Workers' Compensation ManagerNew 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 ResponsibilitiesProgram 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.
QualificationsRequired- 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.