Workers Compensation Manager

New England Orthopedic Surgeons

$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years in workers' compensation, healthcare operations, or claims management.
  • Deep knowledge of workers' compensation regulations and employer relations.
  • Strong leadership and communication abilities.
  • Ability to juggle multiple tasks in a busy healthcare environment.
  • Experience with EMR systems, preferably Athena.

Responsibilities

  • Oversee workers' compensation program from injury to resolution.
  • Ensure timely care and coordination for injured workers.
  • Monitor and address claim processing barriers.
  • Maintain compliance with relevant regulations and policies.
  • Analyze program performance metrics for service outcomes.
  • Supervise and mentor workers' compensation team.
  • Build relationships with employers and healthcare providers.

Benefits

  • Opportunity to lead a comprehensive workers' compensation program.
  • Collaborative work environment with healthcare professionals.
  • Focus on professional development and team mentoring.
  • Engagement with local employers and community organizations.
  • Chance to influence program growth and employer satisfaction.
Full Job Description
Workers' Compensation Manager

New England Orthopedic Surgeons (NEOS)
A Division of Northeast Orthopaedic Alliance (NOA)
Location: Springfield, Massachusetts
Position Type: Full-Time | On-Site

This leadership role is responsible for overseeing all aspects of the workers' compensation program, managing day-to-day operations, supervising staff, and serving as the primary liaison between injured workers, employers, insurance carriers, attorneys, nurse case managers, and healthcare providers. The ideal candidate is a strong relationship builder who is passionate about delivering exceptional service, driving operational excellence, and expanding employer partnerships throughout the region.

Key Responsibilities

Program Management
  • Oversee all aspects of the workers' compensation program from initial injury through claim resolution.
  • Ensure timely scheduling, authorizations, and coordination of care for injured workers.
  • Monitor claim activity and proactively address barriers to treatment, communication, and return-to-work efforts.
  • Ensure compliance with workers' compensation regulations, payer requirements, and organizational policies.
  • Track and analyze key performance metrics related to program performance, patient access, and service outcomes.
  • Collaborate with physicians, providers, and clinic leadership to improve workflows and enhance operational efficiency.

Leadership & Team Development
  • Directly supervise workers' compensation coordinators and support staff.
  • Recruit, onboard, train, mentor, and evaluate team members.
  • Establish performance expectations and monitor productivity, quality, and customer service standards.
  • Conduct regular team meetings and provide ongoing coaching and professional development.
  • Develop and implement policies, procedures, and best practices that support program success.

Employer Relations & Business Development
  • Build and maintain strong relationships with employers, municipalities, insurance carriers, third-party administrators, nurse case managers, and referral sources.
  • Serve as an ambassador for the Workers' Compensation Program through regular outreach and engagement activities.
  • Conduct employer visits, educational presentations, and networking events to strengthen partnerships and increase awareness of services.
  • Identify opportunities to grow referral volume and expand market presence.
  • Partner with leadership on strategic initiatives focused on employer satisfaction and program growth.

Operational Oversight
  • Serve as the primary point of contact for escalated workers' compensation concerns.
  • Facilitate communication between providers, employers, carriers, attorneys, and case managers regarding treatment plans and work status recommendations.
  • Ensure timely completion of work status reports, disability paperwork, and workers' compensation documentation.
  • Assist with payer relations, contract discussions, and process improvement initiatives.

Qualifications

Required
  • Minimum of five (5) years of experience in workers' compensation, healthcare operations, occupational medicine, claims management, or a related field.
  • Strong understanding of workers' compensation processes, regulations, payer requirements, and employer relations.
  • Excellent leadership, communication, organizational, and relationship-management skills.
  • Ability to manage multiple priorities in a fast-paced healthcare environment.
  • Proficiency with electronic medical records (EMR) systems and reporting tools (Athena EMR, a plus).

Preferred
  • Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
  • Previous supervisory or management experience.
  • Experience working within a physician practice, orthopedic, occupational medicine, or healthcare setting.

Apply today and help lead the future of workers' compensation care at NEOS.

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