Negotiation Specialist l

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 play 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, Win Together and Care Deeply ,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 Negotiations Specialist will provide real-time support to Operations by locating out-of-network providers and/or addressing in-network providers requesting rates outside of their contract by negotiating single rate agreements or identifying in-network providers willing to accept the referral utilizing contracted rates. The Negotiations Specialist is a partner to the scheduling team, ensuring that One Call secures providers and confirms negotiated services are started timely. ESSENTIAL DUTIES & RESPONSIBILITIES: Negotiation: 40% - Conduct negotiations with out-of-network/network providers for prospective referrals utilizing established guidelines. - Executes short-term agreements (i.e., Single Referral Agreements) for One Call ’s referrals if we are unable to staff through One Call ’s provider network. - Works with contracted providers that request reimbursement outside of contracted rates in conjunction with the Provider Engagement & Contracting Teams. Recruiting Providers: 30% - Effectively and timely locate an out-of-network provider that meets the operational needs of a specific referral. - Effectively communicate the One Call value proposition to out-of-network providers. - Submit interested or viable non-contracted providers to Provider Contracting for contracting opportunities. Compliance: 15% - Acquires minimum provider qualification documents at completion of Single Referral Agreement. - Submits Single Referral Agreement request to Provider Data Management. - Ensures proper notation and documentation for each assigned task is clean, clear, and concise. Customer Care: 15% - Cleary communicates dates and other instructions with the service provider(s) for negotiated files. - Confirms Start of Care for negotiated files. - Meets the established team standards, including (but not limited