{"jobs":[{"absolute_url":"https://job-boards.greenhouse.io/reliant/jobs/5213597008","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"education":"education_optional","internal_job_id":4471469008,"location":{"name":"United States - Remote"},"metadata":null,"id":5213597008,"updated_at":"2026-06-04T10:24:29-04:00","requisition_id":"304","title":"National Director of Health Plan Growth","company_name":"Reliant","first_published":"2026-05-11T16:25:20-04:00","language":"en","application_deadline":null,"content":"\u0026lt;div class=\u0026quot;content-intro\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;a href=\u0026quot;https://www.relianthp.com/\u0026quot; target=\u0026quot;_blank\u0026quot;\u0026gt;Reliant Health Partners \u0026lt;/a\u0026gt;is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client’s needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;p\u0026gt;The National Director of Health Plan Growth is a strategic, high-impact sales role responsible for driving net-new business across national and regional health plans. This individual will lead enterprise sales efforts, building relationships with executive stakeholders and positioning Reliant’s cost-containment and payment optimization solutions. This role plays a critical part in expanding Reliant’s market presence and supporting Point C’s mission to deliver innovative, high-value healthcare solutions.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Primary Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Own and execute the full enterprise sales lifecycle from initial outreach through contract close\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Drive net-new logo acquisition within targeted national and regional health plan accounts\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Develop and execute strategic account plans within complex payer organizations\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Build and maintain relationships with C-suite and senior decision-makers across target accounts\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Navigate multi-year agreements, pilot programs, and phased enterprise implementations\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Partner cross-functionally with Growth, Product Marketing, Analytics, Operations, and Client Success teams to deliver tailored solutions\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Maintain disciplined pipeline management, forecasting, and reporting within CRM (e.g., Salesforce)\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Represent Reliant Health Partners at industry conferences, executive meetings, and strategic events\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;6+ years of enterprise B2B sales experience selling vendor solutions \u0026lt;em\u0026gt;into\u0026lt;/em\u0026gt; health plans or payers — experience must be as an outside vendor, not from inside a health plan or on behalf of a provider organization\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Background in cost containment, payment integrity, claims analytics, or similar healthcare solutions strongly preferred\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;This is a hunter role — proven track record of net-new logo acquisition required\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Track record of closing complex, high-value deals with long sales cycles involving C-suite and VP-level health plan buyers (CMO, CFO, COO, VP Medical Management)\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong executive presence and ability to translate complex solutions into measurable outcomes for payer buyers\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Self-directed and comfortable building pipeline from scratch in a growth-stage environment\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt; OTE: $225K-$275K + uncapped commission.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\u0026lt;div class=\u0026quot;content-pay-transparency\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;pay-input\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;description\u0026quot;\u0026gt;\u0026lt;p\u0026gt;Individual compensation will be commensurate with the candidate\u0026#39;s experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;title\u0026quot;\u0026gt;Pay Transparency\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;pay-range\u0026quot;\u0026gt;\u0026lt;span\u0026gt;$125,000\u0026lt;/span\u0026gt;\u0026lt;span class=\u0026quot;divider\u0026quot;\u0026gt;\u0026amp;mdash;\u0026lt;/span\u0026gt;\u0026lt;span\u0026gt;$150,000 USD\u0026lt;/span\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;content-conclusion\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;div\u0026gt;\u0026lt;strong data-olk-copy-source=\u0026quot;MessageBody\u0026quot;\u0026gt;Benefits:\u0026lt;/strong\u0026gt;\u0026lt;/div\u0026gt;\n\u0026lt;ul data-end=\u0026quot;718\u0026quot; data-start=\u0026quot;487\u0026quot;\u0026gt;\n\u0026lt;li\u0026gt;Comprehensive medical, dental, vision, and life insurance coverage\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;401(k) retirement plan with employer match\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Health Savings Account (HSA) \u0026amp;amp; Flexible Spending Accounts (FSAs)\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\n\u0026lt;div\u0026gt;Paid time off (PTO) and disability