Provider Engagement Regional Director - 20079993

Desired applicants for this position reside in Central and Southern Ohio from these counties: 

Adams, Athens, Belmont, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Delaware, Fairfield, Fayette, Franklin, Gallia, Greene, Guernsey, Hamilton, Highland, Hocking, Jackson, Lawrence, Licking, Logan, Madison, Meigs, Miami, Monroe, Montgomery, Morgan, Muskingum, Noble, Perry, Pickaway, Pike, Preble, Ross, Scioto, Shelby, Vinton, Union, Warren, Washington

BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments.  Most positions perform work on-site at one of BWC’s seven offices across the state.  BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.

What You’ll Be Doing:

• Provides support of BWC’s healthcare delivery model by educating and supporting clinicians who treat workers’ compensation patients.
• Troubleshoot individual claim issues resulting from the care-management process.
• Develops strategies for recruiting, maintaining, and improving the collective performance of BWC-certified providers.
• Completes reports, monitors compliance, acts as healthcare policy expert in matters when warranted.
• Participates in vendor fairs and speaking engagements with partners and providers in medical communities as it relates to discussing BWC’s healthcare delivery system.

Preferred Qualifications and Experience:

• Bachelor’s degree in nursing.
• 3 – 5 years’ clinical experience in a hospital, urgent care, or medical practice setting.
• 5 – 7 years’ experience with reviewing and resolving issues related to workers’ compensation claims.
• 5 – 7 years’ experience with educating medical professionals.

This position is overtime exempt

THIS POSITION IS UNCLASSIFIED PERSUANT TO ORC 124.11(A)(9)