Risk Manager- Provider Network

We are seeking a strategic and analytical Risk Manager to oversee provider network performance, with a focus on dispute prevention, resolution, and risk mitigation within the workers’ compensation bill review process. This role will serve as the central point for managing provider reimbursement disputes and ensuring alignment with contractual and regulatory standards.Key Skills:7–10 years of experience in Network Management or Group HealthExperience with bill review processesStrong communication and stakeholder management skillsVendor management experienceAnalytical mindset with excellent problem-solving abilitiesExperience working in matrixed organizations; offshore team exposure is a plusKey Responsibilities:Lead dispute prevention and resolution related to provider reimbursementsAnalyze trends, identify root causes, and drive process improvementsCollaborate with legal, clinical, compliance, and external partnersMonitor and optimize network performance using data and dashboardsSupport product enhancements and ensure regulatory complianceAct as SME for network operations and provider performanceIf you are interested, please share your updated resume at