leave\u0026lt;/div\u0026gt;\n\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Employee Assistance Program (EAP)\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Equal Employment Opportunity\u0026lt;/strong\u0026gt;: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;","departments":[{"id":4054405008,"name":"Sales","child_ids":[],"parent_id":4054404008}],"offices":[{"id":4044962008,"name":"Reliant - United States - Remote","location":null,"child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/reliant/jobs/5216524008","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"education":"education_optional","internal_job_id":4473054008,"location":{"name":"United States - Remote"},"metadata":null,"id":5216524008,"updated_at":"2026-06-04T10:24:29-04:00","requisition_id":"311","title":"National Director of TPA Growth","company_name":"Reliant","first_published":"2026-05-11T17:22:46-04:00","language":"en","application_deadline":null,"content":"\u0026lt;div class=\u0026quot;content-intro\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;a href=\u0026quot;https://www.relianthp.com/\u0026quot; target=\u0026quot;_blank\u0026quot;\u0026gt;Reliant Health Partners \u0026lt;/a\u0026gt;is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client’s needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;p class=\u0026quot;font-claude-response-body break-words whitespace-normal leading-[1.7]\u0026quot;\u0026gt;Reliant is seeking a National Director of TPA Growth to drive enterprise-level new logo acquisition across the TPA market. This role is centered on selling high-impact, complex solutions — most notably out-of-network claims repricing and No Surprises Act (NSA) / IDR workflow management — directly to TPA executive leadership. Opportunistically, this role will also pursue Group Health Plan Replacement prospects within the TPA ecosystem.\u0026lt;/p\u0026gt;\n\u0026lt;p class=\u0026quot;font-claude-response-body break-words whitespace-normal leading-[1.7]\u0026quot;\u0026gt;This is a senior hunter role with a clear path toward Vice President and broader growth leadership as the TPA channel scales.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p class=\u0026quot;font-claude-response-body break-words whitespace-normal leading-[1.7]\u0026quot;\u0026gt;\u0026lt;strong\u0026gt;Primary Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul class=\u0026quot;[li_\u0026amp;amp;]:mb-0 [li_\u0026amp;amp;]:mt-1 [li_\u0026amp;amp;]:gap-1 [\u0026amp;amp;:not(:last-child)_ul]:pb-1 [\u0026amp;amp;:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3\u0026quot;\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Own and execute the full enterprise sales lifecycle from initial outreach through contract close\u0026lt;/li\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Drive net-new logo acquisition across the national TPA market\u0026lt;/li\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Develop and execute strategic account plans within complex TPA organizations\u0026lt;/li\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Lead multi-threaded sales cycles involving executive, claims, and operations leadership\u0026lt;/li\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Position Reliant against incumbent and bundled alternatives without relying on feature-by-feature parity\u0026lt;/li\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Navigate channel sensitivity and competitive dynamics while maintaining executive trust\u0026lt;/li\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Partner cross-functionally with Product, Operations, Compliance, and Finance to ensure scalable delivery and strong unit economics\u0026lt;/li\u0026gt;\n\u0026lt;li class=\u0026quot;font-claude-response-body whitespace-normal break-words pl-2\u0026quot;\u0026gt;Represent Reliant Health Partners at industry conferences, executive meetings, and strategic events\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;7+ years of experience selling complex healthcare services or enterprise solutions\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Hands-on knowledge of out-of-network claims repricing and No Surprises Act / IDR workflows required\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;This is a hunter role — proven track record of net-new logo acquisition and displacing incumbents required\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Track record of closing complex, long-cycle enterprise deals involving C-suite and senior operational buyers at TPA organizations\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong executive presence and ability to navigate channel sensitivity and competitive dynamics within the TPA ecosystem\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Self-directed and comfortable building pipeline from scratch in a growth-stage environment\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;OTE: $225K-$275K + uncapped commission\u0026lt;/p\u0026gt;\u0026lt;div class=\u0026quot;content-pay-transparency\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;pay-input\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;description\u0026quot;\u0026gt;\u0026lt;p\u0026gt;Individual compensation will be commensurate with the candidate\u0026#39;s experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;title\u0026quot;\u0026gt;Pay Transparency\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;pay-range\u0026quot;\u0026gt;\u0026lt;span\u0026gt;$125,000\u0026lt;/span\u0026gt;\u0026lt;span