Reliant Health Partners

Compliance

• Assist with reviewing state fee schedule rules, guidelines, regulations, and/or statutes for changes or compliance risks with reimbursement
• Draft second level reconsideration letters
• Assist with drafting and responding to state disputes
• Determine if the second level reconsideration request requires a medical coder or clinician for audit
• 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
• Provide consultation internally or externally where appropriate
• Provide internal training where required for compliance
• Assist in the development of compliance processes and procedures
• 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
• Responsible for handling high level appeals – either based on the client or dollar threshold
• Establish special reimbursement policies for identified TIN’s
• Other duties as assigned or requested
• Responsible for handling negotiation with attorneys for state disputes

Senior Workers' Compensation Compliance Analyst

Growth Marketing

• Own and execute the full enterprise sales lifecycle from initial outreach through contract close
• Drive net-new logo acquisition across the national TPA market
• Develop and execute strategic account plans within complex TPA organizations
• Lead multi-threaded sales cycles involving executive, claims, and operations leadership
• Position Reliant against incumbent and bundled alternatives without relying on feature-by-feature parity
• Navigate channel sensitivity and competitive dynamics while maintaining executive trust
• Partner cross-functionally with Product, Operations, Compliance, and Finance to ensure scalable delivery and strong unit economics
• Represent Reliant Health Partners at industry conferences, executive meetings, and strategic events

National Director – TPA Growth

• Own and execute the full enterprise sales lifecycle from initial outreach through contract close
• Drive net-new logo acquisition within targeted national and regional health plan accounts
• Develop and execute strategic account plans within complex payer organizations
• Build and maintain relationships with C-suite and senior decision-makers across target accounts
• Navigate multi-year agreements, pilot programs, and phased enterprise implementations
• Partner cross-functionally with Growth, Product Marketing, Analytics, Operations, and Client Success teams to deliver tailored solutions
• Maintain disciplined pipeline management, forecasting, and reporting within CRM (e.g., Salesforce)
• Represent Reliant Health Partners at industry conferences, executive meetings, and strategic events

Senior Workers' Compensation Compliance Analyst

National Director – TPA Growth

National Director – Health Plan Growth