTIAL KNOWLEDGE, SKILLS \& ABILITIES:** * Strong critical thinking skills and problem\-solving abilities. * In\-depth knowledge of One Call’s products and services, business practices, and processes. * Broad knowledge of the workers' compensation industry practices, regulations, and processes. * Proficiency in MS Word, Excel, and Outlook. * Working knowledge of One Call legacy platforms. * Ability to work in an environment that aligns with the company's diversity, equity, inclusion, and belonging standards. * Ability to work both independently and in a team environment. * Demonstrate our core values of Think Big, Go Fast, Deliver Awe, and Win Together. **PHYSICAL/MENTAL DEMANDS \& WORK ENVIRONMENT:** * This position will be performed in the colleague’s home. Work\-from\-home requirements include the colleague’s ability to set up computer equipment within their home office. * This job is primarily sedentary and may involve repetitive motions; the colleague must be able to remain in a stationary position for extended periods of time, operate a computer and other office equipment, assess information and files stored electronically, and converse/exchange accurate information with others, simultaneously. * The colleague must be able to discern text displayed on a monitor, input data into specific fields using a keyboard, and adjust focus to distances of up to three feet. * The colleague must have the ability to learn new tasks, follow established processes, maintain focus, complete tasks independently, complete multiple tasks simultaneously, communicate professionally with colleagues and customers, and complete tasks in situations that have a speed or productivity requirement. * The colleague must be able to manage moderate to significant mental stress as a result of, but not limited to, a dynamic and heavy workload. *Please be advised that job descriptions typically change over time as business needs, job requirements, and employee skill levels change. As such, One Call retains the right to change or assign other duties to this position at any time.* We are an equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, nationality, disability status, protected veteran status, or any other status protected by law.