class=\u0026quot;divider\u0026quot;\u0026gt;\u0026amp;mdash;\u0026lt;/span\u0026gt;\u0026lt;span\u0026gt;$150,000 USD\u0026lt;/span\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;content-conclusion\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;div\u0026gt;\u0026lt;strong data-olk-copy-source=\u0026quot;MessageBody\u0026quot;\u0026gt;Benefits:\u0026lt;/strong\u0026gt;\u0026lt;/div\u0026gt;\n\u0026lt;ul data-end=\u0026quot;718\u0026quot; data-start=\u0026quot;487\u0026quot;\u0026gt;\n\u0026lt;li\u0026gt;Comprehensive medical, dental, vision, and life insurance coverage\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;401(k) retirement plan with employer match\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Health Savings Account (HSA) \u0026amp;amp; Flexible Spending Accounts (FSAs)\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\n\u0026lt;div\u0026gt;Paid time off (PTO) and disability leave\u0026lt;/div\u0026gt;\n\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Employee Assistance Program (EAP)\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Equal Employment Opportunity\u0026lt;/strong\u0026gt;: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;","departments":[{"id":4054405008,"name":"Sales","child_ids":[],"parent_id":4054404008}],"offices":[{"id":4044962008,"name":"Reliant - United States - Remote","location":null,"child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/reliant/jobs/5151868008","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"education":"education_optional","internal_job_id":4437289008,"location":{"name":"United States - Remote"},"metadata":null,"id":5151868008,"updated_at":"2026-06-04T10:24:27-04:00","requisition_id":"240","title":"Senior Appeals Specialist - Workers' Compensation","company_name":"Reliant","first_published":"2026-03-12T10:49:56-04:00","language":"en","application_deadline":null,"content":"\u0026lt;div class=\u0026quot;content-intro\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;a href=\u0026quot;https://www.relianthp.com/\u0026quot; target=\u0026quot;_blank\u0026quot;\u0026gt;Reliant Health Partners \u0026lt;/a\u0026gt;is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client’s needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;As a\u0026amp;nbsp;Senior Appeals Specialist – Workers’ Compensation, you will play a critical role in resolving post-payment disputes related to Workers’ Compensation bills. This includes conducting provider outreach, negotiating disputed charges, and ensuring compliance with state-specific regulations. Your work will directly support our cost containment efforts and ensure appropriate bill reimbursement for our clients.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;\u0026lt;u\u0026gt;Primary Responsibilities\u0026lt;/u\u0026gt;\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Manage a caseload of post-payment Workers’ Compensation bills, including those related to state disputes and usual and customary rate (UCR) disputes.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Assigned high priority clients in managing all items related to the service with Reliant\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Conduct proactive outreach to medical providers to explain payment methodologies, resolve disputes, and negotiate reductions on appealed or outlier bills.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Communicate effectively and professionally with clients to coordinate and investigate information as it relates to the case/appeal.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Educate providers on Workers’ Compensation billing and reimbursement policies and regulatory requirements.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Document all provider communications thoroughly, including contact information, bill details, proposed and counter-offered payment rates, and final resolution in claim platform.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Adhere to state-specific compliance standards and confidentiality requirements, including HIPAA.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Maintain productivity and quality standards, ensuring timely resolution of bills in accordance with state timelines and internal service level agreements.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Follow client-specific protocols and internal Reliant procedures, including scripting and documentation guidelines.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Stay current on Workers’ Compensation regulatory changes, fee schedules, and payment policies across multiple states.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Support special projects and perform additional duties as assigned.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Responsible for training team members both upon hire and for existing team members.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Responsible for overseeing all DWD handling and state dispute referrals to attorneys.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;First line for all support with questions from other team members.