Director of Workers' Compensation Network Development & Operations

Job Description

Job Description

Build Something Meaningful. Lead Something Significant.NEO Surgical Group is a rapidly growing Florida-based multidisciplinary medical organization providing orthopedic care, spine surgery, pain management, rehabilitation, diagnostic imaging, and surgical services through a network of locations across Florida.With clinics in Orlando, Kissimmee, Jacksonville, Tampa, Winter Haven, Port Charlotte, and Fort Myers, we are investing heavily in the growth of our Workers' Compensation division and are seeking an experienced leader to build, develop, and scale this service line throughout the state.This is not a traditional administrative role.This is an opportunity for a high-performing professional to develop a Workers' Compensation business platform from the ground up, establish strategic referral relationships, expand network participation, create operational infrastructure, and help shape the future of a growing healthcare organization.Key ResponsibilitiesNetwork Development & Business GrowthDevelop and lead NEO Surgical Group's Workers' Compensation division throughout Florida.Identify, pursue, negotiate, and manage participation with Workers' Compensation networks, carriers, TPAs, managed care organizations, self-insured employers, and employer groups.Lead provider network applications, credentialing requirements, contracting, reimbursement discussions, onboarding, and ongoing account management.Build and maintain relationships with:Claims AdjustersNurse Case ManagersCase Management CompaniesRisk ManagersEmployersOccupational Health ProvidersAttorneysWorkers ' Compensation StakeholdersCreate and implement market-specific growth strategies for all NEO locations.Operations & Program DevelopmentDesign and implement operational workflows for Workers' Compensation patients.Develop processes involving:SchedulingAuthorizationsMedical RecordsWork Status ReportingCommunication StandardsReferral ManagementBilling CoordinationPatient Follow-UpCollaborate closely with physicians, clinic leadership, surgery centers, imaging departments, rehabilitation providers, and billing teams.Ensure injured workers receive timely, coordinated, high-quality care.Leadership & Performance ManagementMonitor and analyze:Referral VolumeAuthorization Turnaround TimesConversion RatesReimbursement PerformanceDenialsAccounts ReceivableDepartment ProfitabilityDevelop performance metrics and reporting processes.Recruit, train, mentor, and supervise future Workers' Compensation coordinators and support staff.Represent NEO Surgical Group at industry events, networking functions, and business development meetings throughout Florida.Required QualificationsMinimum of 5 years of direct experience in:Florida Workers' CompensationProvider RelationsNetwork DevelopmentOccupational MedicineOrthopedic or Spine HealthcarePain ManagementRehabilitation ServicesSurgery Center OperationsManaged CareDemonstrated success generating Workers' Compensation referrals or obtaining network participation.Existing experience working with:CarriersTPAsAdjustersNurse Case ManagersEmployersManaged Care OrganizationsProvider NetworksStrong understanding of the complete Workers' Compensation patient lifecycle, including:ReferralsAuthorizationsUtilization ReviewWork Status DocumentationMedical RecordsBillingDenialsCollectionsStrong communication, presentation, negotiation, and relationship-building skills.Ability to work independently and develop strategic growth initiatives.Willingness to travel regularly to locations throughout Florida.Preferred QualificationsExisting Florida Workers' Compensation referral relationships.Experience with occupational medicine or employer-directed care programs.Experience leading provider relations, business development, or Workers' Compensation departments.Bachelor 's degree in Healthcare Administration, Business, Marketing, or related field.Experience working within orthopedic, spine, pain management, physical therapy, imaging, or surgical environments.Who Will Thrive in This Role?We are seeking someone who:Enjoys building rather than maintaining.Has an entrepreneurial mindset.Understands how to create strategic referral relationships.Is highly accountable and results-driven.Can develop systems, processes, and teams.Thinks in terms of growth, performance, and long-term scalability.Wants the opportunity to make a significant impact on an organization's future.