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Backup for other team members and/or senior leadership\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Works with appeals intake specialist to ensure process documents remain current\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Responsible for identifying opportunities for enhancement either through automation or process changes that increase efficiency for the team\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Responsible for team goals and ensuring that individuals meet their personal goals\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;\u0026lt;u\u0026gt;Qualifications\u0026lt;/u\u0026gt;\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;5 years of relevant experience in Workers’ Compensation bills, medical billing, medical coding, or insurance negotiations.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong understanding of Workers’ Compensation reimbursement methodologies, state regulations, and provider billing practices.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Experience negotiating medical bill payments or adjustments with providers.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Ability to collaborate with a variety of individuals both internally and externally.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Familiarity with claims processing systems and provider communications.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Excellent communication, negotiation, and organizational skills.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Requires communication proficiency, discretion, ethical conduct, decision making and technical skills\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\u0026lt;div class=\u0026quot;content-pay-transparency\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;pay-input\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;description\u0026quot;\u0026gt;\u0026lt;p\u0026gt;Individual compensation will be commensurate with the candidate\u0026#39;s experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;title\u0026quot;\u0026gt;Pay Transparency\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;pay-range\u0026quot;\u0026gt;\u0026lt;span\u0026gt;$70,000\u0026lt;/span\u0026gt;\u0026lt;span class=\u0026quot;divider\u0026quot;\u0026gt;\u0026amp;mdash;\u0026lt;/span\u0026gt;\u0026lt;span\u0026gt;$75,000 USD\u0026lt;/span\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;content-conclusion\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;div\u0026gt;\u0026lt;strong data-olk-copy-source=\u0026quot;MessageBody\u0026quot;\u0026gt;Benefits:\u0026lt;/strong\u0026gt;\u0026lt;/div\u0026gt;\n\u0026lt;ul data-end=\u0026quot;718\u0026quot; data-start=\u0026quot;487\u0026quot;\u0026gt;\n\u0026lt;li\u0026gt;Comprehensive medical, dental, vision, and life insurance coverage\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;401(k) retirement plan with employer match\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Health Savings Account (HSA) \u0026amp;amp; Flexible Spending Accounts (FSAs)\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\n\u0026lt;div\u0026gt;Paid time off (PTO) and disability leave\u0026lt;/div\u0026gt;\n\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Employee Assistance Program (EAP)\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Equal Employment Opportunity\u0026lt;/strong\u0026gt;: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;","departments":[{"id":4054397008,"name":"Operations","child_ids":[],"parent_id":4052710008}],"offices":[{"id":4044962008,"name":"Reliant - United States - Remote","location":null,"child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/reliant/jobs/5193719008","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"education":"education_optional","internal_job_id":4461973008,"location":{"name":"United States - Remote"},"metadata":null,"id":5193719008,"updated_at":"2026-06-04T10:24:29-04:00","requisition_id":"287","title":"Senior Workers' Compensation Compliance Analyst","company_name":"Reliant","first_published":"2026-05-20T16:33:48-04:00","language":"en","application_deadline":null,"content":"\u0026lt;div class=\u0026quot;content-intro\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;a href=\u0026quot;https://www.relianthp.com/\u0026quot; target=\u0026quot;_blank\u0026quot;\u0026gt;Reliant Health Partners \u0026lt;/a\u0026gt;is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client’s needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;p\u0026gt;As a Senior Workers’ Compensation Compliance Analyst, you will play a critical role in expanding the boundaries of the healthcare industry through innovations that intersect data and technology and amplifies human intelligence to result in better outcomes. We need people like you to join in our commitment to drive pure exponential value for our clients and partners.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;\u0026lt;u\u0026gt;Primary Responsibilities\u0026lt;/u\u0026gt;\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Assist with reviewing state fee schedule rules, guidelines, regulations, and/or statutes for changes or compliance risks with reimbursement\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Draft second level reconsideration letters\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Assist with drafting and responding to state disputes\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Determine if the second level reconsideration request requires a medical coder or clinician for audit\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Work with the Director of Policy and Strategy Operations or the equivalent role to assist in implementing system changes for risk mitigation in Workers’ Compensation fee schedules or gap logic\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Provide consultation internally or externally where appropriate\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Provide internal training where required for compliance\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Assist in the development of compliance processes and procedures\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Partner with other business units to ensure compliance with implementing, adopting, or expanding on the rules and/or regulations, including but not limited to policies, procedures, and contracts\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Responsible for handling high level appeals – either based on the client or dollar threshold\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Establish special reimbursement policies for identified TIN’s\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Other duties as assigned or requested\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Responsible for handling negotiation with attorneys for state disputes\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;\u0026lt;u\u0026gt;Qualifications\u0026lt;/u\u0026gt;\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;5+ Years with current or former healthcare fraud, compliance, and/or legal experience.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;3+ Years working with various medical reimbursement methodologies.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;3+ Years understanding medical coding and/or billing patterns and/or practices.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Knowledge of limited liability in property and casualty insurance\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Basic understanding of treatment parameters and coding\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong research skills\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Comfort with reading fee schedule rules, regulations, and statutes\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong oral and written communication\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Good judgment, initiative, and discretion in confidential or sensitive matters\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Self-starter with the ability to independently work urgently approaching deadlines and in a team\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Creative thinking and effective risk mitigation abilities with strong decision-making skills\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong analytical abilities\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong computer skills and experience with relevant software\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Excellent communication and presentation\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong critical thinking, analytical, and problem-solving\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Good interpersonal and organizational\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Strong written and oral communication skills.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Intermediate or Advanced knowledge of Excel, PowerPoint, and Word.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\u0026lt;div class=\u0026quot;content-pay-transparency\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;pay-input\u0026quot;\u0026gt;\u0026lt;div class=\u0026quot;description\u0026quot;\u0026gt;\u0026lt;p\u0026gt;Individual compensation will be commensurate with the candidate\u0026#39;s experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;title\u0026quot;\u0026gt;Pay Transparency\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;pay-range\u0026quot;\u0026gt;\u0026lt;span\u0026gt;$55,000\u0026lt;/span\u0026gt;\u0026lt;span class=\u0026quot;divider\u0026quot;\u0026gt;\u0026amp;mdash;\u0026lt;/span\u0026gt;\u0026lt;span\u0026gt;$65,000 USD\u0026lt;/span\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;/div\u0026gt;\u0026lt;div class=\u0026quot;content-conclusion\u0026quot;\u0026gt;\u0026lt;p\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;div\u0026gt;\u0026lt;strong data-olk-copy-source=\u0026quot;MessageBody\u0026quot;\u0026gt;Benefits:\u0026lt;/strong\u0026gt;\u0026lt;/div\u0026gt;\n\u0026lt;ul data-end=\u0026quot;718\u0026quot; data-start=\u0026quot;487\u0026quot;\u0026gt;\n\u0026lt;li\u0026gt;Comprehensive medical, dental, vision, and life insurance coverage\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;401(k) retirement plan with employer match\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Health Savings Account (HSA) \u0026amp;amp; Flexible Spending Accounts (FSAs)\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\n\u0026lt;div\u0026gt;Paid time off (PTO) and disability leave\u0026lt;/div\u0026gt;\n\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Employee Assistance Program (EAP)\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Equal Employment Opportunity\u0026lt;/strong\u0026gt;: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.\u0026lt;/p\u0026gt;\u0026lt;/div\u0026gt;","departments":[{"id":4054403008,"name":"Claims Support","child_ids":[],"parent_id":4052710008}],"offices":[{"id":4044962008,"name":"Reliant - United States - Remote","location":null,"child_ids":[],"parent_id":null}]}],"meta":{"total":4}}